首页|2022年5-6月上海市浦东新区新型冠状病毒感染出院病例复阳流行病学特征

2022年5-6月上海市浦东新区新型冠状病毒感染出院病例复阳流行病学特征

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[目的]了解上海市浦东新区新型冠状病毒感染(COVID-19)病例出院后复阳的流行病学特征,为疫情防控提供参考.[方法]对2022年5月20日—6月20日上海市浦东新区治愈出院的339例COVID-19病例进行3个月的健康随访和核酸检测,分析其流行病学特征.[结果]339例随访病例中复阳病例75例,复阳率为22.12%.不同性别、不同年龄组、不同职业、是否有心脏病、是否有高血压、是否全程接种疫苗对病例复阳均无影响.病例在首次感染时被诊断为确诊病例、患有糖尿病、住院时间≤7 d为复阳的相关因素.出院至复阳时间间隔中位数为26 d.复阳病例的密接在隔离观察期结束后均未感染新型冠状病毒.[结论]COVID-19病例治愈出院后存在复阳情况,首诊为确诊病例及住院时间7 d以内的病例复阳率较高,未发现复阳病例引起续发传播.
Epidemiological characteristics of recovered COVID-19 cases with re-positive nucleic acid in Pudong New Area of Shanghai from May to June 2022
[Objective]To understand the epidemiological characteristics of recovered COVID-19 cases with re-positive nucleic acid in Pudong New Area of Shanghai,and to provide a reference for the prevention and control of COVID-19.[Methods]A three-month health follow-up and nucleic acid testing were conducted on 339 COVID-19 cases cured and discharged between May 20 and June 20,2022,in Pudong New Area,Shanghai,to analyze their epidemiological characteristics.[Results]Among the 339 follow-up cases,75 cases experienced re-positive nucleic acid results,with a recurrence rate of 22.12%.Factors such as gender,age group,occupation,presence of heart disease,hypertension,and full vaccination status had no effect on the re-positive results.Being diagnosed as a confirmed case during the first presence of infection,having diabetes,and a hospitalization period of≤7 days were related factors for recurrence.The median interval between discharge and re-positive nucleic acid results was 26 days.The close contacts of the re-positive cases did not contract COVID-19 after the isolation and observation period.[Conclusion]There is a possibility of re-positive nucleic acid results after COVID-19 recovery and discharge.Cases initially diagnosed as confirmed cases and those with a hospitalization period of no more than 7 days have a high rate of re-positivity.No secondary transmission is observed from the re-positive cases.

coronavirus infection 2019re-positive nucleic acidepidemiological characteristic

刘丹、陈诹、胡梦珏、叶楚楚、谢彦昕

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上海市浦东新区疾病预防控制中心,上海 200136

复旦大学浦东预防医学研究院,上海 200136

新型冠状病毒感染 核酸复阳 流行特征

上海市加强公共卫生体系建设三年行动计划(2023-2025年)重点学科浦东新区科技发展基金项目浦东新区卫生系统优秀青年医学人才培养计划

GWVI-11.1-02PKJ2021-Y74PWRq2022-14

2024

上海预防医学
上海市预防医学会

上海预防医学

CSTPCD
影响因子:0.615
ISSN:1004-9231
年,卷(期):2024.36(9)