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[新型冠状病毒肺炎再感染:临床意义是什么?]

[Covid-19 reinfections: what is the clinical relevance?].

作者信息

Wiersinga W J, de Bree G J

机构信息

Amsterdam UMC, locatie AMC-UvA, afd. Inwendige Geneeskunde, sectie Infectieziekten, Amsterdam.

Contact: W.J. Wiersinga (

出版信息

Ned Tijdschr Geneeskd. 2020 Dec 3;164:D5640.

Abstract

Every day additional confirmed case of SARS-CoV-2 reinfection are being reported across the globe. In the Netherlands more than 50 cases of probable reinfections have been identified. With more than 500 thousand people in the Netherlands who have been infected with SARS-CoV-2 up till now this number does seems to be quite low. Still, important questions have to be asked. How do we define reinfection and how do these reinfections compare to other (corona) viruses? What is the immunological significance? What is the duration of protective immunity? And what does Covid-19 reinfections mean for the prevention and development of a vaccine? The described cases of re-infections do teach us that a SARS-CoV-2 vaccine should also be considered for people with a documented Covid-19 infection in the past and that general precautions, such as the use of face masks and social distancing, still apply to those with a previous SARS-CoV-2 infection.

摘要

全球每天都有更多新冠病毒再次感染的确诊病例被报道。在荷兰,已确认了50多例可能的再次感染病例。截至目前,荷兰有超过50万人感染了新冠病毒,这个数字看起来确实相当低。然而,仍有一些重要问题需要探讨。我们如何定义再次感染,这些再次感染与其他(冠状)病毒相比情况如何?其免疫学意义是什么?保护性免疫的持续时间是多久?新冠病毒再次感染对疫苗的预防和研发意味着什么?所描述的再次感染病例确实告诉我们,对于过去有新冠病毒感染记录的人,也应考虑接种新冠病毒疫苗,而且诸如佩戴口罩和保持社交距离等一般预防措施,对之前感染过新冠病毒的人仍然适用。

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