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Avian Influenza H5N1 and Healthcare Workers

机译：禽流感H5N1和医护人员

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To the Editor: Since January2004, 35 human cases of avianinfluenza A virus H5N1 have beenreported in Vietnam. Human-to-human transmission of H5N1 is amajor concern, particularly because ofreported family clustering (1). Twoprobable cases of human-to-humantransmission were recently reportedfrom Thailand (2), and evidence forhuman-to-human transmission wasfound in the 1997 Hong Kong out-break (3). We evaluated healthcareworkers exposed to 2 patients(patients 5 and 6 [1], referred to aspatients A and B, respectively, in thisarticle) with H5N1 infection, con-firmed by polymerase chain reaction(PCR), to determine the potential riskfor nosocomial human-to-humantransmission of H5N1.Patient A was admitted to a gener-al ward of a pediatric hospital in HoChi Minh City on January 15, 2004,on day 8 of illness; no infection con-trol measures were taken at that time.On January 18, 2004, she was trans-ferred to the intensive care unit (ICU).Eight hours after ICU admission, lim-ited infection control measures wereimplemented: the patient was trans-ferred to a single room, and healthcareworkers were required to use dispos-able surgical masks and gloves andwear nondisposable gowns. However,because resources were limited, eachhealthcare worker wore only 1 glove
机译：致编辑：自2004年1月以来，越南已报告35例人类甲型禽流感H5N1病毒病例。 H5N1的人与人之间的传播是主要关注的问题，尤其是由于报告的家庭聚类（1）。泰国最近报告了两例人传人的病例（2），在1997年香港爆发的暴发中发现了人传人的证据（3）。我们对暴露于H5N1感染的2例患者（分别为患者5和6 [1]，在本文中分别称为患者A和B）进行了评估，并通过聚合酶链反应（PCR）进行了确证，以确定医护人员的潜在风险H5N1的人类传播。2004年1月15日，即疾病的第8天，患者A被送往胡志明市一家儿科医院的普通病房;当时没有采取控制感染的措施.2004年1月18日，她被转移到重症监护病房（ICU）。入院后8小时，实施了有限的感染控制措施： -被送到一个房间，医护人员被要求使用一次性手术口罩和手套，并穿着非一次性手术服。但是，由于资源有限，每位医护人员只戴了1副手套

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