与上海 SARS-CoV-2 奥密克戎变异株感染病毒持续排出相关的因素:一项多中心、回顾性、观察性研究。

Factors associated with prolonged viral shedding of SARS-CoV-2 Omicron variant infection in Shanghai: A multicenter, retrospective, observational study.

机构信息

Department of Emergency, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Department of Disciplinary Development and Planning, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

J Med Virol. 2023 Dec;95(12):e29342. doi: 10.1002/jmv.29342.

Abstract

Shanghai has faced an unprecedented COVID-19 pandemic with the BA.2.2 strain of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron infection. Comprehensive insights into its epidemiology, clinical manifestations, and viral shedding dynamics are currently limited. This study encompasses 208373 COVID-19 patients that were infected with the Omicron BA.2.2 sub-lineage in Shanghai, China. Demographic information, clinical symptoms, vaccination status, isolation status, as well as viral shedding time (VST) were recorded. Among the COVID-19 patients included in this study, 187124 were asymptomatic and 21249 exhibited mild symptoms. The median VST was 8.3 days. The common clinical symptoms included fever, persistent cough, phlegm, sore throat, and gastrointestinal symptoms. Factors such as advanced age, presence of comorbidities, mild symptomatology, and delayed isolation correlated with extended VST. Conversely, female gender and administration of two or three vaccine doses correlated with a reduction in VST. This investigation offers an in-depth characterization and analytical perspective on Shanghai's recent COVID-19 surge. Prolonged viral shedding of SARS-CoV-2 was observed in elderly, male, symptomatic patients, and those with comorbidity. Female, individuals with two or three vaccine doses, as well as those isolated early, shows an effective reduced VST.

摘要

上海正面临着由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)奥密克戎变异株 BA.2.2 引起的前所未有的 COVID-19 疫情。目前,我们对其流行病学、临床表现和病毒脱落动力学的综合了解还很有限。本研究包括在中国上海感染奥密克戎 BA.2.2 亚系的 208373 名 COVID-19 患者。记录了人口统计学信息、临床症状、疫苗接种状况、隔离状况以及病毒脱落时间(VST)。在本研究纳入的 COVID-19 患者中,187124 例为无症状,21249 例为轻症。中位 VST 为 8.3 天。常见的临床症状包括发热、持续咳嗽、咳痰、咽痛和胃肠道症状。VST 延长与年龄较大、合并症存在、症状轻微和隔离延迟有关。相反,女性和接种两剂或三剂疫苗与 VST 缩短有关。本研究深入描述和分析了上海最近的 COVID-19 疫情。在老年人、男性、有症状的患者和合并症患者中观察到 SARS-CoV-2 的病毒脱落时间延长。女性、接种两剂或三剂疫苗的个体以及早期隔离的个体,VST 明显缩短。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索