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[天津市2019-新冠病毒奥密克戎变异株引起的家庭新冠病毒聚集性疫情传播特征及危险因素]

[Transmission characteristics and risk factors of household COVID-19 clusters caused by 2019-nCoV Omicron variant in Tianjin].

作者信息

Zhang G P, Su C, Yang J, Yan F Z, Wu W S, Bai J Y, Wei Z F, Zhang Y

机构信息

Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2022 Sep 10;43(9):1370-1375. doi: 10.3760/cma.j.cn112338-20220425-00340.

Abstract

To understand the transmission characteristics and risk factors of household COVID-19 clusters caused by 2019-nCoV Omicron variant in Tianjin and provide evidence for COVID-19 prevention and control. Field epidemiological method was used to investigate the epidemiological characteristics of COVID-19 cases, and descriptive analysis was used to describe the epidemiological information. A total of 430 cases were reported in this epidemic in Tianjin, in which 409 cases were included in this study. Among these cases, 70.90% (290/409) occurred in families. The family secondary attack rate was 33.64% The family secondary attack rate in age group 12-17 years (13.79%) was significantly lower than that in age group 18-49 years (36.48%), the was 0.378 (95%: 0.170-0.840). The logistic regression analysis showed that compared with centralized quarantine, the of the index cases found in closed-off/controlled areas and in home quarantine were 2.951 (95%:1.322-6.586) and 2.287 (95%:1.164-4.495), respectively, compared with the cases without sore throat, the of the index cases with sore throat was 3.003 (95%: 1.576-5.720), and compared with cases in families without completed COVID-19 vaccinations in all members, the of the cases in families with completed COVID-19 vaccinations in all members was 0.268 (95%: 0.132-0.552). The risk of household transmission of infection with Omicron variant was high. Detecting the index case in closed-off/controlled areas or in home quarantine and sore throat in index cases were the risk factors of the household transmission, completed COVID-19 vaccination was the protective factor.

摘要

为了解天津市2019-nCoV奥密克戎变异株引起的家庭新冠病毒聚集性疫情的传播特征及危险因素,为新冠肺炎防控提供依据。采用现场流行病学方法调查新冠肺炎病例的流行病学特征,并用描述性分析描述流行病学信息。天津市本次疫情共报告430例病例,本研究纳入409例。在这些病例中,70.90%(290/409)发生在家庭中。家庭二代发病率为33.64%。12-17岁年龄组的家庭二代发病率(13.79%)显著低于18-49岁年龄组(36.48%),比值比为0.378(95%:0.170-0.840)。多因素logistic回归分析显示,与集中隔离相比,封控区/管控区及居家隔离发现的首例病例的比值比分别为2.951(95%:1.322-6.586)和2.287(95%:1.164-4.495);与无咽痛的首例病例相比,有咽痛的首例病例的比值比为3.003(95%:1.576-5.720);与家庭中所有成员未完成新冠病毒疫苗接种的病例相比,家庭中所有成员完成新冠病毒疫苗接种的病例的比值比为0.268(95%:0.132-0.552)。奥密克戎变异株家庭传播感染风险高。在封控区/管控区或居家隔离中发现首例病例及首例病例有咽痛是家庭传播的危险因素,完成新冠病毒疫苗接种是保护因素。

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