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一种拟议的 COVID-19 检测算法。

A Proposed COVID-19 Testing Algorithm.

机构信息

Beth Israel Deaconess Medical Center, Emergency Medicine, Boston, MA.

Servizio Emergenza Territoriale 118, Torino, Italy.

出版信息

Disaster Med Public Health Prep. 2020 Oct;14(5):e11-e15. doi: 10.1017/dmp.2020.218. Epub 2020 Jun 24.

DOI:10.1017/dmp.2020.218
PMID:32576313
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7360945/
Abstract

The 2019 coronavirus disease (COVID-19) pandemic has led to physical distancing measures in numerous countries in an attempt to control the spread. However, these measures are not without cost to the health and economies of the nations in which they are enacted. Nations are now looking for methods to remove physical distancing measures and return to full functioning. To prevent a massive second wave of infections, this must be done with a data-driven methodology. The purpose of this article is to propose an algorithm for COVID-19 testing that would allow for physical distancing to be scaled back in a stepwise manner, which limits ensuing infections and protects the capacity of the health care system.

摘要

2019 冠状病毒病(COVID-19)大流行导致许多国家采取了保持身体距离的措施,试图控制其传播。然而,这些措施对实施这些措施的国家的健康和经济并非没有代价。各国现在正在寻找取消保持身体距离措施并恢复全面运作的方法。为了防止大规模的第二波感染,这必须采用数据驱动的方法。本文的目的是提出一种 COVID-19 检测算法,该算法可以逐步放宽保持身体距离的措施,从而限制后续感染并保护医疗系统的能力。

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本文引用的文献

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Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe.估算非药物干预措施对欧洲 COVID-19 疫情的影响。
Nature. 2020 Aug;584(7820):257-261. doi: 10.1038/s41586-020-2405-7. Epub 2020 Jun 8.
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The effect of large-scale anti-contagion policies on the COVID-19 pandemic.大规模防疫政策对 COVID-19 大流行的影响。
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Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID-19: the pandemic response causes cardiac collateral damage.自新冠疫情爆发以来奥地利急性冠脉综合征入院人数的下降:疫情应对措施导致心脏附带损害。
Eur Heart J. 2020 May 14;41(19):1852-1853. doi: 10.1093/eurheartj/ehaa314.
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Temporal dynamics in viral shedding and transmissibility of COVID-19.新冠病毒脱落和传播的时间动态。
Nat Med. 2020 May;26(5):672-675. doi: 10.1038/s41591-020-0869-5. Epub 2020 Apr 15.
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High Contagiousness and Rapid Spread of Severe Acute Respiratory Syndrome Coronavirus 2.高传染性和严重急性呼吸综合征冠状病毒 2 的快速传播。
Emerg Infect Dis. 2020 Jul;26(7):1470-1477. doi: 10.3201/eid2607.200282. Epub 2020 Jun 21.
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Covert coronavirus infections could be seeding new outbreaks.隐匿的新冠病毒感染可能正在引发新的疫情。
Nature. 2020 Mar 20. doi: 10.1038/d41586-020-00822-x.
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Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019.与 COVID-19 暴露的医护人员心理健康结果相关的因素。
JAMA Netw Open. 2020 Mar 2;3(3):e203976. doi: 10.1001/jamanetworkopen.2020.3976.
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Circ Cardiovasc Qual Outcomes. 2020 Apr;13(4):e006631. doi: 10.1161/CIRCOUTCOMES.120.006631. Epub 2020 Mar 17.
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"Herd immunity": a rough guide.群体免疫:一个粗略的指南。
Clin Infect Dis. 2011 Apr 1;52(7):911-6. doi: 10.1093/cid/cir007.
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The effect of public health measures on the 1918 influenza pandemic in U.S. cities.公共卫生措施对美国城市1918年流感大流行的影响。
Proc Natl Acad Sci U S A. 2007 May 1;104(18):7588-93. doi: 10.1073/pnas.0611071104. Epub 2007 Apr 6.