广州某大学城建筑工地A群流行性脑脊髓膜炎暴发的调查处理分析

Investigation and Analysis into the A-group Epidemic Cerebro-Spinal Meningitis Explosi on in a Construction Site in Guangzhou University City

目的:查明该岛建筑工地流行性脑脊髓膜炎局部暴发的因素。方法:用统一调查表逐例可疑流脑病例进行调查,常规脑脊液涂片检测革兰氏阴性双球菌,分离流脑脑膜炎奈瑟氏菌。结果16例以男性为主、年龄在16岁-54岁、无流脑疫苗免疫史的外地农民工,居住在人均不足5平方米的拥挤宿舍内,引起局部暴发。结论:由于发现及时,处理措施到位,未造成病例死亡和疫情大面积扩散。为防止农民工出现流脑暴发疫情,建议有关部门在农民工招工、务工前接种流脑疫苗。

Objective： The investigation is to find out the reasons for the NM explosion in a construction site in Guangzhou University City. Methods： Applied are case-by-case investigation of the suspect cases in the form of questionnaires; G（- ）inspection by regular CSF coated plate and separation of NM of the epidemic encephalitis. Result： 16 cases, mainly male farmers, aged between 16-54, without Vaccination immunity history. They sheltered in a crowded place no bigger than 5m. resulting in the local explosion. Conclusion： With early discovery and proper counter-measures, no death has been reported and NM explosion has been brought under control. In order to prevent similar NM explosion among peasant workers, it is recommended to the concerned departments that peasant workers are inoculated cerebro-spinal Meningitis caccine before being employed.