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首页> 外文期刊>Emerging Infectious Diseases >Nipah Virus Infection Outbreak with Nosocomial and Corpse-to-Human Transmission, Bangladesh
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Nipah Virus Infection Outbreak with Nosocomial and Corpse-to-Human Transmission, Bangladesh

机译：孟加拉国医院和尸体向人传播的尼帕病毒感染暴发

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Active Nipah virus encephalitis surveillance identified an encephalitis cluster and sporadic cases in Faridpur, Bangladesh, in January 2010. We identified 16 casepatients; 14 of these patients died. For 1 case-patient, the only known exposure was hugging a deceased patient with a probable case, while another case-patient’s exposure involved preparing the same corpse for burial by removing oral secretions and anogenital excreta with a cloth and bare hands. Among 7 persons with confirmed sporadic cases, 6 died, including a physician who had physically examined encephalitis patients without gloves or a mask. Nipah virus–infected patients were more likely than communitybased controls to report drinking raw date palm sap and to have had physical contact with an encephalitis patient (29% vs. 4%, matched odds ratio undefined). Efforts to prevent transmission should focus on reducing caregivers’ exposure to infected patients’ bodily secretions during care and traditional burial practices.
机译：积极的Nipah病毒脑炎监测于2010年1月在孟加拉国Faridpur识别出脑炎群和零星病例。我们确定了16例患者。这些患者中有14人死亡。对于一名案例患者，唯一已知的暴露是拥抱死者的可能病例，而另一例患者的暴露涉及通过用布和裸手去除口腔分泌物和肛门生殖器排泄物来准备同一具尸体以进行埋葬。在确诊为零星病例的7人中，有6人死亡，包括一名医师，他没有戴手套或口罩就对脑炎患者进行了身体检查。与以社区为基础的对照相比，受尼帕病毒感染的患者更有可能报告饮用生枣椰汁并与脑炎患者进行身体接触（29％vs. 4％，匹配比值比不确定）。预防传播的重点应放在减少护理人员在护理和传统埋葬过程中接触被感染患者身体分泌物的机会。

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