COVID-19: in the footsteps of Ernest Shackleton
COVID-19: in the footsteps of Ernest Shackleton
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DOI：
10.1136/thoraxjnl-2020-215091
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发表时间：
2020-08-01
期刊：
影响因子：
10
通讯作者：
Green, Jeffery Peter
中科院分区：
文献类型：
--
作者：
Ing, Alvin J.;Cocks, Christine;Green, Jeffery Peter
我们描述了我们认为是在当前COVID-19大流行期间对一艘孤立游轮上的所有乘客和船员进行全面COVID-19检测的第一个实例。在机上217名乘客和机组人员中，128人的逆转录PCR检测结果呈COVID-19阳性（59%）。在COVID-19阳性患者中，19%（24）有症状; 6.2%（8）需要医疗后送; 3.1%（4）进行插管和通气;死亡率为0.8%（1）。大多数COVID-19阳性患者无症状（81%，104例患者）。我们的结论是，受影响游轮上的COVID-19流行率可能被严重低估，需要采取策略评估和监测所有乘客，以防止下船后的社区传播。
We describe what we believe is the first instance of complete COVID-19 testing of all passengers and crew on an isolated cruise ship during the current COVID-19 pandemic. Of the 217 passengers and crew on board, 128 tested positive for COVID-19 on reverse transcription-PCR (59%). Of the COVID-19-positive patients, 19% (24) were symptomatic; 6.2% (8) required medical evacuation; 3.1% (4) were intubated and ventilated; and the mortality was 0.8% (1). The majority of COVID-19-positive patients were asymptomatic (81%, 104 patients). We conclude that the prevalence of COVID-19 on affected cruise ships is likely to be significantly underestimated, and strategies are needed to assess and monitor all passengers to prevent community transmission after disembarkation.