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[北京市输入性严重急性呼吸综合征病例的流行病学特征及传播分析]

[Analysis on the epidemiological features and the transmission of an imported severe acute respiratory syndrome case in Beijing].

作者信息

He Xiong, Shen Zhuang, Ning Fang, Ding Li-xin, Teng Ren-ming, Lin Chang-ying, Huang Ruo-gang, Li Xiao-mei, Liu Ze-jun

机构信息

Beijing Municipal Center for Diseases Control and Prevention, Beijing 100013, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2003 Jul;24(7):557-60.

Abstract

OBJECTIVE

To explore the characteristics of severe acute respiratory syndrome (SARS) transmission in the population base on analyzing the first imported case and the chains of transmission.

METHODS

For the first imported SARS case and cases who were transmitted by the index case, epidemiological investigations were conducted using the guidelines for surveillance and case investigation issued by the Ministry of Health. Data as the date of onset of symptoms, date of hospitalization, contact history etc. for each of the cases and their close contacts were collected and analyzed.

RESULTS

The first imported SARS case introduced to Beijing had infected 9 people within the family and at the hospital, with two of whom died of the same disease. The incubation period for that index case was 4 days, and that for the cases considered to be the secondary and tertiary generations were 7 and 8 days, respectively. The shorter the incubation period, the longer the fever would last and clinically more severe.

CONCLUSION

One of the epidemiological characteristics of SARS in Beijing was noticed that the disease clustered in families and hospitals. Infection through droplets and close contact has been viewed as the primary mode of transmission.

摘要

目的

通过分析首例输入性病例及其传播链,探讨严重急性呼吸综合征(SARS)在人群中的传播特征。

方法

对于首例输入性SARS病例及由该指示病例传播的病例,按照卫生部发布的监测和病例调查指南进行流行病学调查。收集并分析每个病例及其密切接触者的症状出现日期、住院日期、接触史等数据。

结果

首例输入北京的SARS病例在家庭和医院内感染了9人,其中2人死于同一种疾病。该指示病例的潜伏期为4天,二代和三代病例的潜伏期分别为7天和8天。潜伏期越短,发热持续时间越长,临床症状越严重。

结论

注意到北京SARS的流行病学特征之一是该病在家庭和医院中聚集。飞沫传播和密切接触被视为主要传播方式。

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