一起臭虫叮咬事件调查与防控处置案例
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R384.3

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山东省自然科学基金面上项目(ZR2023MH325);济宁市重点研发计划(2023YXNSO41);济宁医学院附属医院博士科研基金(2022-BS-01)


Investigation of a bedbug-bite incident as well as prevention and control of the cases
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    摘要:

    目的 分析某三级医院神经内科一起臭虫叮咬事件,包括临床表现、隔离防护、流行病学特征,以及消杀控制措施等,为医疗机构内病媒生物防控提供参考。方法 采用现场流行病学调查方法,对疑似被叮咬人员及密切接触者进行调查,分析被叮咬人员的时间、空间及人群分布特征,及时识别虫媒,了解虫媒生活特性。对叮咬人员进行隔离,根据消杀及控制效果动态调整方案,并随访追踪评估干预效果。结果 2025年6月3—10日,该院 神经内科病区陆续报告6名被叮咬人员,包括4例患者和2名陪护。叮咬事件均发生于夜间,相对集中于6月8日, 当日夜间5名(83.3%)人员被叮咬。6名被叮咬人员分布于相邻4个病房,叮咬部位集中在手臂、腹部和背部等与床面接触区域。该病房建筑年限较长,设施陈旧,结构布局不合理,除2间特殊病房外,其余病房均未单独设置卫生间,需使用公共卫生间。医院针对被叮咬人员迅速实施集中隔离、污染织物高温处理、病房封闭消杀等综合处置措施,最终事件得到有效控制,病区内未再发现臭虫,也未再发生随访患者被叮咬事件。结论 在老龄患者集中、病区环境卫生条件差的环境中,臭虫具有较强的隐匿性和传播能力。采取多部门协作的综合防控体系,早期识别叮咬虫媒及病例,尽早采取干预措施,并根据事件控制情况动态调整方案,可有效遏制臭虫扩散风险。

    Abstract:

    Objective To analyze an incident of bedbug-bite in the department of neurology of a tertiary hospital, including clinical manifestations, isolation and protection, epidemiological characteristics, as well as disinfection, killing and control measures, so as to provide reference for vector control in medical institutions. Methods The on-site epidemiological investigation was adopted to investigate suspected bitten persons and their close contacts. The temporal, spatial, and population distribution characteristics of the bitten persons were analyzed. Insect vectors were identified timely and their living characteristics were understood. The bitten persons were isolated, and the plan was adjusted dynamically according to disinfection, killing and control effect. The intervention effect was followed up and evaluated. Results From June 3 to 10, 2025, the neurology ward of a hospital successively reported 6 bitten persons, including 4 patients and 2 caregivers. The bite incidents all occurred at night, relatively concentrated on June 8, with 5 (83.3%) persons being bitten on that night. Six bitten persons were distributed in 4 adjacent wards. The bite sites concentrated in the contact areas with the bed surface, such as the arms, abdomen, and back. The ward has a long building history, outdated facilities, and an irrational structural layout. Except for 2 special wards, all other wards did not have separate bathrooms and only had public restroom. The hospital quickly implemented centralized isolation, high-temperature treatment of contaminated fabrics, closed disinfection and killing in ward as well as other comprehensive disposal measures for the bitten persons. The incident was finally effectively controlled, no bedbugs were found in the ward, and no bites occurred in the following patients. Conclusion Bedbugs have strong concealment and transmission ability in environments of wards with concentrated elderly patients and poor hygiene conditions. Adoption of comprehensive prevention and control system with multi-departmental collaboration, early identification of bite vectors and cases, early intervention measures, and dynamic adjustment of plans based on control status of incident can effectively curb the risk of bedbug transmission.

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张越,滕鹏飞,孟秀娟,等.一起臭虫叮咬事件调查与防控处置案例[J]. 中国感染控制杂志,2026,25(1):84-90. DOI:10.12138/j. issn.1671-9638.20262830.
ZHANG Yue, TENG Pengfei, MENG Xiujuan, et al. Investigation of a bedbug-bite incident as well as prevention and control of the cases[J]. Chin J Infect Control, 2026,25(1):84-90. DOI:10.12138/j. issn.1671-9638.20262830.

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  • 收稿日期:2025-08-04
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  • 在线发布日期: 2026-01-28
  • 出版日期: 2026-01-28