张华一, 赵金华, 曹海兰, 李永红, 石燕, 尤小慧, 赵建海, 马小军, 丁小津, 陈露, 胡玉芬, 王卫军. 2021年青海省一起职业暴露引起的新型冠状病毒肺炎聚集性疫情流行病学调查[J]. 疾病监测, 2023, 38(2): 237-241. DOI: 10.3784/jbjc.202201060671
引用本文: 张华一, 赵金华, 曹海兰, 李永红, 石燕, 尤小慧, 赵建海, 马小军, 丁小津, 陈露, 胡玉芬, 王卫军. 2021年青海省一起职业暴露引起的新型冠状病毒肺炎聚集性疫情流行病学调查[J]. 疾病监测, 2023, 38(2): 237-241. DOI: 10.3784/jbjc.202201060671
Zhang Huayi, Zhao Jinhua, Cao Hailan, Li Yonghong, Shi Yan, You Xiaohui, Zhao Jianhai, Ma Xiaojun, Ding Xiaojin, Chen Lu, Hu Yufen, Wang Weijun. Epidemiological survey of an epidemic of COVID-19 due to occupational exposure in Qinghai, 2021[J]. Disease Surveillance, 2023, 38(2): 237-241. DOI: 10.3784/jbjc.202201060671
Citation: Zhang Huayi, Zhao Jinhua, Cao Hailan, Li Yonghong, Shi Yan, You Xiaohui, Zhao Jianhai, Ma Xiaojun, Ding Xiaojin, Chen Lu, Hu Yufen, Wang Weijun. Epidemiological survey of an epidemic of COVID-19 due to occupational exposure in Qinghai, 2021[J]. Disease Surveillance, 2023, 38(2): 237-241. DOI: 10.3784/jbjc.202201060671

2021年青海省一起职业暴露引起的新型冠状病毒肺炎聚集性疫情流行病学调查

Epidemiological survey of an epidemic of COVID-19 due to occupational exposure in Qinghai, 2021

  • 摘要:
      目的  分析2021年10月17日至11月2日青海省西宁市一起职业暴露引起的新型冠状病毒肺炎(COVID-19)聚集性疫情,探讨职业人群在COVID-19防护中存在的问题。
      方法  按照《新型冠状病毒肺炎防控方案(第八版)》的要求,开展流行病学调查及现场处置工作,采集病例、密切接触者和次密切接触者咽拭子标本,用反转录–聚合酶链式反应法进行核酸检测,使用高通量测序技术对部分确诊病例咽拭子样本进行基因测序。
      结果  本次疫情涉及病例11例,其中3例为家庭聚集性,8例为医护人员,女性9例;男性2例。 共传3代,平均潜伏期为3.18 d,发病地点主要集中在办公室区域,共同使用电话、电脑等办公用品是本次疫情的高危行为,病例首发症状以咳嗽为主(10例,90.97%)。 现场流调人员脱防护服时不规范以及防水靴套设计不科学,成为本次职业暴露的最主要风险点。 本次疫情中新型冠状病毒基因序列属于VOC/Delta变异株。
      结论  本起疫情主要为职业暴露,建议流行病学现场防护服穿脱时指定专人监督和评估,建议改良防水靴套脚踝处设计,进入过现场的工作人员应减少与其他工作人员接触。

     

    Abstract:
      Objective  To analyze the epidemiological characteristics of an epidemic of coronavirus disease 2019 (COVID-19) caused by occupational exposure in Xining, Qinghai province, from October 17 to November 2, 2021 and provide evidence for the prevention and control of COVID-19 epidemic.
      Methods  In accordance with the requirements of the COVID-19 prevention and control protocol (eighth edition), epidemiological survey and field response were conducted and throat swabs were collected from the confirmed cases and close contacts. Real time-PCR(RT-PCR) was used to detect severe acute respiratory syndrome coronavirus (SARS-CoV-2) nucleic acid. Gene sequencing was performed for the throat swabs of partial confirmed cases by high throughput sequencing.
      Results  A total of 11 COVID-19 cases were reported in this epidemic, including 3 cases in a family and 8 cases in medical staff. Nine cases were women, 2 cases were men. The cases in epidemic had 3 generations. The average incubation period was 3.18 day. The infection was mainly occurred in working place. The risk factors included sharing telephone, computer and other office equipment. The initial symptoms were cough (10 cases, 90.97%). Unstandardized taking off protective suit in field epidemiological survey and inappropriate design of waterproof boot cover were the main risk factors for the occupational exposure. The SARS-CoV-2 detected belonged to VOC/Delta variant.
      Conclusion  This epidemic was caused by occupational exposure. It is suggested to strengthen the field supervision and guide of the wearing of protective suits, improve the design of waterproof boot cover and reduce the contacts of field workers with others.

     

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