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目的对2013年3—6月手足口病(HFMD)流行期间参与HFMD住院患儿治疗、护理、照护的医务人员及患儿家属的HFMD病毒隐性感染情况进行分析,旨在为HFMD的防治工作提供依据。方法收集HFMD医务人员资料42例,患儿家属资料101例,并根据家属接触的密切程度,将家属分为密切接触组和非密切接触组,取其咽拭子进行肠道病毒通用型、肠道病毒71型(EV71)和柯萨奇病毒A组16型(CA16)定量分型。结果医务人员检测42例,无一人感染。HFMD家属检测101人,肠道病毒核酸通用型阳性25人,阳性率为24.75%,其中EV71阳性22人,阳性率为21.78%,其他肠道病毒阳性3人,阳性率为2.97%,CA16未检出。2组之间EV(P=0.820)和EV71(P=0.811)的感染情况比较差异均无统计学意义。结论了解HFMD的传播机理,有侧重点的对“成人”这个薄弱环节进行有效的护理干预,有利于HFMD的防控,从而降低重症HFMD的发病率。杭州市儿童医院在HFMD医院感染的管理措施合理、有效,能防止院内交叉感染,值得推广。
Objective To analyze the prevalence of latent infection of HFMD virus among medical staff and their relatives involved in the treatment, care and care of children with HFMD during the HFMD epidemic in March-June 2013 in order to provide a basis for the prevention and treatment of HFMD Provide evidence. Methods 42 cases of HFMD medical staff and 101 cases of family members were collected. According to the close contact of family members, the families were divided into two groups: close contact group and non-close contact group. Throat swabs were used for generalized enterovirus, (EV71) and Coxsackievirus A (type 16) (CA16). Results The medical staff detected 42 cases without any infection. The detection rate of familial HFMD was 101, and the positive rate of enterovirus nucleic acid was 25, the positive rate was 24.75%, of which 22 were EV71 positive, the positive rate was 21.78%, and the other enterovirus positive was 3, the positive rate was 2.97% Check out. There was no significant difference in infection status between the two groups (P = 0.820) and EV71 (P = 0.811). Conclusion To understand the transmission mechanism of HFMD, effective nursing intervention on the weak link of “adult” with emphasis on the prevention and control of HFMD can reduce the incidence of severe HFMD. Hangzhou Children’s Hospital in HFMD hospital management of infection is reasonable and effective to prevent cross-infection in the hospital, it is worth promoting.