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墨西哥中型城市中 SARS-CoV-2 四次浪潮期间门诊患者的年龄、性别和病毒载量的比较分析。

Comparative Analysis of Age, Sex, and Viral Load in Outpatients during the Four Waves of SARS-CoV-2 in A Mexican Medium-Sized City.

机构信息

Laboratorio Nacional de Investigación Para la Inocuidad Alimentaria (LANIIA) Unidad Nayarit, Universidad Autónoma de Nayarit, Tepic 63000, Nayarit, Mexico.

Laboratorio de Psicofisiología y Conducta, Unidad Académica de Ciencias Sociales, Universidad Autónoma de Nayarit, Tepic 63000, Nayarit, Mexico.

出版信息

Int J Environ Res Public Health. 2022 May 8;19(9):5719. doi: 10.3390/ijerph19095719.

Abstract

Governments have implemented measures to minimize SARS-CoV-2 spread. However, these measures were relaxed, and the appearance of new variants has prompted periods of high contagion known as waves. In Mexico, four waves distributed between July and August 2020, January and February 2021, August and September 2021, and January and February 2022 have appeared. Current health policies discourage mass sampling, preferring to focus on the corrective treatment of severe cases. Outpatients are only advised to undergo brief voluntary confinement and symptomatic treatment, with no follow-up. Therefore, the present study aimed to analyze sex, age, and viral load in outpatients during the four waves in a medium-sized city in Mexico. For each wave, the date of peak contagion was identified, and data were collected within ±15 days. In this regard, data from 916 patients (434 men and 482 women) were analyzed. The age range of positive patients (37-45 years) presented a higher frequency during the first and third waves, while 28-36 years was the most frequent age range during the second and fourth waves, while the viral load values were significantly higher, for both sexes, during the fourth wave. Obtained data of COVID-19 prevalence in population segments can be used for decision-making in the design of effective public health policies.

摘要

各国政府已采取措施尽量减少 SARS-CoV-2 的传播。然而,这些措施已经放松,新变种的出现引发了称为浪潮的高传染性时期。在墨西哥,出现了四波疫情,分别分布在 2020 年 7 月至 8 月、2021 年 1 月至 2 月、2021 年 8 月至 9 月和 2022 年 1 月至 2 月。目前的卫生政策不鼓励大规模采样,而是倾向于集中治疗重症病例。仅建议门诊患者短暂自愿隔离和对症治疗,无需随访。因此,本研究旨在分析墨西哥一个中等城市在四次浪潮期间门诊患者的性别、年龄和病毒载量。对于每一波,都确定了传染高峰的日期,并在 ±15 天内收集数据。在这方面,分析了 916 名患者(434 名男性和 482 名女性)的数据。阳性患者(37-45 岁)的年龄范围在第一波和第三波期间出现频率更高,而在第二波和第四波期间,28-36 岁是最常见的年龄范围,而男女的病毒载量值在第四波期间均显著升高。获得的人群各年龄段 COVID-19 患病率数据可用于制定有效公共卫生政策的决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cbc/9104031/16af45c3ef07/ijerph-19-05719-g001.jpg

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