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血液净化中心疥疮暴发的处置与防控
Prevention and control of scabies outbreak in a blood purification center

作者:庞欣欣 彭紫凝 邢玉凤 张雅歌 石秀杰 韩佳瑞

单位:郑州,河南省中医院(河南中医药大学第二附属医院)肾病科(庞欣欣、韩佳瑞);河南中医药大学第二临床医学院(彭紫凝、邢玉凤、张雅歌、石秀杰、韩佳瑞)

关键词:疥疮;接触性传染性皮肤病;血液净化中心;医院感染;传染病防控

分类号:R184

DOI:10.3969/j.issn.2095-7432.2021.01.015

出版年,卷(期),页码:2021,11 (1):55-58

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摘要:

疥疮是疥螨在人体皮肤表皮层内引起的接触性传染性皮肤病,易在人员密集区流行。通过对某三级甲等医院一起血液净化中心疥疮暴发的感染事例的分析,探讨预防疥疮的相关措施,为相关科室感染控制提供借鉴。此次疥疮感染主要发生在有高危易感因素的维持性血液透析患者中。通过从时间、空间、人群3 个方面归纳其流行病学特征,落实调查、治疗、防控等一系列处置措施,最终控制良好,无新增病例。此次感染事例的处置与防控措施可为血液净化中心等临床科室感染提供参考,同时也警示医务人员日常操作时应严格消毒,从源头杜绝感染。

英文摘要:

Scabies is an infectious disease caused by Sarcoptes scabiei in the epidermal layer of human skin. Spread by skin contact, it is easily prevalent in crowded areas. This article analyzes a scabies outbreak in a blood purification center of a tertiary hospital and proposes the scabies prevention and control measures. The scabies occurred mainly in maintenance hemodialysis patients with high risk of developing scabies. The epidemiological features (time, space and population) of the outbreak are summarized. After the adoption of effective investigation, treatment, and prevention/control measures, the outbreak was finally well controlled and no new cases were detected. Our practices may provide reference for scabies control in clinical departments (such as blood purification center); and medical staff should be alerted to strictly disinfect during daily operations to eliminate scabies infection from its source.

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