Evolving global and national criteria for identifying a suspected case of COVID-19
Evolving global and national criteria for identifying a suspected case of COVID-19
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DOI：
10.1177/0300060520938943
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发表时间：
2020-08-01
影响因子：
1.6
通讯作者：
Moss, Steven F.
中科院分区：
文献类型：
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作者：
Atsawarungruangkit, Amporn;Yuan, Jin;Moss, Steven F.
2019冠状病毒病（COVID-19）于2019年12月爆发，并继续在全球蔓延。快速和准确地识别疑似病例对于减缓导致该病的病毒的传播至关重要。我们的目的是强调国际机构和世界上受到严重影响的个别国家使用的各种标准之间的差异。方法回顾了两个国际公共卫生机构和亚洲、欧洲和北美10个国家使用的COVID-19疑似病例鉴定标准。这些标准包括关于疾病的临床原因和流行病学风险因素的信息。非英语指南由一位精通该特定语言的合着者翻译成英语。结果虽然大多数标准是对世界卫生组织建议的修改，但各国对疑似COVID-19患者进行评估的具体临床特征和流行病学风险差异很大。造成这些差异的原因可能与每个国家的资源、政治、以往疫情或大流行的经验、医疗保险制度、COVID-19疫情严重程度以及其他不确定因素有关。结论对新冠肺炎疑似病例的最佳诊断标准尚无共识。
Background The outbreak of coronavirus disease 2019 (COVID-19) began in December 2019 and continues to spread worldwide. Rapid and accurate identification of suspected cases is critical in slowing spread of the virus that causes the disease. We aimed to highlight discrepancies in the various criteria used by international agencies and highly impacted individual countries around the world. Methods We reviewed the criteria for identifying a suspected case of COVID-19 used by two international public health agencies and 10 countries across Asia, Europe, and North America. The criteria included information on the clinical causes of illness and epidemiological risk factors. Non-English language guidelines were translated into English by a co-author who is fluent in that particular language. Results Although most criteria are modifications of World Health Organization recommendations, the specific clinical features and epidemiological risks for triggering evaluation of patients with suspected COVID-19 differed widely among countries. The rationale for these differences may be related to each country's resources, politics, experience with previous outbreaks or pandemics, health insurance system, COVID-19 outbreak severity, and other undetermined factors. Conclusion We found no consensus regarding the best diagnostic criteria for identifying a suspected case of COVID-19.