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COVID-19:国家大流行管理策略及其对二代病例数和预后的有效性与影响:一项系统综述

COVID-19: National Pandemic Management Strategies and their Efficacies and Impacts on the Number of Secondary Cases and Prognosis: A Systematic Review.

作者信息

Hatami Hossein, Qaderi Shohra, Shah Jaffer, Rezaeian Ahmad Reza, Farsi Yeganeh, Alinasab Faeze, Qaderi Farah, Khosravi Afifeh, Bazgir Narges, Shah Asghar

机构信息

Department of Public Health, School of Public Health and Safety and Occupational Hazards Control Research Center, Shahid Beheshti University of Medical Sciences, Pennsylvania, United States.

Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Pennsylvania, United States.

出版信息

Int J Prev Med. 2022 Jul 15;13:100. doi: 10.4103/ijpvm.IJPVM_464_20. eCollection 2022.

Abstract

BACKGROUND

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the pathogen responsible for an acute respiratory disease designated COIVD-19, which has spread throughout the world. Despite all the struggles with this virus, still, the majority of societies are affected by COVID-19, which raises many questions such as are these ways of management enough, which is crucial in order to contain the virus spread, and which is not effective. In this systemic review, we tried to summarize the data on different ways of managing COVID-19 outbreaks. Through understanding the efficacy and downsides of different approaches to manage COVID-19, public health officials, governing bodies, and health care administrators may be better equipped with the tools necessary to best manage COVID-19 and pandemics.

METHODS

This systematic review was carried out by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. Articles were selected using several databases PubMed, ScienceDirect, and Google Scholar, all peer-reviewed and published articles from December 1, 2019 to April 23, 2020 that met the inclusion criteria were selected.

RESULTS

The majority of the included articles were mathematical modeling, cohort studies ( = 9), cross-sectional ( = 6), and one case series. Most articles originated from China and then Singapore. The measures that have been practiced in these articles consisted of close contact tracing and case isolation, quarantine, strict surveillance, lockdown, and travel surveillance.

CONCLUSIONS

The most effective approach is at least the combination of case detection and isolation, and contact tracing or containment measures. In the literature, travel controls seem to be ineffective, personal hygiene should be tough and emphasized.

摘要

背景

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)是导致名为COVID-19的急性呼吸道疾病的病原体,该疾病已在全球传播。尽管与这种病毒进行了种种斗争,但大多数社会仍受到COVID-19的影响,这引发了许多问题,例如这些管理方式是否足够,这对于遏制病毒传播至关重要,以及哪些方式无效。在本系统评价中,我们试图总结关于COVID-19疫情不同管理方式的数据。通过了解管理COVID-19的不同方法的有效性和缺点,公共卫生官员、管理机构和医疗保健管理人员可能会更好地配备有效管理COVID-19和大流行病所需的工具。

方法

本系统评价按照系统评价和Meta分析的首选报告项目(PRISMA)方案进行。使用多个数据库(PubMed、ScienceDirect和谷歌学术)筛选文章,选取2019年12月1日至2020年4月23日期间所有经过同行评审并发表的符合纳入标准的文章。

结果

纳入的文章大多数是数学建模、队列研究(n = 9)、横断面研究(n = 6)以及1个病例系列。大多数文章来自中国,其次是新加坡。这些文章中所实施的措施包括密切接触者追踪和病例隔离、检疫、严格监测、封锁和旅行监测。

结论

最有效的方法至少是病例检测与隔离以及接触者追踪或控制措施的结合。在文献中,旅行管制似乎无效,个人卫生应严格要求并加以强调。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acd9/9470909/00ffa9911eb5/IJPVM-13-100-g001.jpg

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