首页|新型冠状病毒感染确诊病例与无症状感染者病毒载量分析

新型冠状病毒感染确诊病例与无症状感染者病毒载量分析

Viral load analysis of confirmed cases and asymptomatic infections of COVID-19

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目的 评估新型冠状病毒感染确诊病例与无症状感染者的病毒载量差异,为新型冠状病毒感染的研究提供科学依据.方法 采用描述流行病学方法对某市2021-2022年新型冠状病毒感染确诊病例和无症状感染者拭子标本进行流行病学特征分析和病毒载量分析.结果 纳入121例病例,确诊病例占54.5%.确诊病例中男女性别比为2∶1,不同性别的新型冠状病毒感染病例差异有统计学意义(x2=7.496,P=0.006);不同年龄组的新型冠状病毒感染病例差异有统计学意义(x2=9.773,P=0.008).在病毒载量方面,确诊病例组与无症状感染者组差异无统计学差异(Z=1.124,P=0.261).年龄≥60岁的确诊病例组与无症状感染者组的病毒载量差异有统计学意义(Z=2.147,P=0.033),两组病毒载量中位数M(P25,P75)分别为 12 466.5(1 861.3,168 323.6)、3 256.3(972.8,42 043.3)copies/ml.结论 新型冠状病毒感染确诊病例与无症状感染者病毒载量差异无统计学意义,但≥60岁年龄组确诊病例的病毒载量水平明显高于无症状感染者,提示老年病例中病毒载量与疾病严重程度存在一定关系.
Objective To evaluate the differences in viral loads of confirmed cases and asymptomatic infections of COVID-19,and to provide scientific basis for research on COVID-19.Methods A descriptive epidemiological method was used to analyze the epidemiologic features and viral loads of swab samples from confirmed cases and asymptomatic infections of COVID-19 in a city from 2021 to 2022.Results A total of 121 cases were included,and 54.5%were confirmed cases.The ratio of male to female in confirmed cases was 2:1,and there was a significant difference in the COVID-19 cases between different genders(x2=7.496,P=0.006).And there was a significant difference in the COVID-19 cases in different age groups(x2=9.773,P=0.008).The difference in viral load was not statistically significant(Z=1.124,P=0.261)between the confirmed cases and asymptomatic infections.The difference in viral load was statistically significant(Z=2.147,P=0.033)between the confirmed cases and asymptomatic infections groups in the age group>60 years old,and the median viral loads M(P25,P75)in the two groups were 12 466.5(1 861.3,168 323.6),and 3 256.3(972.8,42 043.3)copies/ml,respectively.Conclusion The difference in viral load is not statistically significant between confirmed cases and asymptomatic infections of COVID-19 but the level of viral load is significantly higher in confirmed cases than in asymptomatic infections in the age group ≥ 60 years,suggesting a relationship between viral load and disease severity among older age cases.

COVID-19Confirmed caseAsymptomatic infectionsViral loadAnalysis

孙敏、马建、陈大伟、蔡蓉、王玮明、何芳、杨鹏飞

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淮安市疾病预防控制中心,江苏淮安 223001

淮阴师范学院

新型冠状病毒感染 确诊病例 无症状感染者 病毒载量 分析

国家自然科学基金淮安市自然科学研究项目淮安市创新服务能力建设计划重点实验室建设淮安市突发公共卫生事件应急检测重点实验室项目

1217011789HAB202048HAP201906

2024

医学动物防制
中国民主促进会河北省委员会

医学动物防制

CSTPCD
影响因子:0.553
ISSN:1003-6245
年,卷(期):2024.40(4)
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