Report of the investigation into the outbreak personnel of Chickenpox diseases in the intensive care unit Sisaket Hospital Year 2020

Abstract

January 8, 2020 Occupational Health Group was informed by the infection prevention and control work in the hospital that there are personnel at Srisaket Hospital Sick with a Chickenpox disease, the amount of 2 people therefore immediately investigated the disease with the objective of were (1) to confirm the diagnosis and the outbreak, (2) to study epidemiological characteristics by person, time, place, (3) to search for the cause and source of infection and (4) to propose the appropriate measure to control and prevent chickenpox disease. The study method is a descriptive study. Data were collected using the disease investigation from the Department of Disease Control.

Disease investigation results Patients were found at Srisaket Hospital personnel, amount 2 persons. Person 1 was a male doctor aged 24 years, beginning on January 4, 2020, with fever, blister and a history of thalassemia carriers, and a history of being the second thalassemia carrier. Is a staff member helping female patients aged 23 years, pregnant, 8 weeks pregnant, beginning on January 5, 2020, with fever, with blister on the body, both of them do not have a history of immunity, and both have never had a Chickenpox disease before the illness. The care givers of Chickenpox disease patients on December 24, 2019 were 1 year, 14 days of onset, on December 23, 2019, forwarded from Khukhan Hospital. Came to be treated at Srisaket Hospital on 24 December 2019. Therefore, 2 patients have an incubation period of 14 and 15 days respectively (incubation period of the Chickenpox disease is 10-21 days). Is an index case providing treatment at the separation room That the ventilation system is not yet a closed system Use a rotating fan to reduce the heat of the air. Can cause the spread of infection And both patients are thalassemia carriers which has abnormal blood cells causing the risk of infection In addition, both personnels use personal protective equipment (PPE: Personal Protection Equipment) for patient care. Causing infection from operations Suggestions to reduce the chance of getting infected with the disease in the next opportunity are (1) Personnel who have never been ill are Chickenpox should be vaccinated, (2) Provide a vacuum with a virus and bacteria filter to pull the air down. To prevent spreading in the separation room, the filtered air is released in the direction that is open, without patients, personnel or relatives / people resting while waiting to visit or guard the patients and (3) Hand washing and personal protective equipment are required and used every time when entering and exiting the patient's room.