摘要
患者在陕西省新型冠状病毒肺炎确诊主要有武汉接触史。有家族聚集性和隐蔽性的特点。http://bit.ly/2x7xs1V
致编辑:
在2019年12月,新的冠状病毒命名为严重急性呼吸综合征冠状-2(SARS-COV-2)引起严重急性呼吸系统疾病在中国武汉[区域出现1,2]。感染了SARS-COV-2为新型冠状病毒肺炎(NCP)中国命名为肺炎的人民共和国的国家卫生委员会。证据对人对人的传播指出[3-五]。截至2020年2月8日,全国34个省市共报告新冠肺炎确诊病例34673例,疑似病例27657例,死亡人数106人。大多数研究集中在武汉的疫情,但少数研究集中在武汉以外的省份。陕西位于湖北省西北部,与湖北省毗邻,人口3864万。自2020年1月23日陕西省确诊首例新型冠状病毒肺炎以来,共确诊195例,但未见相关流行病学研究。为了更好地理解新冠状病毒的流行陕西省并提供控制措施的未来发展的基础,本文旨在报告195例确诊病例感染的流行病学结果SARS-CoV-2和患者之间的临床特征比较或不暴露在武汉的历史。
我们回顾了195例实验室确认的SARS-COV-2感染病例的流行病学特征和结果报告日期由陕西省卫生委员会。这些患者的研究期间是从23月2020到2月7日到2020年包括性别,武汉的接触史,发病日期,诊断日期,严重的情况下和其他信息的调查数据。两位研究者独立审查的数据。
截至2020年2月7日,陕西省确诊新型冠状病毒肺炎195例图1a。西安88例,咸阳14例,延安8例,玉林3例,渭南10例,铜川7例,商洛7例,汉中23例,宝鸡13例,安康22例。全省共有疑似病例539例。新冠肺炎早期确诊病例主要为武汉地区SARS-CoV-2患者(图1b)。
患者的SARS-COV-2感染在陕西省的特点如下。The mean age was 44.13±15.8 years, 25 (12.82%) cases were 20 years of age, 23 (11.79%) were 20–29 years of age, 79 (40.51%) were 30–49 years of age, 28 (14.36%) were 50–59 years of age, 29 (14.87%) were 60–69 years of age and 11 (5.64%) cases were aged >70 years. The majority of cases were male (66.15%). 190 (97.44%) patients were in stable state and five (2.56%) patients were severe. The average time from onset to diagnosis was 7.35±3.73 days.
According to the analysis of the patients with or without Wuhan exposure history, we found that the average age was 39.79±15.76 years for patients with Wuhan exposure and 49.19±14.44 years for patients without Wuhan exposure (p<0.05). The average time from onset to diagnosis was 7.08±4.04 days for patients with Wuhan exposure and 7.65±3.37 for patients without Wuhan exposure (p<0.05).
105例武汉暴露史分析,其中71有长期暴露和18有短期曝光(会议,临时滞留的交通枢纽和旅游)。大多数受感染的患者为男性(长期暴露:90.14%;短期暴露:72.22%)。The time from onset to diagnosis was 6.06±4.85 days and 7.22± 3.75 days for long-term与短期曝光,分别。在195例确诊病例中,90没有武汉暴露史。我们把这些病人直接接触,并与来自武汉的人谁已经回到陕西间接接触。他们主要是中老年患者。The average age was 48.52±15.99 years and 50.46±13.38 years for direct and indirect contact cases, respectively. The male:female ratios were 16:13 and 13:22 for direct and indirect cases, respectively. Furthermore, 26 patients had unknown contact history. Most of the patients were in a stable state but five cases were severe. Up to 7 February 2020, 8.72% of 195 patients had been discharged. The average age of discharged patients was 34.53±13.08 years. The length of hospitalisation was 12.76±3.42 days and nine (52.94%) were male. In addition, there were two family aggregated cases. Case 1 was a 50-year-old male who drove to Wuhan on 13 January 2020 returning to HanZhong on 17 January 2020 and developed symptoms on 18 January 2020. His wife drove to Wuhan with him. They were confirmed with SARS-CoV-2 on the 27 January 2020. Then nine people were infected by them. Case 2, was a family of three living in Wuhan, they drove to Tongchuan city to visit their relatives on 20 January 2020 and four people were infected by them. Up to 7 February 2020, 17 (8.72%) out of 195 patients had been discharged.
据我们所知,这是迄今为止确诊的SARS-CoV-2感染患者的最大病例系列。此外,这是首次针对武汉以外地区SARS-CoV-2的研究。我们发现大部分患者为中年男性。这一结果与G独角仙ydF4y2Ba等。[6在武汉。They found that the median age of patients with SARS-CoV-2 infection was 47 years, and 58.1% were male. Our findings are also consistent with the study of H独角仙等。[7世卫组织还得出结论,大多数感染患者为男性(73%)。我们进一步将NCP患者分为武汉暴露组和非武汉暴露组。我们发现无武汉暴露史的患者年龄大于有武汉暴露史的患者,差异有统计学意义。这可能是由于陕西SARS-CoV-2感染患者多为输入性病例,多为春节返乡的湖北农民工。此外,老年人更容易感染SARS-CoV-2。有武汉暴露史的患者从发病到确诊的时间要比无武汉暴露史的患者长。这很容易理解,因为大部分没有武汉暴露的患者是被输入性病人感染的。武汉暴露组进一步分为长期暴露组和短期暴露组。综上所述,SARS-CoV-2男性患者占了很大比例,从发病到诊断的天数为∼7.35天。此外,陕西省还发现了家庭聚集病例。
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脚注
作者投稿:Y.姚明和Y.田设计的研究,进行了分析,并起草工作;J.周对工作做出的设计,作品的诠释,和修订的重要知识内容的草案作出重大贡献;十,马云做出分析和工作的解释重大贡献;M.杨帮着访问数据,数据管理和分析;S.Y.王对工作做出的概念作出了重大贡献,修改重要知识内容的草案,并同意对工作的各个方面的责任,确保有关工作的任何部分的准确性或完整性的问题是适当的调查和解决。
利益冲突:Y.姚明没有透露。
利益冲突:Y.田有没有透露。
利益冲突:J.周有没有透露。
利益冲突:十马云却没有透露。
利益冲突:M.杨有没有透露。
利益冲突:S.Y.王有没有透露。
- 收到了2020年2月10日。
- 公认2020年2月22日。
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