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最近有报道医院内的霍乱暴发,这些暴发的传播方式可能是过于拥挤的儿童病房中不卫生状态下人与人的密切接触,但也有传播方式不明的霍乱暴发。作者报道泰国南部一家775张床位的医院1984年10月30日至12月7日的11例霍乱暴发。医院内霍乱的诊断标准为除霍乱外的任何病人在入院后一天或一天以上才出现霍乱症状,大便培养霍乱弧菌01阳性。为了解传播途径,每例病人设2例对照,年龄和入院日期相似,病室相同,一个月内无腹泻病史,大便霍乱弧菌01培养阴性。对病人和对照组均详细询问出现霍乱症状前5天内的进食和饮水情
Cholera outbreaks have recently been reported in hospitals and these outbreaks may be transmitted in close contact with people in the unhygienic conditions in overcrowded children’s wards but also with outbreaks of cholera whose transmission is unknown. The authors report the 11 cholera outbreaks in a 775-bed hospital in southern Thailand from October 30 to December 7, 1984. Cholera in the hospital diagnostic criteria for any patient except cholera after admission to one day or more before the emergence of cholera symptoms, stool culture of Vibrio cholerae 01 positive. In order to understand the route of transmission, two patients in each patient control, age and date of admission similar to the same ward, no history of diarrhea within a month, Vibrio cholerae 01 culture negative. Patients and control groups were asked in detail about eating and drinking in the first 5 days of the cholera symptoms