某醫學中心附設護理之家A型／H3流感群突發調查

Investigation of Influenza A/H3 Outbreak in the Nursing Home of a Medical Center

王綾憶(Ling-Yi Wang) ； 張名伸(Ming Shen Chang) ； 許巧蕙(Chiao Hui Hsu) ； 劉育歆(Yu-Hsin Liu) ； 劉淑芬(Shu Fen Liu) ； 李文生(Wen-Sen Lee)

《感染控制雜誌》 28卷1期 (2018/02) Pp. 1-9

https://doi.org/10.6526/ICJ.2018.101

摘要

流感(Influenza)好發的季節是冬天及春天，且大都在社區流行的疾病，2013年夏天於某醫學中心附設護理之家發生院內流感群突發，於此季節是罕見的群聚事件，當時有15位住民出現呼吸道感染及類流感症狀，其中11位證實感染A型流感，臨床症狀包括發燒11位(100%)，有痰9位(82%)，咳嗽4位(36%)，呼吸喘4位(36%)。11位A型流感患者經衛生福利部疾病管制署reverse transcriptase-polymerase chain reaction (RT-PCR)檢驗結果，10位(91%)驗出A型/H3流感病毒及1位(9.1%)為A型/swH1流感病毒。經加強隔離防護、住民訪客管理、體溫監測、環境維護、通報回饋及預防性投藥等感管措施介入，6日之後無新個案產生；希望藉由此次事件的經驗，作為長照機構在處理流感群突發事件時之參考。

關鍵字

流感 ； 護理之家 ； 群突發

並列摘要

The epidemic seasons of influenza A are mostly the winter and summer, and influenza A outbreaks mostly occur in communities. There was an influenza A/H3 outbreak in the nursing home of a medical center in the summer of 2013, which was a rare cluster event in a long-term care facility. The clinical manifestations of the 11 patients included fever (11, 100%), increased sputum (9, 82%), cough (4, 36%), and dyspnea (4, 36%). Eleven patients demonstrated a positive influenza A rapid test (enzyme immunoassay test) result; further, the reverse transcription polymerase chain reaction (RT-PCR) test showed that ten patients (91%) were infected with influenza type A H3, while only one patient (9.1%) was infected with type A swH1. The outbreak was managed after infection control intervention. This influenza A outbreak experience provides valuable information for long-term care institutions.

並列關鍵字

Influenza ； nursing home ； outbreak