Superspreading SARS events, Beijing, 2003.

Superspreading SARS events, Beijing, 2003.
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DOI:
10.3201/eid1002.030732
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发表时间:
2004-02
影响因子:
11.8
通讯作者:
Schuchat A
Schuchat A
中科院分区:
医学2区
文献类型:
--
作者:
Shen Z;Ning F;Zhou W;He X;Lin C;Chin DP;Zhu Z;Schuchat A

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超级传播事件是严重急性呼吸综合征(SARS)全球传播的关键。我们调查了北京疫情早期一条传播链中的超级传播。超级传播被定义为将SARS传播给至少八个接触者。一名在入院后两个月发病的指示患者是四代传播给76名病例患者的来源,其中包括12名医护人员和几名医院访客。4例(5%)病例情况符合超扩散定义。超级传播似乎与年龄较大(平均56岁对44岁)、病死率(75%对16%,p = 0.02,Fisher精确检验)、密切接触者人数(36对0.37)和密切接触者中的发病率(43%对18.5%,p < 0.025)有关。延迟识别SARS住院患者允许传播给病人,游客和医护人员。年龄较大和接触的数量值得在未来的超级传播研究中进行调查。
Superspreading events were pivotal in the global spread of severe acute respiratory syndrome (SARS). We investigated superspreading in one transmission chain early in Beijing’s epidemic. Superspreading was defined as transmission of SARS to at least eight contacts. An index patient with onset of SARS 2 months after hospital admission was the source of four generations of transmission to 76 case-patients, including 12 healthcare workers and several hospital visitors. Four (5%) case circumstances met the superspreading definition. Superspreading appeared to be associated with older age (mean 56 vs. 44 years), case fatality (75% vs. 16%, p = 0.02, Fisher exact test), number of close contacts (36 vs. 0.37) and attack rate among close contacts (43% vs. 18.5%, p < 0.025). Delayed recognition of SARS in a hospitalized patient permitted transmission to patients, visitors, and healthcare workers. Older age and number of contacts merit investigation in future studies of superspreading.
DOI: 10.1093/oxfordjournals.aje.a115106
发表时间: 1989-01-01
影响因子: 5
作者:
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通讯作者: ORENSTEIN, WA
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DOI: 10.3201/eid1001.030553
发表时间: 2004-01
影响因子: 11.8
作者:
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通讯作者: Beijing Joint SARS Expert Group