小兒外科病房水痘院內感染群突發

An Outbreak of Nosocomial Varicella ln1ection in a Pediatric Surgical Ward

王淑芬(Sheu-Fen Wang) ； 邱南昌(Nan-Chang Chiu) ； 李文珍(Wen-Chen Li) ； 紀鑫(Hsin Chi) ； 李聰明(Chung-Ming Lee)

《院內感染控制雜誌》 12卷5期 (2002/10) Pp. 268-274

摘要

Chickenpox can be a life-threatening disease for immunocompromized children and neonates who have no varicella antibodies. An outbreak of varicella infection was noted in a pediatric surgical ward at our hospital. After one post-operative patient developed the disease, two patients in another room showed the signs of infection 2 weeks later. They were all isolated in a room, acyclovir given, and they recovered without complications. A total of 12 patients who had been in the same room with these patients were also isolated in another room and observed for 21 days. In the meantime, isolation procedures were emphasized to the staff members. The mothers of those contacts without the disease and the staff members were questioned as to the history of chickenpox, and also tested for the varicella antibody. Those who had not had the disease in the past were given the varicella zoster IgG. The staff who had not had varicella or the vaccination were not allowed to take care of the patients or the contacts, and advised to receive immunization. No further cases were noted after the implementation of these infection control procedures. Prompt and effective management can prevent the spread of vancelia nosocomial infection.

關鍵字

水痘 ； 院內感染 ； 群突發 ； 小兒外科

並列摘要

Chickenpox can be a life-threatening disease for immunocompromized children and neonates who have no varicella antibodies. An outbreak of varicella infection was noted in a pediatric surgical ward at our hospital. After one post-operative patient developed the disease, two patients in another room showed the signs of infection 2 weeks later. They were all isolated in a room, acyclovir given, and they recovered without complications. A total of 12 patients who had been in the same room with these patients were also isolated in another room and observed for 21 days. In the meantime, isolation procedures were emphasized to the staff members. The mothers of those contacts without the disease and the staff members were questioned as to the history of chickenpox, and also tested for the varicella antibody. Those who had not had the disease in the past were given the varicella zoster IgG. The staff who had not had varicella or the vaccination were not allowed to take care of the patients or the contacts, and advised to receive immunization. No further cases were noted after the implementation of these infection control procedures. Prompt and effective management can prevent the spread of vancelia nosocomial infection.

並列關鍵字

varicella ； chickenpox ； nosocomial infection ； outbreak ； pediatric surgical ward