プラズモディウム・ファルシパラム型マラリアは,病院でヘパリン鎖を通して感染する
H A Abulrahi1, E A Bohlega, R E Fontaine
1Field Epidemiology Training Program, Ministry of Health, Riyadh, Saudi Arabia.
Lancet (London, England)
|January 4, 1997
まとめ
病院内感染マラリア (HAFM) の伝播は,ヘパリン錠を使用した共用シリンジにより発生しました. これは,医療施設における血液経由の病原体伝播のリスクを強調しています.
科学分野:
- 感染症 感染症は感染症です.
- 病院疫学 病院疫学について
- 公衆衛生は公衆衛生である.
背景:
- サウジアラビアのリヤドにある急性プラズモディウムファルシパラムマラリア (AFM) 症例の集団は,病院での感染を示唆している.
- コミュニティの調査では,罹患者の間で病院入院が共通の要因であると特定しました.
研究 の 目的:
- 病院内での急性プラズモディウムファルシパラムマラリアの感染を調査する.
- 病院内感染マラリア (HAFM) に繋がる特定の慣行を特定する.
主な方法:
- 小児病院に入院した全AFM患者 (1991年12月-1992年4月) を調査した.
- 旅行歴と入院を基に,現地感染 (LAFM) または病院感染 (HAFM) としてマラリアを分類する.
- HAFM症例の対照患者との曝露と看護の比較.
- 薬剤の親体投与に関する匿名のアンケートを実施した.
主要な成果:
- LAFMの21例のうち20例 (95%) は,対照群の25% (p <0.001) と比較して,以前に入院していた.
- HAFMの患者は,以前の入院中にAFMの患者と部屋を共有または隣接する部屋を持つ可能性が著しく高かった (p < 0.001).
- HAFM患者の90%は,以前の入院中にヘパリン錠を使用し,一般的な患者の49% (p <0.001) でした.
- 看護師は,複数のヘパリン錠 (10%) のための単一注射器を使用し,複数の用量 (50%) のための注射器を準備していると報告しました.
結論:
- プラズモディウム・ファルシパラム型マラリアは,連続ヘパリン錠を使用した共用シリンジを通じて,患者から患者へと伝染していた.
- この不安全な慣行は,病院の環境で他の血液媒介の病原菌を伝播する重大なリスクをもたらします.
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