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关于鼻病毒感冒通过间接接触可能传播的调查。

An investigation of the possible transmission of Rhinovirus colds through indirect contact.

作者信息

Reed S E

出版信息

J Hyg (Lond). 1975 Oct;75(2):249-58. doi: 10.1017/s0022172400047288.

Abstract

Rhinovirus was recovered from the fingers of 16 of 38 volunteers and others, who were swabbed during the acute stages of their colds. Very low titres of virus were also recovered from 6 of 40 objects recently handled by infected volunteers, but not from the fingers of 18 non-infected subjects whose flat-mates were shedding virus. When rhinovirus from nasal secretions was dried on skin or other surfaces during laboratory experiments, approximately 40-99% of infectivity was lost. Virus could be transferred from surface to surface by rubbing, the transfer being more efficient if it was carried out while the inoculum was still damp. Volunteers could infect themselves if a moderately heavy dose (88 TCD50) of virus was inoculated on the finger and then rubbed into the conjunctiva or nostril, especially if the inoculum was still damp. From estimates of virus titres in nasal washings and on fingers, and of amounts transferred by rubbing, it was concluded that apread of colds is unlikely to occur via objects contaminated by the hands of the virus-shedder, but that a receipient might pick up enough virus on his fingers by direct contact with heavily infected skin or secretions to constitute a risk of self-inoculation via the conjunctiva or nostril.

摘要

在38名志愿者及其他人员感冒急性期进行擦拭取样时,从其中16人的手指上分离出了鼻病毒。在40件近期被感染志愿者接触过的物品中,也从6件上分离出了极低滴度的病毒,但在18名未感染志愿者(其室友正在排出病毒)的手指上未分离出病毒。在实验室实验中,当鼻分泌物中的鼻病毒在皮肤或其他表面干燥后,约40%-99%的感染性丧失。病毒可通过摩擦在表面之间传播,如果在接种物仍潮湿时进行传播则更有效。如果将中等剂量(88个半数组织培养感染剂量)的病毒接种在手指上,然后擦入结膜或鼻孔,志愿者可能会自我感染,尤其是接种物仍潮湿时。根据鼻洗液和手指上病毒滴度的估计以及摩擦传播的量,得出结论:感冒不太可能通过病毒排出者手部污染的物品传播,但接受者可能通过直接接触严重感染的皮肤或分泌物在手指上沾染足够的病毒,从而有通过结膜或鼻孔自我接种的风险。

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