河南省濮阳市17例新型冠状病毒肺炎病例的流行病学特征

王建伟; 王盛书; 杨姗姗; 贾王平; 韩珂; 曹文哲; 台朋岗; 寇福银; 李靖; 刘淼; 何耀

doi:10.16462/j.cnki.zhjbkz.2021.04.009

河南省濮阳市17例新型冠状病毒肺炎病例的流行病学特征

doi: 10.16462/j.cnki.zhjbkz.2021.04.009

王建伟^{1, 2},
王盛书¹,
杨姗姗¹,
贾王平¹,
韩珂¹,
曹文哲¹,
台朋岗³,
寇福银³,
李靖⁴,
刘淼^1, ,,
何耀^1, ,

1.
100853 北京，衰老相关疾病北京市重点实验室，国家老年疾病临床医学研究中心，中国人民解放军总医院第二医学中心
2.
457000 濮阳，濮阳市人民医院
3.
100853 北京，中国人民解放军总医院
4.
100039 北京，中国人民解放军总医院第五医学中心

王建伟和王盛书为共同第一作者

基金项目:

军队后勤科研项目 BWS20J009

解放军总医院应急科研攻关课题 20EP008

详细信息

通讯作者:
何耀，E-mail: yhe301@sina.com

刘淼，E-mail: liumiaolmbxb@163.com

中图分类号: R181.2
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- 被引次数: 0
出版历程
- 收稿日期: 2020-03-03
- 修回日期: 2020-03-16
- 网络出版日期: 2021-05-11
- 刊出日期: 2021-04-10

Epidemiological characteristics of 17 coronavirus disease 2019 in Puyang, Henan

1.
Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, the Second Medical Center of Chinese PLA General Hospital, Beijing 100853, China
2.
Puyang People′s Hospital, Puyang 457000, China
3.
Chinese PLA General Hospital, Beijing 100853, China
4.
The Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China

WANG Jian-wei and WANG Sheng-shu contributed equally to this article

Funds:

The Logistic Scientific Research of The PLA BWS20J009

The Emergency Scientific Research of Chinese PLA General Hospital 20EP008

More Information

Corresponding author: LIU Miao, E-mail: liumiaolmbxb@163.com; HE Yao, E-mail: yhe301@sina.com

摘要

摘要: 目的探讨河南省濮阳市COVID-19病例的流行病学特征，为疾病防控提供依据。方法收集濮阳市17例COVID-19确诊病例的流行病学资料，通过绘制发病时序图、病例关系图描述和分析其时间、地点及人群分布特征。结果 17例确诊病例中，男性7例(41.2%)。年龄在12~66岁之间，中位数36岁。共发生4起聚集性疫情，涉及病例12例(70.6%)，均涉及家庭续发病例。中位潜伏期为6.5 d，最短3 d，最长13 d。其中，1例二代病例的发病时间比指示病例早11 d。发病-就诊间隔的中位时间为4 d，最短0 d，最长12 d。17例病例中，有6例14 d内有湖北旅居史，1例有境外旅游史。其余病例均为本地感染者，其中8例为确诊病例的密切接触者，2例传染来源不明。密切接触者中，家庭聚集性病例的传染途径包括密切接触传播和呼吸道传播。小区续发病例的传播途径推断为楼梯间飞沫传播。结论濮阳市以家庭聚集性疫情为主，且指示病例大部分为湖北传入性病例，潜伏期病例存在传染可能。
- COVID-19 /
- 流行特征 /
- 潜伏期
Abstract: Objective To explore the epidemiological characteristics of confirmed cases of coronavirus diseases 2019 (COVID-19) in Puyang, Henan Province, so as to provide basis for diseases control and preventive. Methods The epidemiological data of 17 cases of COVID-19 in Puyang were collected, and the time, regional and population distribution characteristics of COVID-19 were described and analyzed by drawing disease sequence diagram and case relationship diagram. Results Among the 17 cases, 7 were male (41.2%); the median age was 36 years old with age ranged from 12 to 66 years. A total of 4 clustered outbreaks occurred, involving 12 cases (70.6%), all of which were family recurrent cases. The median incubation period was 6.5 days, the shortest 3 days and the longest 13 days. The onset time of a second-generation case was 11 days earlier than that of the indicator case. The median time between onset and treatment was 4 days, the shortest was 0 days and the longest was 12 days. Of the 17 cases, 6 had a sojourning history in Hubei Province within 14 days, and 1 had a history of overseas tourism. The other cases were all local infections, 8 of them were close contacts of the confirmed cases, and 2 of them were from unknown sources. Among the close contacts, the cases involved in the family clustering epidemic were transmitted through close contact and respiratory tract. After detailed investigation and inquiry, it was inferred that the transmission route was the staircase droplet transmission. Conclusion In Puyang City, most of the cases were from Hubei Province, and was dominated by family clustering epidemic. There was a possibility of infection in the incubation period.
- COVID-19 /
- Epidemiological characteristics /
- Incubation period

