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法国第二波 SARS-CoV-2 大流行期间教学医院中的 COVID-19 聚集性疫情:一项描述性研究及对未来几波疫情的经验教训。

COVID-19 clusters in a teaching hospital during the second wave of the SARS-CoV-2 pandemic in France: A descriptive study and lessons learned for waves to come.

机构信息

Hospices Civils de Lyon, Service Hygiène, Épidémiologie, Infectiovigilance et Prévention, Lyon, France; CIRI, Centre International de Recherche en Infectiologie, (Team Public Health, Epidemiology and Evolutionnary Ecology of Infectious Diseases (PHE3ID)), Univ Lyon, Inserm, U1111, Université Claude Bernard Lyon 1, CNRS, UMR5308, ENS de Lyon, Lyon, France.

Hospices Civils de Lyon, Service Hygiène, Épidémiologie, Infectiovigilance et Prévention, Lyon, France; CIRI, Centre International de Recherche en Infectiologie, (Team Public Health, Epidemiology and Evolutionnary Ecology of Infectious Diseases (PHE3ID)), Univ Lyon, Inserm, U1111, Université Claude Bernard Lyon 1, CNRS, UMR5308, ENS de Lyon, Lyon, France.

出版信息

Am J Infect Control. 2022 Sep;50(9):1060-1063. doi: 10.1016/j.ajic.2022.06.018. Epub 2022 Jun 26.

DOI:10.1016/j.ajic.2022.06.018
PMID:35760144
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9233875/
Abstract

A total of 92 coronavirus disease 2019 clusters involving 1,156 individuals (729 patients and 427 healthcare workers) occurred in Lyon University Hospital between September 1, 2020 and March 31, 2021, mostly on medical and geriatric wards. The number of clusters was closely correlated to the trend in coronavirus disease 2019 community incidence over time; in-hospital clusters did not persist when community incidence decreased. Recommended preventive measures were not fully applicable due to specific ward-associated determinants and patient characteristics.

摘要

2020 年 9 月 1 日至 2021 年 3 月 31 日期间,里昂大学附属医院共发生 92 起涉及 1156 人的 2019 年冠状病毒病聚集性病例(729 名患者和 427 名医护人员),主要发生在医疗和老年病房。聚集性病例的数量与 2019 年冠状病毒病社区发病率的变化趋势密切相关;当社区发病率下降时,院内聚集性病例不再持续。由于特定病房相关因素和患者特征,推荐的预防措施并非完全适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/216c/9233875/2a89913a67a2/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/216c/9233875/2a89913a67a2/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/216c/9233875/2a89913a67a2/gr1_lrg.jpg

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Int J Infect Dis. 2022 Apr;117:139-145. doi: 10.1016/j.ijid.2022.01.069. Epub 2022 Feb 4.
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Sporadic outbreaks of healthcare-associated COVID-19 infection in a highly-vaccinated inpatient population during a community outbreak of the B.1.617.2 variant: The role of enhanced infection-prevention measures.在社区暴发 B.1.617.2 变异株期间,高疫苗接种住院人群中偶发的与医疗保健相关的 COVID-19 感染暴发:强化感染预防措施的作用。
Am J Infect Control. 2022 Apr;50(4):465-468. doi: 10.1016/j.ajic.2022.01.009. Epub 2022 Jan 30.
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