Influenza outbreak in a correctional facility
Influenza outbreak in a correctional facility
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DOI：
10.1111/j.1467-842x.2001.tb00290.x
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发表时间：
2001-10-01
影响因子：
3.5
通讯作者：
Rawlinson, WD
中科院分区：
文献类型：
--
作者：
Awofeso, N;Fennell, M;Rawlinson, WD
一家惩教机构的流感暴发发生在2000年8月。在一名公众向该设施传播该疾病后，疫情有所进展。可以对流感分离株进行快速诊断和分型，尽管有两名囚犯由于诊断时并发症严重而需要住院。该小组证明了病毒通过呼吸道快速传播，很可能是通过病毒传播。已确认的感染病毒是类似A/莫斯科的病毒，这是一种H3N2亚型，通常与大规模疫情有关。要预防这种暴发，要么在危险人群中实现高接种率，要么在症状出现后48小时内通过抗病毒治疗进行快速诊断(可能是关注点)。使用这种战略在机构内控制流感是可行的，尽管需要大量规划才能在冬季实施这种方法--冬季机构工作人员的缺勤率通常很高。
The outbreak of influenza in a corrections facility occurred during August 2000. The outbreak progressed following introduction of the disease by a member of the public to the facility. Rapid diagnosis and typing of the influenza isolates was available, although two prisoners required hospital admission due to the severity of complications at the time of diagnosis. The group demonstrated rapid transmission of the virus by the respiratory route and probably by fomites. The identified infecting virus was A/Moscow-like, an H3N2 subtype typically associated with large outbreaks. Prevention of such outbreaks will involve either achieving high rates of vaccination within the risk groups, or rapid (possibly point of care) diagnosis with the institution of antiviral therapy within 48 hours of symptoms. Influenza control within institutions is feasible using such strategies, although it requires considerable planning to have such approaches in place during winter - a time when institutional staff absenteeism is typically high.