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[2019新型冠状病毒Delta变异株引起的COVID-19疫情气溶胶传播可能性调查]

[Survey of possible aerosol transmission of a COVID-19 epidemic caused by 2019-nCoV Delta variant].

作者信息

Wu S S, Zhang J J, Sun Y, Ren Z Y, Dou X F, Zhang L, Duan W, Ma C N, Yang P, Pang Xinghuo

机构信息

Institute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control/Beijing Research Center for Preventive Medicine, Beijing 100013, China.

Office of Global Health Center, Beijing Center for Disease Prevention and Control/Beijing Research Center for Preventive Medicine, Beijing 100013, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2022 Mar 10;43(3):305-309. doi: 10.3760/cma.j.cn112338-20211208-00961.

Abstract

To investigate the epidemiological characteristics and the transmission chain of a family clustering of COVID-19 cases caused by severe acute respiratory 2019-nCoV Delta variant in Changping district of Beijing. Epidemiological investigation was conducted and big data were used to reveal the exposure history of the cases. Close contacts were screened according to the investigation results, and human and environmental samples were collected for nucleic acid tests. Positive samples were analyzed by gene sequencing. On November 1, 2021, a total of 5 COVID-19 cases caused by 2019-nCoV Delta variant were reported in a family detected through active screening. The infection source was a person in the same designated isolation hotel where the first case of the family cluster was isolated from 22 to 27, October. The first case was possibly infected through aerosol particles in the ventilation duct system of the isolation hotel. After the isolation discharge on October 27, and the first case caused secondary infections of four family members while living together from October 27 to November 1, 2021. 2019-nCoV Delta variant is prone to cause family cluster, and close attention needs to be paid to virus transmission through ventilation duct system in isolation hotels.

摘要

调查北京市昌平区由严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)Delta变异株引起的新型冠状病毒肺炎(COVID-19)家庭聚集性病例的流行病学特征及传播链条。开展流行病学调查,利用大数据揭示病例的暴露史。根据调查结果筛查密切接触者,采集人员和环境样本进行核酸检测。对阳性样本进行基因测序分析。2021年11月1日,通过主动筛查发现一个家庭中共5例由SARS-CoV-2 Delta变异株引起的COVID-19病例。感染源为10月22日至27日该家庭聚集性病例中的首例所隔离的同一指定隔离酒店内的一名人员。首例病例可能通过隔离酒店通风管道系统中的气溶胶颗粒感染。10月27日首例病例解除隔离出院后,在2021年10月27日至11月1日共同居住期间导致4名家庭成员继发感染。SARS-CoV-2 Delta变异株易引起家庭聚集性,需密切关注隔离酒店通风管道系统传播病毒的情况。

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