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[浙江省新型冠状病毒肺炎家庭聚集性的流行病学特征]

[Epidemiological characteristics of COVID-19 family clustering in Zhejiang Province].

作者信息

Sun W W, Ling F, Pan J R, Cai J, Miao Z P, Liu S L, Cheng W, Chen E F

机构信息

Institute of Infectious Disease Control and Prevention, Center for Disease Control and Prevention, Zhejiang Province, Hangzhou 310051, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2020 Jun 6;54(6):625-629. doi: 10.3760/cma.j.cn112150-20200227-00199.

Abstract

To investigate the epidemiological characteristics for family clusters of COVID-19 in Zhejiang Province. The data including cases information of asymptomatic infected cases of family clusters of COVID-19 in Zhejiang Province were collected from Public Health Emergencies Reporting System of China Center for Disease Control and Prevention. Calculate the case number of subsequent cases, index cases, asymptomatic infected cases, exposure cases, and then, compute family secondary attack rate (SIR) and serial interval. A total of 389 cases comprised 149 family index cases and 240 subsequent cases. The clinical symptoms between family index cases and subsequent cases (exclude asymptomatic infected cases ) were similar, fever was the most common symptoms in the two groups 115 (77.18%) and 110(48.67%)respectively, the cases with diarrhea symptoms accounted for the least proportion, which were 7 (4.70%) and 6 (2.65%) respectively. The serial interval between the family index cases and the subsequent cases [ (, )] was 4.00 (2.00, 6.00) days. Family secondary attack rate for subsequent cases was 34.43%, subsequent cases aged between 14 and 60 have the highest SIR (43.42%) compared with other two age groups, the difference was statistically (<0.001); the family SIR of the spouses of the family index cases is 68.57%, and are higher than that of parents (29.03%), children (25.00%) and other family members (24.21%), the difference was also statistically (<0.001). 2019 novel coronavirus has shorter serial interval and higher family SIR, the SIR of spouses is higher than other family members.

摘要

为调查浙江省新冠肺炎家庭聚集性的流行病学特征。从中国疾病预防控制中心突发公共卫生事件报告系统收集浙江省新冠肺炎家庭聚集性无症状感染者的病例信息。计算续发病例、指示病例、无症状感染者、暴露病例的数量,然后计算家庭二代发病率(SIR)和潜伏期。共389例,包括149例家庭指示病例和240例续发病例。家庭指示病例和续发病例(不包括无症状感染者)的临床症状相似,发热是两组中最常见的症状,分别为115例(77.18%)和110例(48.67%),腹泻症状的病例占比最少,分别为7例(4.70%)和6例(2.65%)。家庭指示病例和续发病例之间的潜伏期[(,)]为4.00(2.00,6.00)天。续发病例的家庭二代发病率为34.43%,14至60岁的续发病例的SIR最高(43.42%),与其他两个年龄组相比差异有统计学意义(<0.001);家庭指示病例配偶的家庭SIR为68.57%,高于父母(29.03%)、子女(25.00%)和其他家庭成员(24.21%),差异也有统计学意义(<0.001)。2019新型冠状病毒潜伏期较短,家庭SIR较高,配偶的SIR高于其他家庭成员。

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