Inner Mongolia People's Hospital NHC Key Laboratory of Diagnosis & Treatment of COPD/Inner Mongolia Key Laboratory of Respiratory Diseases, Inner Mongolia Autonomous Region Hohhot, China; Inner Mongolia People's Hospital Inner Mongolia Academy of Medical Sciences, Inner Mongolia Autonomous Region Hohhot, China.
Inner Mongolia Fourth Hospital, Inner Mongolia Autonomous Region Hohhot, China.
Clin Microbiol Infect. 2024 Jan;30(1):137-141. doi: 10.1016/j.cmi.2023.09.018. Epub 2023 Oct 5.
BF.7 (BA.5.2.1.7) is a novel sublineage of Omicron BA.5, whose clinical characteristics are not yet established.
From 28 September 2022 to 3 October 2022, the first 421 patients with BF.7 were assessed in Hohhot China and the clinical data were extracted and analysed. The basic reproduction number (R0) was estimated using a statistical model calculation method.
The R0 value was determined to be 13.79 (95% confidence interval: 12.44-15.24). The mean age was 33.43 ± 18.78 years. Asymptomatic, mild, moderate, severe, and critical patients accounted for 12.35% (52/421), 82.42% (347/421), 4.75% (20/421), 0.24% (1/421), and 0.24% (1/421) proportion, respectively. The main clinical symptoms were fever accounting for 41.09% (173/421), cough accounting for 41.09% (173/421), and throat dryness and soreness accounting for 30.88% (130/421). In the 3-dose vaccination subgroup, 31.22% (64) cases had a fever, which were significantly lower than 51.37% (96) cases of the 2-dose vaccination subgroup (p 0.000). The rates of abnormally increased C-reactive protein level in the 2-dose and 3-dose vaccination subgroups were 10.16% (19/187) and 4.88% (10/205), significantly lower than 66.67% (10/15) of the 1-dose vaccination subgroup (1-dose vs. 2-dose: p 0.000, 1-dose vs. 3-dose: p 0.000). Notably, the population with complete 3 doses of vaccination did not exhibit any severe or critical status.
BF.7 exhibited a higher transmission than previously emerged SARS-CoV-2. The vaccine against COVID-19 was found to relieve fever, nausea, and vomiting as well as reduce the abnormal ratio of lymphocytes, eosinophils, neutrophils, and the C-reactive protein level.
BF.7(BA.5.2.1.7)是奥密克戎 BA.5 的一个新的亚谱系,其临床特征尚未确定。
2022 年 9 月 28 日至 10 月 3 日,在中国呼和浩特评估了 421 例首例 BF.7 患者,并提取和分析了临床数据。使用统计模型计算方法估计基本繁殖数(R0)。
R0 值确定为 13.79(95%置信区间:12.44-15.24)。平均年龄为 33.43±18.78 岁。无症状、轻度、中度、重度和危重症患者分别占 12.35%(52/421)、82.42%(347/421)、4.75%(20/421)、0.24%(1/421)和 0.24%(1/421)。主要临床症状为发热占 41.09%(173/421)、咳嗽占 41.09%(173/421)、咽干咽痛占 30.88%(130/421)。在 3 剂疫苗接种亚组中,64 例(31.22%)有发热,明显低于 2 剂疫苗接种亚组的 96 例(51.37%)(p<0.000)。2 剂和 3 剂疫苗接种亚组中异常升高的 C 反应蛋白水平的发生率分别为 10.16%(19/187)和 4.88%(10/205),明显低于 1 剂疫苗接种亚组的 66.67%(10/15)(1 剂与 2 剂:p<0.000,1 剂与 3 剂:p<0.000)。值得注意的是,完全接种 3 剂疫苗的人群没有出现任何严重或危急状态。
BF.7 的传播力高于之前出现的 SARS-CoV-2。COVID-19 疫苗可缓解发热、恶心、呕吐,并降低淋巴细胞、嗜酸性粒细胞、中性粒细胞和 C 反应蛋白水平的异常比值。