Abstract:Objective To investigate and analyze two cases of brucellosis infection in hospital cleaners in Nanchang City during 2016-2017, and to explore whether brucellosis could be transmitted to hospital staff by nosocomial Brucella pollutants. Methods We analyzed the correlation between hospital staff with brucellosis infection and Brucella pollutants based on field epidemiological investigation and laboratory serological test. Results One case of brucellosis confirmed by laboratory serological test was treated in hospital B in Nanchang City during May 11 and May 28, 2016. One cleaner in hospital B presented with brucellosis-like symptoms on November 14, 2016, and the blood sample was Brucella culture positive. Hospital D in Nanchang City was a hospital specializing in infectious diseases, and its clinical laboratory carried out tests related to brucellosis detection all year around. Brucellosis cases were treated in hospital D separately on July 28 and October 13, 2016. One cleaner in hospital D had brucellosis-suspected symptoms in April, 2016, and the blood sample was Brucella culture positive. Investigation indicated that both sick cleaners in the two hospitals might contact Brucella pollutants and they did not receive professional training on self-protection. Conclusions The possible infection sources in two cases of brucellosis are from nosocomial Brucella pollutants and contaminated environment. Brucella pollutants can cause nosocomial infections; and hence, hospitals should enhance prevention and control of nosocomial infections and intensify propaganda concerning brucellosis prevention and treatment.
吴景文, 李春玫, 龚丽文, 邓志强, 王希, 陈盛恩. 两例医院保洁员布鲁氏菌病病例感染来源调查[J]. 实用预防医学, 2018, 25(10): 1195-1197.
WU Jing-wen, LI Chun-mei, GONG Li-wen, DENG Zhi-qiang, WANG Xi, CHEN Sheng-en. Sources of infection of brucellosis in two hospital cleaners. , 2018, 25(10): 1195-1197.