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大流行第一阶段与职业感染相关的 COVID-19 死亡率调查:一项系统综述

Survey on COVID-19-related mortality associated with occupational infection during the first phase of the pandemic: A systematic review.

作者信息

Senia Paola, Vella Francesca, Mucci Nicola, Dounias George, Trovato Antonio, Marconi Andrea, Ledda Caterina, Rapisarda Venerando, Vitale Ermanno

机构信息

Occupational Medicine, Department of Clinical and Experimental Medicine, University of Catania, I-95123 Catania, Italy.

Department of Experimental and Clinical Medicine, University of Florence, I-50139 Florence, Italy.

出版信息

Exp Ther Med. 2022 Jan;23(1):10. doi: 10.3892/etm.2021.10932. Epub 2021 Oct 28.

Abstract

According to the Centre for Disease Control and Prevention in 2020, a cluster of pneumonia cases of unknown etiology caused by the severe acute respiratory syndrome (SARS)-coronavirus 2 was reported in Wuhan, China. The present review examined the literature to reveal the incidence of novel coronavirus-2019 disease (COVID-19) infections, underlying comorbidities, workplace infections and case fatality rates. A review was performed to identify the relevant publications available up to May 15, 2020. Since the early stages of the COVID-19 outbreak, the case fatality rate among healthcare workers (HCWs) has stood at 0.69% worldwide and 0.4% in Italy. Based on the current information, most patients have exhibited good prognoses in terms of after-effects or sequelae and low mortality rate. Patients that became critically ill were primarily in the elderly population or had chronic underlying diseases, including diabetes and hypertension. Among all working sectors, HCWs, since they are front-line caregivers for patients with COVID-19, are considered to be in the high-risk population. Increased age and a number of comorbidity factors have been associated with increased risk of mortality in patients with COVID-19. The most frequent complications of COVID-19 reported that can cause fatality in patients were SARS, cardiac arrest, secondary infections and septic shock, in addition to acute kidney failure and liver failure. Overcoming the COVID-19 pandemic is an ongoing challenge, which poses a threat to global health that requires close surveillance and prompt diagnosis, in coordination with research efforts to understand this pathogen and develop effective countermeasures.

摘要

根据美国疾病控制与预防中心的数据,2020年中国武汉报告了一组由严重急性呼吸综合征冠状病毒2引起的病因不明的肺炎病例。本综述研究了相关文献,以揭示2019新型冠状病毒病(COVID-19)感染的发病率、潜在合并症、工作场所感染情况及病死率。进行了一项综述,以确定截至2020年5月15日的相关可用出版物。自COVID-19疫情爆发初期以来,全球医护人员的病死率为0.69%,意大利为0.4%。根据目前的信息,大多数患者在后遗症方面预后良好,死亡率较低。病情危重的患者主要是老年人群或患有慢性基础疾病,包括糖尿病和高血压。在所有工作部门中,医护人员由于是COVID-19患者的一线护理人员,被视为高危人群。年龄增长和一些合并症因素与COVID-19患者的死亡风险增加有关。据报道,COVID-19最常见的可导致患者死亡的并发症除急性肾衰竭和肝衰竭外,还有严重急性呼吸综合征、心脏骤停、继发感染和感染性休克。战胜COVID-19疫情是一项持续的挑战,它对全球健康构成威胁,需要密切监测和及时诊断,并与了解这种病原体和制定有效应对措施的研究工作相协调。

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