在新生儿重症监护室爆发了腺病毒D8疫情,涉及多种同时传播途径
C Sartor1, I Ligi2, P R Petit3
1LE Service de Prévention du Risque Infectieux (LESPRI), CLIN AP-HM Hôpitaux Universitaires de Marseille, France.
The Journal of hospital infection
|July 27, 2023
概括
新生儿重症监护室 (NICU) 的腺病毒 (ADV) 爆发非常严重. 这次与早产视网膜病变 (ROP) 查设备相关的ADV-D8疫情突出显示了不充分的消毒方案和亲子传播的风险.
科学领域:
- 传染性疾病 传染性疾病
- 新生儿护理 新生儿护理
- 眼科医生 眼科 眼科
背景情况:
- 新生儿重症监护室 (NICU) 的腺病毒 (ADV) 爆发带来了重大风险.
- 这项研究调查了与早产性视网膜病变 (ROP) 查设备相关的ADV-D8疫情.
研究的目的:
- 为了调查和控制在NICU的ADV-D8爆发.
- 为了确定疫情的来源和传播途径.
- 评估与ROP检查相关的风险.
主要方法:
- 在患者,工作人员,父母和环境中检测ADVDNA的分子检测.
- 在疫情爆发期间住院的新生儿的回顾性队列研究.
- 环境采样,包括眼科设备 (RetCam).
主要成果:
- 确定了15例新生儿病例,主要是结膜炎.
- 在RetCam和共享父冷器上检测到ADV DNA;所有输入为ADV-D8.
- ROP检查显著增加了感染风险 (RR 41.6).
结论:
- 这次疫情与使用RetCam进行ROP检查以及未经充分消毒的RetCam密切相关.
- 异体传染和亲子传染有助于传播.
- 实施新的消毒程序阻止了进一步的病例.
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