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中国成都新冠肺炎密切接触者管理模式及流行病学特征分析

Analysis of the close contact management mode and epidemiological characteristics of COVID-19 in Chengdu, China.

作者信息

Yang Kai, Deng Jiali, Tuo Xiaoli, Fan Shuangfeng, Yue Yong, Liu Hui, Liu Zhijian, Zhang Shuang, Wang Lingyi, Dai Rong, Zhao Yao

机构信息

Chengdu Workstation for Emerging Infectious Disease Control and Prevention, Chinese Academy of Medical Sciences, Chengdu, Sichuan, People's Republic of China.

Department of Orthopaedics, Chengdu Medical College, Sichuan, People's Republic of China.

出版信息

One Health. 2022 Dec;15:100420. doi: 10.1016/j.onehlt.2022.100420. Epub 2022 Jul 26.

Abstract

With the development of the novel coronavirus disease 2019 (COVID-19) epidemic and the increase in cases, as a potential source of infection, the risk of close contact has gradually increased. However, few studies have analyzed the tracking and management of cross-regional personnel. In this study, we hope to understand the effectiveness and feasibility of existing close contact management measures in Chengdu, so as to provide a reference for further prevention and control of the epidemic. The close contact management mode and epidemiological characteristics of 40,425 close contacts from January 22, 2020, to March 1, 2022, in Chengdu, China, were analyzed. The relationship with index cases was mainly co-passengers (57.58%) and relatives (7.20%), and the frequency of contact was mainly occasional contact (70.39%). A total of 400 (0.99%) close contacts were converted into cases, which were mainly found in the first and second nucleic acid tests (53.69%), and the contact mode was mainly by sharing transportation (63.82%). In terms of close contact management time, both the supposed ((11.93 ± 3.00) days (11.92 ± 7.24) days) and actual ((13.74 ± 17.47) days (12.60 ± 4.35) days) isolation times in Chengdu were longer than those of the outer cities ( < 0.001). For the local clustered epidemics in Chengdu, the relationship with indexed cases was mainly colleagues (12.70%). The tracing and management of close contacts is a two-way management measure that requires cooperation among departments. Enhancing existing monitoring and response capabilities can control the spread of the epidemic to a certain extent.

摘要

随着新型冠状病毒肺炎(COVID-19)疫情的发展和病例的增加,作为潜在感染源,密切接触风险逐渐增大。然而,很少有研究分析跨区域人员的追踪与管理。在本研究中,我们希望了解成都市现有密切接触者管理措施的有效性和可行性,为进一步防控疫情提供参考。分析了2020年1月22日至2022年3月1日期间中国成都市40425名密切接触者的密切接触者管理模式及流行病学特征。与指示病例的关系主要为同乘人员(57.58%)和亲属(7.20%),接触频次主要为偶然接触(70.39%)。共有400名(0.99%)密切接触者转为病例,主要在首次和第二次核酸检测时发现(53.69%),接触方式主要为共享交通工具(63.82%)。在密切接触者管理时间方面,成都市假定隔离时间((11.93±3.00)天 (11.92±7.24)天)和实际隔离时间((13.74±17.47)天 (12.60±4.35)天)均长于其他城市(<0.001)。对于成都市本地聚集性疫情,与指示病例的关系主要为同事(12.70%)。密切接触者追踪管理是一项需要部门间协作的双向管理措施。加强现有监测和应对能力可在一定程度上控制疫情传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca48/9582567/a7fff0a51b91/ga1.jpg

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