HTML全文

图 1 2020年濮阳市17例COVID-19病例发病时序图

Figure 1. Timing diagram of the 17 cases of COVID-19 onset in Puyang City in 2020

下载: 全尺寸图片幻灯片

图 2 2020年濮阳市4起COVID-19聚集性病例关系图

Figure 2. Transmission diagram of the 4 cases of COVID-19 aggregative epidemics in 2020

下载: 全尺寸图片幻灯片

图 3 17例濮阳市COVID-19确诊病例的确诊时间分布

Figure 3. Temporal distribution of the 17 COVID-19 cases diagnosis in COVID-19 patients

下载: 全尺寸图片幻灯片

表 1 17例濮阳市COVID-19病例发病和确诊时间分布

Table 1. Temporal distribution of the 17 COVID-19 cases onset and diagnosis

序号	年龄(岁)	性别	暴露日期	发病日期	就诊日期	确诊日期	暴露-发病间隔(d)	发病-就诊间隔(d)	状况(截至2020.02.26)
病例1	34	女	2020.01.13	2020.01.24	2020.01.27	2020.01.28	11	3	2020.02.17出院
病例2	36	男	2020.01.21	2020.01.24	2020.01.24	2020.01.30	3	0	重型，2020.02.15出院
病例3	34	女		2020.01.25	2020.01.26	2020.01.30		1	2020.02.10出院
病例4	37	女	2020.01.16	2010.01.23	2020.02.03	2020.02.02	7	11	在院
病例5	12	男		2020.02.04	2020.02.07	2020.02.05		3	2020.02.17出院
病例6	56	男	2020.01.21	2020.01.26	2020.02.05	2020.02.07	5	10	2020.02.18出院
病例7	43	女	2020.01.18	2020.01.27	2020.02.05	2020.02.07	9	9	2020.02.18出院
病例8	59	男	2020.01.21	2020.02.05	2020.02.08	2020.02.08	15	3	在院
病例9	55	女		2020.01.31	2020.02.07	2020.02.08		7	危重型，2月16日转省医院
病例10	50	女	2020.01.21	2020.01.27	2020.02.08	2020.02.09	6	12	在院
病例11	33	男	2020.01.13	2020.01.24	2020.02.03	2020.02.10	11	10	2020.02.18出院
病例12	65	男	2020.01.22	2020.02.03	2020.02.09	2020.02.11	12	6	在院
病例13	18	女	2020.01.25	2020.02.10	2020.02.10	2020.02.11	16	0	在院
病例14	27	女	2020.01.25	2020.02.03	2020.02.10	2020.02.14	9	7	在院
病例15	26	男	2020.01.21	2020.02.12	2020.02.13	2020.02.14	22	1	在院
病例16	29	女	2020.01.28	2020.02.09	2020.02.13	2020.02.14	12	4	在院
病例17	66	女	2020.01.29	2020.02.09	2020.02.13	2020.02.14	11	4	在院

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