某企业急性出血性结膜炎暴发因素及其控制措施实施评价

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[目的]探讨暴发原因,评价控制措施实施效果,为有效控制疫情提供科学依据。[方法]采用流行病学研究方法,对某企业隔离急性出血性结膜炎病例开展问卷调查,并对其发病和控制措施实施情况进行分析。[结果]被调查的670例隔离病人中,仅有15.22%病人由企业管理人员主动搜索后发现;发病后≥2d才隔离者为37.47%;29.70%被调查者发现同事中患病没有被隔离,有12.06%发现没有被隔离的病例仍在上班;发现病人隔离时间不够7d者占45.67%。同寝室和同工作场所有多人发病分别为36.85%和40.78%。发病前3d内曾上网吧、使用公用电话和共用一条绳凉衣与手巾者分别为30.00%、28.96%、26.87%;认为自己是被同寝室室友传染、上班时被同事传染和在外玩耍时被传染者分别占20.00%、13.43%和14.18%。仅有26.42%的病人知道本病还可经空气传播,而34.93%病人则错误认为本病可通过打预防针进行预防。当及早搜索传染源并快速隔离病人、疫点开展终末消毒和在员工中广泛开展本病健康教育等综合防制措施被严格组织实施后,该企业员工中本病的罹患率短期内大幅度下降,暴发被控制。[结论]急性出血性结膜炎在企业员工中暴发呈现同寝室和同工作场所的聚集性;没能早发现、早隔离病人和早消毒、早开展健教是本次暴发的主要原因;而企业自建隔离区、每天在宿舍区与生产线上搜索和隔离治疗病人、及时组织人力进行疫点终末消毒及在员工中广泛开展健康教育等严密综合控制措施是本次暴发得以控制并值得推广的成功预防策略。 [Objective] To investigate the causes of outbreak, evaluate the effect of control measures and provide a scientific basis for controlling the epidemic effectively. [Methods] With the method of epidemiology, we conducted a questionnaire survey on the isolation of acute hemorrhagic conjunctivitis in an enterprise and analyzed its incidence and control measures. [Results] Among the 670 isolated patients surveyed, only 15.22% of patients were found by active search by business managers; 37.47% of them were isolated within 2 days after onset; 29.70% of respondents found that their illness was not isolated , 12.06% found that no cases of isolation were still on duty; those who found that the patient isolation time was less than 7d accounted for 45.67%. The same bedroom and the workplace with multiple incidence were 36.85% and 40.78%. In the three days prior to the onset of illness, he had an Internet connection, using public phones and sharing a rope with a towel and a towel were 30.00%, 28.96% and 26.87% respectively. He thought he was infected with his roommate, was infected by his colleagues during work, and was playing outside Infectious persons accounted for 20.00%, 13.43% and 14.18% respectively. Only 26.42% of the patients knew that the disease was also spread by air, while 34.93% of the patients mistakenly believed that the disease could be prevented by taking a vaccination. When early detection of sources of infection and rapid isolation of patients, epidemic end-of-life disinfection and extensive health education in staff and other comprehensive prevention and control measures have been strictly implemented, the incidence of this disease in the short term significant Fall, the outbreak is controlled. [Conclusion] Acute hemorrhagic conjunctivitis outbreak in the enterprise staff showed the same bedroom and the same concentration in the workplace; failed to early detection, early isolation of patients and early disinfection, early implementation of health education is the main reason for the outbreak; and business from The outbreak of isolation and daily search and isolation of patients in the dormitory area and production line, the timely organization of manpower for terminal disinfection and extensive health education among staff, etc. are the most comprehensive and controllable measures that have undergone this outbreak and are worthy of promotion Prevention strategy.
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