北京市首例猴痘病毒Ⅰb亚分支确诊病例的流行病学调查与处置

Epidemiological investigation and disposal of the first confirmed infection case of mpox virus Ⅰb in Beijing

  • 摘要:
    目的 描述北京市首例猴痘病毒Ⅰb亚分支确诊病例的流行病学特征及处置过程,追溯其感染来源,为今后猴痘的防控工作提供依据。
    方法 对病例开展面对面流行病学调查,采集病例、密切接触者及涉疫场所环境等相关样本进行猴痘病毒核酸检测。
    结果 病例咽拭子、皮疹涂抹及血清样本均检出猴痘病毒(Ⅰb亚分支);9名密切接触者均无不适症状,且咽拭子检测结果均为阴性;采集病例直接接触的环境样本共38份(病例宿舍7份、宿舍所在楼层公共厨房15份、学校体育馆16份),其中8份为阳性,其余30份均为阴性。
    结论 该患者为北京市首例猴痘病毒Ⅰb亚分支确诊病例,为由刚果(金)返境的输入病例引起的二代病例。

     

    Abstract:
    Objective To unbderstand the epidemiological characteristics of the first confirmed infection case of mpox virus Ⅰb in Beijing, trace the source of infection, and provide evidence for the prevention and control of mpox in the future.
    Methods A face to face epidemiological investigations was conducted for the case, and clinical samples from the case and close contacts and the environment samples were taken for the detection of nucleic acid of mpox virus.
    Results Mpox virus Ⅰb was detected in the pharyngeal swab, rash smear and serum sample of the case. None of the 9 close contacts exhibited no discomfort or symptoms, and their pharyngeal swab test results were all negative. A total of 38 environmental samples were collected in places where the case had become involved, including 7 from the case's dormitory, 15 from the public dormitory kitchen and 16 from school gymnasium. In these samples, 8 were tested positive for the mpox virus, while the other 30 were negative.
    Conclusion This was the first confirmed infection case of mpox virus Ⅰb in Beijing, which was caused by the secondary transmission from an imported case returning from the Democratic Republic of the Congo.

     

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