摘要
目的扑灭副伤寒流行,实施疫区消毒,考察消毒效果。方法采用化学消毒剂对疫区进行全面消毒处理.进行采样检测,以考核消毒效果。结果该公司因自来水管道改造停水而改用未经消毒的污染的井水后.共出现55名发热病人.体温在38℃~39℃之间,部分病例体温39℃以上,出现相对缓脉、食欲差、表情淡漠等临床症状.经开展流行病学调查,样品检测,结果血培养有4份找到甲型副伤寒杆菌.证实为一起甲型副伤寒杆菌引起的暴发疫情。经按消化道传染病积极防治,疫区进行了全面消毒处理和卫生管理。易感人群应急接种伤寒菌苗.疫情很快得到控制。再从病人肛拭、化粪池水、河水、井水采样检测结果均为阴性。结论经疾控中心和医护人员的积极控制和治疗.很快控制了疫情.自首例病人出现至第25天疫情全部被扑灭.所有病人康复出院。经随访一年未出现一例类似病人.说明此次处理措旅效果很好。
Objective extinguish paratyphoid being popular with, put disinfecting measures into practice on the plague spot, and inspect the effect of disinfecting. Methods Adopt the chemistry disinfectant to carry out the disinfecting, taking sample all round on the plague spot, to check the effe-- ct of disinfecting. Results After that company switched to use the well water contaminated without disinfecting because running water pipelines were reformed so that the water supply was cut off, the 55 patients generated heating phenomenons altogether whose temperatures are betweet 38 centigrade degree and 39 centigrade degree, part cases, temperatures are above 39 centigrade degree who appear relatively slow pulse, bad appetite, indifferent expression and so on. By that the epidemiology investigation, checking samples, it finds that blood cultivating has 4 A type paratyphoid bacillus, and confirms that A type paraty- phoid bacillusarouse outbreak epidemic situation. Going through active digestive tract infectious disease prevention and cure, all--round the disinfecting and hygienical treatment is carried out on the plague spot, the easy infectious groups are inoculated a emergency typhoid vaccine, as a result, the epidemic situation is quickly under control. Comply with the patient anus dung, excremental pool water, river water, and well water--taking samples to check, as a result, it appears feminine gender. Conclusion With emergency center and medicine attendants controlling and curing, the epi- demic situation is quickly under control. Since the first example patient appears till the 25th day, epidemic situation is extinguished quickly, all patients recover from the hospital. After the follow-- up, a similar patient does not appear for 1 year, it explains that the effect of handing measures is very good this time.
出处
《医学动物防制》
2007年第10期741-742,共2页
Journal of Medical Pest Control
关键词
伤寒
疫区
消毒
Typhoid fever
Plague spot
Disinfect