儿童病区聚集性甲型流感事件1起

A case of clustered influenza A in a pediatric ward

儿童免疫力低、抵抗力弱,是流感的高危人群,感染流感病毒严重时可危及生命。本文报道儿童病区1起聚集性甲型流感事件的调查和管理,此次聚集性甲型流感事件由1名社区感染的甲型流感陪护人为传染源,在医院同一病房极可能近距离通过飞沫或气溶胶进行传播,引起2名患儿(年龄分别为11月龄和12月龄)甲型流感医院感染。通过及时采取病例管理和病区管理措施后,3例感染者预后良好,儿童病区未出现流感样病例暴发。在流感高峰期,医疗机构应加强空气消毒及开窗通风,同时对患者及陪护人员加强佩戴口罩等宣教,鼓励流感疫苗接种,从而减少交叉传播,阻止医院感染的暴发。

Children with low immunity and weak resistance are at high risk for influenza,and infection with the influenza virus can be life-threatening in severe cases.This article reported on the investigation and management of a clustered of influenza A cases in a pediatric ward.The clustered influenza A cases were caused by a community-infected influenza A chaperone who was the source of infection,and was most likely spread in close proximity through droplets or aerosols in the same hospital ward.This person caused the influenza A hospital-acquired infections in 2 children(aged 11 months and 12 months,respectively)in the hospital.After taking timely case management and ward management,the prognosis of the three infected patients was good and there was no outbreak of influenza-like illness in the pediatric ward.It is recommended that during the peak of the influenza season,air disinfection should be strengthened and windows should be opened for ventilation in medical institutions,while patients and accompanying staff should be strengthened to wear masks and other publicity,and influenza vaccination should be encouraged,so as to reduce cross-transmission and prevent outbreaks of hospital-acquired infections.