諾羅病毒在某區域醫院附設護理之間群聚感染事件

Norovirus Outbreak in a Regional Hospital Affiliated Nursing Home

2006年12月23日至2007年1月3日止，在某區域教學醫院附屬護理之家發生疑似諾羅病毒 （Norovirus） 腸胃炎集體感染事件，共有43位人員發生腹瀉、嘔吐或發燒，其中35位為護理之家住民、8位為工作人員。感控室於2006年12月29日接獲通報後立即介入處理，針對護理之家有症狀之住民及工作人員進行採檢，採集新鮮糞便檢體及肛門拭子（共18人送檢），送至疾病管制局總局及第三分局檢驗，利用酵素免疫分析法 （enzyme-link immunosorbent assay, ELISA） 檢驗發現其中12個檢體證責為諾羅病毒，其後經感控單位依集中照顧 （cohorting care），接觸隔離 （contact isolation） 之概念介入處理後，此事件得到有效之控制。（感控雜誌 2009; 19: 273-82）。

Between December 23, 2006 and January 3, 2007, there was an outbreak of enterocolitis in a regional hospital affiliated nursing home. There were totally 43 people who had the symptoms as diarrhea, vomiting, or fever; 35 of them were residents and 8 were health care workers. The infection control team had been informed on Dec. 29, 2006 and started the intervention and investigation. The fresh stool and anal swab from 18 of the• 43 suspected cases were collected and sent to the Center of Disease Control, Taiwan. 12 of the 18 samples had been confirmed as Norovirus infection by enzyme-link immunosorbent assay (ELISA). The suspected cases and contact cases had been cohorted. Contact precaution and hand hygiene had been emphasized among the healthcare workers and visitors, especially before and after tube feeding. All the symptoms and signs of the patients were self-limited and there were no mortality case. The outbreak was under control after Jan. 3, 2007. (Infect Control J 2009;19:273-82).