两例医院保洁员布鲁氏菌病病例感染来源调查  

Sources of infection of brucellosis in two hospital cleaners

作　　者：吴景文[1] 李春玫 龚丽文[1] 邓志强[1] 王希[1] 陈盛恩[1] WU Jing-wen;LI Chun-mei;GONG Li-wen;DENG Zhi-qiang;WANG Xi;CHEN Sheng-en(Nanchang Municipal Center for Disease Control and Prevention,Nanchang,Jiangxi 330038,China)

机构地区：[1]南昌市疾病预防控制中心,江西南昌330038 [2]南昌大学公共卫生学院

出　　处：《实用预防医学》2018年第10期1195-1197,共3页Practical Preventive Medicine

基　　金：南昌市科技局科技计划项目(No.20186041)

摘　　要：目的通过对南昌市2016年、2017年两例医院保洁员布鲁氏菌病例的调查分析,探讨布鲁氏菌病是否可通过医院布鲁氏菌污染物感染医院工作人员。方法通过现场流行病学调查和实验室检测,分析医院工作人员感染布鲁氏菌病和布鲁氏菌污染物的关联性。结果南昌市B医院2016年5月11-28日收治过一例布病实验室确诊病例,B医院保洁员于2016年11月14日出现疑似布病症状,其血液样本经布鲁氏菌培养,结果为阳性。南昌市D医院是传染病专科医院,其检验科常年开展布病检测相关项目,2016年7月28日、10月13日曾经分别收治过布病病例。2017年4月该院保洁员出现疑似布病症状,其血液样本经布鲁氏菌培养,结果为阳性。经调查,两院患病保洁员都有可能接触了布鲁氏菌污染物,两医院的保洁员都没有受过专业的自我防护培训。结论两例布鲁氏菌病病例的可能感染源来自于医院含有布鲁氏菌的污染物或者污染的环境。布鲁氏菌污染物可造成医院内感染,医院应加强院内感染控制和布病防治知识的宣传。Objective To investigate and analyze two cases of brucellosis infection in hospital cleaners in Nanchang City during2016-2017,and to explore whether brucellosis could be transmitted to hospital staff by nosocomial Brucella pollutants. Methods We analyzed the correlation between hospital staff with brucellosis infection and Brucella pollutants based on field epidemiological investigation and laboratory serological test. Results One case of brucellosis confirmed by laboratory serological test was treated in hospital B in Nanchang City during May 11 and May 28,2016. One cleaner in hospital B presented with brucellosis-like symptoms on November 14,2016,and the blood sample was Brucella culture positive. Hospital D in Nanchang City was a hospital specializing in infectious diseases,and its clinical laboratory carried out tests related to brucellosis detection all year around. Brucellosis cases were treated in hospital D separately on July 28 and October 13,2016. One cleaner in hospital D had brucellosissuspected symptoms in April,2016,and the blood sample was Brucella culture positive. Investigation indicated that both sick cleaners in the two hospitals might contact Brucella pollutants and they did not receive professional training on self-protection.Conclusions The possible infection sources in two cases of brucellosis are from nosocomial Brucella pollutants and contaminated environment. Brucella pollutants can cause nosocomial infections; and hence,hospitals should enhance prevention and control of nosocomial infections and intensify propaganda concerning brucellosis prevention and treatment.

关 键 词：布鲁氏菌病 院内感染 医院保洁员 

分 类 号：R535[医药卫生—内科学]