20名医务人员感染SARS追踪报告

Review of twenty medical workers with SARS

目的 了解SARS在医务人员中感染状况、抗体检测、临床和预后等特点。方法 对该院2月份感染SARS的20名医务人员的流行病学及临床资料进行回顾性分析及抗体检测、肺功能检查。结果 20名医务人员感染者中,男4例,女16例;医生8例,护士12例,平均年龄(26.8±6.0)岁;医务人员感染SARS的潜伏期是1～13d,常见潜伏期是2～6 d(14例),平均潜伏期(3.6±1.3)d,平均住院时间(26.1±11.5)d;该院一线工作人员231人,医务人员的感染率是8.7％(20/231),治愈率是100％,无一例死亡。由于消毒隔离防护措施得当,最近3个多月以来,该院未再有医务人员感染SARS。跟踪调查显示,20例医护人员预后良好,目前已全部恢复临床一线工作;19/20例(95.0％)肺功能检测完全恢复正常,1例通气功能轻度异常;抗体检测90.0％恢复期SARS抗体阳性,双份血清5/6例恢复期SARS抗体滴度升高,4/60例未感染一线人员抗体阳性。结论 医务人员感染SARS的流行病学、临床特点与一般SARS患者基本相同,我院医务人员的SARS感染率较低,临床治愈率高,追踪3个多月大多预后良好。目前的SARS抗体检测可以诊断大部分SARS患者,SARS存在隐性感染的可能。

Objective To investigate epidemical and clinical features and effect after treatment of medical workers with SARS. Methods Epidemical and clinical data of medical investigated. Results Among above 20 patients with SARS, 4 male and 16 female, including 8 doctors and 12 nurses, whose average age was (26.8±6.0) years. Their incubation period was 1 ~ 13 days, and 2 - 6 days was most common among them,average (3.6± 1.3) days. They had been in hospital for average (26.1 ±11.5) days. Infection rate of SARS in medical workers in our hospital was 8.7% ( 20/231 ) , and cure rate on clinic was 100% , while mortality was 0. No medical workers in our hospital has been infected SARS for recent 3 months. Results of tracing investigation: Positive rate of antibody of SARS was 90.0% (9/10) , normalized rate of lung function was 95.0% (19/20). Conclusion Epidemic and clinical features of SARS with medical workers are similar to that of population with SARS. There is low infection rate in medical workers of our hospital and good effect after treatment in those with SARS in our hospital, which is close related to the stuffs efforts in the health care s department and whole hospital.