Infection control in jails and prisons

Infection control in jails and prisons
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DOI:
10.1086/521910
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发表时间:
2007-10-15
影响因子:
11.8
通讯作者:
Bick, Joseph A.
Bick, Joseph A.
中科院分区:
医学1区
文献类型:
--
作者:
Bick, Joseph A.

文献摘要

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截至2005年底,大约有700万人(或每33名美国成年人中就有1人)在监狱中,监狱中或假释中[1]。与普通人群相比,新入监人员的人类免疫缺陷病毒感染、B型肝炎病毒感染、丙型肝炎病毒感染、梅毒、淋病、衣原体和结核分枝杆菌感染的患病率较高[2]。在监禁期间,囚犯感染血液传播病原体、性传播疾病、耐甲氧西林金黄色葡萄球菌感染和空气传播微生物(如M.肺结核、流感病毒和水痘-带状疱疹病毒。在监禁期间,囚犯与数十万名惩教工作人员和每年数百万的访客互动[2]。大多数囚犯最终被释放,与公众互动。传染病专家和感染控制从业人员有很大的机会对惩教工作人员、被监禁者和囚犯返回的社区的健康产生影响。本文简要回顾了一些最重要的感染控制的挑战和机会,在矫正设置。
At the end of 2005, similar to 7 million people (or 1 of every 33 American adults) were either in jail, in prison, or on parole [1]. Compared with the general public, newly incarcerated inmates have an increased prevalence of human immunodeficiency virus infection, hepatitis B virus infection, hepatitis C virus infection, syphilis, gonorrhea, chlamydia, and Mycobacterium tuberculosis infection [2]. While incarcerated, inmates are at an increased risk for the acquisition of blood-borne pathogens, sexually transmitted diseases, methicillin-resistant Staphylococcus aureus infection, and infection with airborne organisms, such as M. tuberculosis, influenza virus, and varicella-zoster virus. While incarcerated, inmates interact with hundreds of thousands of correctional employees and millions of annual visitors [2]. Most inmates are eventually released to interact with the general public. Tremendous opportunities exist for infectious diseases specialists and infection-control practitioners to have an impact on the health of correctional employees, the incarcerated, and the communities to which inmates return. This article presents a brief review of some of the most important infection-control challenges and opportunities within the correctional setting.