陈敏红, 贾海梅, 王瀚炜, 郑霄雁, 王清华. 福建省福州市新型冠状病毒肺炎病例及其密切接触者感染情况分析[J]. 疾病监测, 2020, 35(7): 608-612. DOI: 10.3784/j.issn.1003-9961.2020.07.012
引用本文: 陈敏红, 贾海梅, 王瀚炜, 郑霄雁, 王清华. 福建省福州市新型冠状病毒肺炎病例及其密切接触者感染情况分析[J]. 疾病监测, 2020, 35(7): 608-612. DOI: 10.3784/j.issn.1003-9961.2020.07.012
Minhong Chen, Haimei Jia, Hanwei Wang, Xiaoyan Zheng, Qinghua Wang. Infection status of coronavirus disease 2019 cases and close contacts in Fuzhou, Fujian[J]. Disease Surveillance, 2020, 35(7): 608-612. DOI: 10.3784/j.issn.1003-9961.2020.07.012
Citation: Minhong Chen, Haimei Jia, Hanwei Wang, Xiaoyan Zheng, Qinghua Wang. Infection status of coronavirus disease 2019 cases and close contacts in Fuzhou, Fujian[J]. Disease Surveillance, 2020, 35(7): 608-612. DOI: 10.3784/j.issn.1003-9961.2020.07.012

福建省福州市新型冠状病毒肺炎病例及其密切接触者感染情况分析

Infection status of coronavirus disease 2019 cases and close contacts in Fuzhou, Fujian

  • 摘要:
    目的分析福建省福州市新型冠状病毒肺炎(COVID-19)病例及其密切接触者的感染情况,了解不同暴露情形下感染和发病的风险。
    方法采用描述性流行病学方法,分析福州市报告的COVID-19确诊病例和无症状感染者的密切接触者在不同暴露情形下的续发率。
    结果福州市COVID-19疫情经历3个阶段。 共追踪到密切接触者1 159人,续发率为2.07%(24/1 159)。 代间隔中位数为12 d(2~21 d)。 密切接触者与病例的关系中,养老院被护理老人续发率最高(28.57%),其次是家庭成员(5.52%)、医务人员(3.23%)、亲戚(2.41%)和同事/同学(1.67%),各类密切接触者人群的续发率差异有统计学意义(χ2=534.376,P<0.001)。 接触方式中,护理(养老院)接触方式的续发率最高(28.57%),其次是同住(5.26%)、诊疗护理(3.23%)、做客(2.82%)、同幢楼(1.77%)和短时间谈话/办事(1.55%),不同接触方式续发率差异有统计学意义(χ2=575.075,P<0.001)。潜伏期中位数为5 d(1~12 d)。
    结论COVID-19传染性较强,对密切接触者特别是特殊人群或高风险人群实施及时、更严格的隔离医学观察,有助于减少续发病例并降低导致社区传播的可能性。

     

    Abstract:
    ObjectiveTo analyze the infection status of coronavirus disease 2019 (COVID-19) cases and close contacts in Fuzhou, Fujian province, and evaluate the risk of infection and morbidity in different exposure mode.
    MethodsDescriptive Epidemiology investigation of COVID-19 cases and close contacts was conducted to analyze the secondary attack rate (SAR) of COVID-19 in Fuzhou.
    ResultsThe epidemic of COVID-19 in Fuzhou had three stages. A total of 1 159 close contacts were found, the SAR was 2.07% (24/1 159). The median of interval was 12 days (rang: 2–21 days). In the relationship between close contact and cases, the SAR in old people in nursing home was highest (28.57%), followed by that in family members (5.52%), medical staff (3.23%), relatives (2.41%) and colleagues/classmates (1.67%), respectively. The differences were significant ( χ2=534.376, P<0.001). Among the contact ways, the SAR of nursing (nursing home) were highest (28.57% ), followed by that of living in same room (5.26%), medical care (3.23%), being guest (2.82%), living in same building (1.77%) and short talk or other contact in daily work (1.55%), respectively. The differences were significant ( χ2=575.075, P<0.001). The median of incubation period was 5 days (rang: 1–12 days).
    ConclusionCOVID-19 is highly contagious. Timely and strict quarantine should be conducted for close contacts, especially for those at high risk, to reduce the possibility of community transmission.

     

/

返回文章
返回