一起“挪威疥疮”医院内暴发与处置

An outbreak and treatment of Norwegian scabies occurred in a hospital

摘要:

目的调查某院一起疥疮医院感染暴发的原因和处置方法。方法2013年5月该院因1例“挪威疥疮”患者误诊，引起医务人员疥疮医院感染暴发，该院医院感染控制科对暴发事件进行流行病学调查，并根据调查结果指导医疗及消毒隔离。结果医务人员及其家属，共计27人感染挪威疥疮。经积极药物治疗，患者病情逐渐好转；患者使用过的物品全部用塑料口袋包装密封1周后进行清洗消毒。经积极治疗加严格清洗消毒后，感染流行趋势得到控制，未再出现新发病例。结论挪威疥疮传染性高，可在局部地区造成流行，需提高医务人员对本病的诊断能力；一旦发生医院感染，应采取快速、有效措施，防止其蔓延、扩散。

关键词:

疥疮; 挪威疥疮; 医务人员; 职业防护; 暴发; 医院感染

Abstract:

ObjectiveTo investigate the causes and treatment measures of an outbreak of  Norwegian scabies occurred  in a hospital.  MethodsIn May 2013, an outbreak  of  Norwegian scabies among health care workers(HCWs) occurred because of the misdiagnosis of a patient with Norwegian scabies, epidemiological investigation was carried out by healthcareassociated infection(HAI) control  department, medical intervention and disinfection and isolation measures were performed. ResultsA total of 27 HCWs and patients’ relatives developed Norwegian scabies. After active medical treatment, patients’ condition improved; all appliances used by patients were cleaned and disinfected after being wrapped and sealed with plastic bags for one week. Epidemic trend of infection was under control and no new case was found. ConclusionWith highly contagious, Norwegian scabies can be spread in local area, it is necessary to improve HCWs’ diagnostic ability to this disease and take effective measures to prevent the epidemic once HAI occur.

Key words:

scabies; Norwegian scabies; health care worker; occupational precaution; outbreak; healthcareassociated infection