Background This study analyzes the epidemiological characteristics,investigation,and management of a tuberculosis(TB)outbreak in July 2024 at a psychiatric hospital in Yantai City,Shandong Province.It aims to provide ...Background This study analyzes the epidemiological characteristics,investigation,and management of a tuberculosis(TB)outbreak in July 2024 at a psychiatric hospital in Yantai City,Shandong Province.It aims to provide recommendations for the prevention and control of TB in high-risk settings,such as psychiatric hospitals.Methods An epidemiological investigation was conducted,involving case analyses,symptom screenings,tuberculin skin tests(TST),chest X-rays(CXR),and an evaluation of the outbreak's progression and findings.Results Four active pulmonary TB cases were confirmed between July 3 and July 12,2024.Among 313 contacts screened,37 tested positive,with healthcare workers showing a higher positivity rate(18.60%)compared with patients with mental illnesses(9.05%).Healthcare workers’close contacts had significantly higher positivity rates than their casual contacts.Conclusions The primary cause of this cluster outbreak was delayed outbreak alerts following the identification of the index case.To enhance outbreak prevention,medical institutions should clarify whether TB patients with a history of mental illness have been admitted in psychiatric hospitals and,if so,initiate timely outbreak alerts.Additionally,psychiatric hospitals should improve healthcare worker training to recognize TB symptoms and promptly report cases involving patients with mental illnesses.展开更多
On April 29,2020,China entered a normalization stage of prevention and control.By December 2021,more than 40 outbreaks had occurred in China,which reflected the shortcomings of the pandemic prevention and control meas...On April 29,2020,China entered a normalization stage of prevention and control.By December 2021,more than 40 outbreaks had occurred in China,which reflected the shortcomings of the pandemic prevention and control measures in China at that time.As the capital city of China,Beijing faces more pressure in epidemic prevention and control.We used the COVID-19 cluster containment evaluation indicators to determine the effects of prevention and control measures on four COVID-19 outbreaks in Beijing.After considering the specificity and operability of evaluation indicators and the availability of evaluation data,the evaluation system in our study consisted of six dimensions:epidemic prevention and control effect,discovery and detection ability,precision prevention and control capability,public protection effect,medical treatment and nosocomial infection prevention and control ability,and information release and public opinion response ability.The composite scores of the prevention and control effects of the Xinfadi,Shunyi,Daxing,and Ejina Banner–associated COVID-19 outbreaks in Beijing were 62,82,87,and 76,respectively.In the six dimensions,the epidemic prevention and control effect,discovery and detection ability,precision prevention and control capability,and public protection effect scores for the Xinfadi outbreak were lower than those for the Shunyi,Daxing and Ejina Banner–associated outbreaks.The medical treatment and nosocomial infection prevention and control ability scores for the outbreak associated with Ejina Banner were lower than those for the Xinfadi,Shunyi,and Daxing outbreaks.In managing cluster outbreaks,Beijing was able to detect index cases early enough to reduce the scale and duration of the outbreak and consistently release official information to reduce public panic,standardize the management of centralized quarantine sites to prevent cross-infection,adhere to the“dynamic COVID‐zero”strategy to accurately prevent and control outbreaks,reduce the societal influence of the pandemic,and coordinate the epidemic prevention and control and socio-economic development.展开更多
基金funded by the Shandong Province Medical and Health Project“Study on the Resistance Characteristics of First-Line Anti-Tuberculosis Drugs in Mycobacterium Tuberculosis in Yantai Area”(202112050277).
文摘Background This study analyzes the epidemiological characteristics,investigation,and management of a tuberculosis(TB)outbreak in July 2024 at a psychiatric hospital in Yantai City,Shandong Province.It aims to provide recommendations for the prevention and control of TB in high-risk settings,such as psychiatric hospitals.Methods An epidemiological investigation was conducted,involving case analyses,symptom screenings,tuberculin skin tests(TST),chest X-rays(CXR),and an evaluation of the outbreak's progression and findings.Results Four active pulmonary TB cases were confirmed between July 3 and July 12,2024.Among 313 contacts screened,37 tested positive,with healthcare workers showing a higher positivity rate(18.60%)compared with patients with mental illnesses(9.05%).Healthcare workers’close contacts had significantly higher positivity rates than their casual contacts.Conclusions The primary cause of this cluster outbreak was delayed outbreak alerts following the identification of the index case.To enhance outbreak prevention,medical institutions should clarify whether TB patients with a history of mental illness have been admitted in psychiatric hospitals and,if so,initiate timely outbreak alerts.Additionally,psychiatric hospitals should improve healthcare worker training to recognize TB symptoms and promptly report cases involving patients with mental illnesses.
基金funded by the National Natural Science Foundation of China(71934002,72122001)National Key Research and Development Project of China(2021ZD0114104,2021ZD0114105,2021ZD0114101).
文摘On April 29,2020,China entered a normalization stage of prevention and control.By December 2021,more than 40 outbreaks had occurred in China,which reflected the shortcomings of the pandemic prevention and control measures in China at that time.As the capital city of China,Beijing faces more pressure in epidemic prevention and control.We used the COVID-19 cluster containment evaluation indicators to determine the effects of prevention and control measures on four COVID-19 outbreaks in Beijing.After considering the specificity and operability of evaluation indicators and the availability of evaluation data,the evaluation system in our study consisted of six dimensions:epidemic prevention and control effect,discovery and detection ability,precision prevention and control capability,public protection effect,medical treatment and nosocomial infection prevention and control ability,and information release and public opinion response ability.The composite scores of the prevention and control effects of the Xinfadi,Shunyi,Daxing,and Ejina Banner–associated COVID-19 outbreaks in Beijing were 62,82,87,and 76,respectively.In the six dimensions,the epidemic prevention and control effect,discovery and detection ability,precision prevention and control capability,and public protection effect scores for the Xinfadi outbreak were lower than those for the Shunyi,Daxing and Ejina Banner–associated outbreaks.The medical treatment and nosocomial infection prevention and control ability scores for the outbreak associated with Ejina Banner were lower than those for the Xinfadi,Shunyi,and Daxing outbreaks.In managing cluster outbreaks,Beijing was able to detect index cases early enough to reduce the scale and duration of the outbreak and consistently release official information to reduce public panic,standardize the management of centralized quarantine sites to prevent cross-infection,adhere to the“dynamic COVID‐zero”strategy to accurately prevent and control outbreaks,reduce the societal influence of the pandemic,and coordinate the epidemic prevention and control and socio-economic development.
