在西班牙马德里的医疗保健工作者中,麻疹的血清流行率
A de la Cuerda1, M I Tejeda González2, A López Aparicio2
1Occupational Risk Prevention Service, Hospital Universitario HM Montepríncipe, Universidad Camilo José Cela, Madrid, Spain.
The Journal of hospital infection
|December 1, 2023
概括
尽管接种了疫苗,但医疗保健工作者 (HCW) 面临麻疹风险. 自然麻疹感染提供了比疫苗接种更好的保护,强调了需要在HCW进行持续的免疫评估以控制感染.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
背景情况:
- 由于职业暴露,医疗保健工作者 (HCW) 患麻疹的风险增加.
- 这种增加的风险可能导致医院病例爆发.
- 评估HCW中麻疹免疫力对于感染控制至关重要.
研究的目的:
- 评估西班牙五所大学医院中医疗保健工作者的麻疹免疫状态.
- 确定影响HCW中麻疹免疫力的因素.
主要方法:
- 使用化学发光间接免疫测试 (CLIA) 检测麻疹的前性血清学测试 (IgG).
- 基于疫苗接种史,先前的麻疹疾病和职业类别的HCW分类.
- 后勤回归分析以确定麻疹免疫力的预测因素.
主要成果:
- 在2157名HCW中,89%的人拥有保护性麻疹抗体.
- 非免疫HCW比免疫个体 (83.6%对56.5%) 更有可能接种疫苗.
- 免疫力的预测因素包括年龄,麻疹病史和专业类别 (高风险的护士).
结论:
- 医疗保健工作者,即使接种了疫苗,仍然容易感染麻疹.
- 自然麻疹感染似乎比疫苗接种提供了更强大的保护.
- 持续监测和维持HCW中麻疹免疫力对于预防疫情至关重要.
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