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An outbreak of rubella among hospital personnel and measures taken against hospital infection--cost-benefits of the measure

机译：医院人员和措施对医院感染采取的措施爆发 - 措施的成本效益

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摘要

There is no nationwide outbreak of rubella after 1992 in Japan, but a local outbreak remains. Recently, some cases of congenital rubella syndrome (CRS) were reported after a local outbreak. An outbreak of rubella among hospital personnel occurred in our hospital located on Tanegashima Island on March and April 2003 after a visit of one rubella patient. Fifteen employees, including 7 clerks, 6 nurses, one doctor, and one radiologist, experienced rubella. A total of 259 employees in our hospital employees were examined for anti rubella hemagglutination inhibition (HI) tests with informed consent and recommended to take rubella vaccines. Sixty-seven employees (26%) among 257 examined for tests were found susceptible to rubella, and 53 employees were vaccinated. After vaccination, the outbreak was stamped out immediately. There was no rubella patient infected from employee. Nine among the 15 infected employees had declared to have a history of rubella or rubella vaccines before onsets, suggesting interviews are not reliable. There were many susceptible persons and rubella patients among elderly women and male personnel; therefore, measures are needed for elderly personnel as well as younger employees. In addition, adequate measures should be taken to prevent CRS, because many female personnel capable of pregnancy work in hospitals. The cost of the rubella HI tests and vaccination was approximately yen 200,000 (about dollar 1,600). The absence due to illness per one person was 6 days, and the wage per one day was about yen 12,000 (about dollar 100) on the average. The overall cost required in the outbreak was estimated to be approximate yen 1,400,000 (about dollar 12,000). Considering that an outbreak of rubella causes not only a large amount of expenditure but also loss of hospital income, the investment to prevent a rubella outbreak is quite valuable in the management of a hospital.
机译：1992年在日本之后没有全国爆发风疹，但仍然存在当地爆发。最近，在当地爆发后报告了一些先天性风疹综合征（CRS）的病例。在3月和2003年4月在一名风疹病人访问后，在我们的医院爆发了医院人员的爆发。十五名员工，包括7名职员，6名护士，一名医生和一个放射科医生经验丰富的风疹。我们医院员工共有259名员工进行抗风疹血凝抑制（HI）试验，并推荐服用风疹疫苗。达到257名员工（26％）的试验中的六十七名员工（26％）易患风疹，53名员工接种疫苗。疫苗接种后，爆发立即被冲压。没有来自员工的风疹病人。在15名感染员工中九年宣布在持续前宣布有风疹或风疹疫苗的历史，建议采访不可靠。老年妇女和男性人员中有许多易感人和风疹患者;因此，老年人和年轻员工需要措施。此外，应该采取足够的措施来防止CRS，因为许多能够在医院妊娠工作的女性人员。风疹HI试验和疫苗接种的成本约为200,000（约1,600美元）。由于每人疾病的缺席是6天，每天的工资约为日元12,000（约100美元）平均值。爆发所需的总体成本估计是近似Yen 1,400,000（约12,000美元）。考虑到风疹爆发不仅导致大量的支出而且还丧失了医院收入，预防风疹爆发的投资在医院管理方面非常有价值。

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