巴基斯坦的一次儿科艾滋病毒爆发
Joumana Hermez1, Maha Ismail1, Oliver Morgan2
1World Health Organization Regional Office for the Eastern Mediterranean Region, Cairo, Egypt.
概括
不安全的医疗保健做法可能导致了2019年巴基斯坦Larkana的艾滋病毒爆发,影响了700多名儿童. 改善感染预防和控制措施至关重要,特别是在儿科和产前诊所.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在巴基斯坦Larkana区的儿童中报告了人类免疫缺陷病毒 (HIV) 感染的爆发.
- 一个国际团队在2019年4月至6月期间调查了疫情的范围和原因.
研究的目的:
- 调查Larkana地区儿童感染艾滋病毒的发生率.
- 描述艾滋病毒病例按时间,地点和人的分布.
主要方法:
- 艾滋病毒检测是在使用国家协议对自我推的个人进行的.
- 审查了流行病学数据,以产生有关艾滋病毒传播的假设.
- 一个感染预防和控制 (IPC) 团队评估了医疗保健实践.
主要成果:
- 总共有30,191人进行了测试,其中876人检测出艾滋病毒阳性.
- 在这些阳性病例中,719 (82%) 是15岁以下的儿童.
- 不安全的医疗注射与此有关,99%的受影响儿童在过去一年内接受过注射或输液.
结论:
- 在正式和非正式环境中不安全的医疗保健做法是2019年艾滋病毒爆发的最可能原因.
- 建议加强感染预防和控制 (IPC) 措施.
- 建议特别关注儿科和产前护理诊所,以提高患者安全.
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