Incidence of COVID-19 among returning travelers in quarantine facilities: A longitudinal study and lessons learned.

Incidence of COVID-19 among returning travelers in quarantine facilities: A longitudinal study and lessons learned.
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DOI:
10.1016/j.tmaid.2020.101901
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发表时间:
2020-11
影响因子:
12
通讯作者:
Kheir HO
Kheir HO
中科院分区:
医学3区
文献类型:
--
作者:
Al-Tawfiq JA;Sattar A;Al-Khadra H;Al-Qahtani S;Al-Mulhim M;Al-Omoush O;Kheir HO

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严重急性呼吸道综合征冠状病毒2型(SARS-CoV-2)的出现导致了一场尚未出现的全球大流行。在最初的事件中,沙特阿拉伯王国对返回的旅客实施强制隔离,以控制COVID-19病例。本研究是对入境检疫机构的旅客和RT-PCR检测的SARS-CoV-2阳性流行率的纵向研究。在研究期间,共有1928名返回的旅行者,其中1273名(66%)是男性。年龄范围为28天-69岁。在所有旅行者中,23人(1.2%)对SARS-CoV-2检测呈阳性。在第一个拭子中,14/1928(0.7%)检测为阳性。男性和女性的阳性率分别为0.63%和0.92%(P = 0.57)。在最初为阴性的其他1914人中,第二次拭子阳性9人(0.5%),男性和女性的阳性率分别为0.39%和0.62%(P = 0.49)。第一次和第二次拭子的阳性率无统计学差异(P = 0.4)。在所有旅行者中,40人(n = 26,1. 3%)因COVID-19相关阳性结果或出现发热、咳嗽和呼吸道症状等症状而从隔离设施入院; 14人(0. 7%)因非COVID-19相关疾病入院。这项研究表明,设施检疫方面作出了努力,这种活动降低了阳性病例的发生率。有必要建立一个后备医疗设施,以满足那些对非COVID-19相关疾病进行评估和入院的医疗需求。
The emergence of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) had resulted in an unpresented global pandemic. In the initial events, the Kingdom of Saudi Arabia implemented mandatory quarantine of returning travelers in order to contain COVID-19 cases. This is a longitudinal study of the arriving travelers to Quarantine facilities and the prevalence of positive SARS-CoV-2 as detected by RT-PCR. During the study period, there was a total of 1928 returning travelers with 1273 (66%) males. The age range was 28 days–69 years. Of all the travelers, 23 (1.2%) tested positive for SARS-CoV-2. Of the first swab, 14/1928 (0.7%) tested positive. The positivity rate was 0.63% and 0.92% among males and females, respectively (P = 0.57). The second swab was positive in 9 (0.5%) of the other 1914 who were initially negative with a positivity rate of 0.39% and 0.62% among males and females, respectively (P = 0.49). There was no statistical difference in the positivity rates between first and second swab (P = 0.4). Of all travelers, 40 (n = 26, 1.3%) were admitted from the quarantine facility to the hospital due to COVID-19 related positive results or development of symptoms such as fever, cough, and respiratory symptoms; and 14 (0.7%) were admitted due to non-COVID-19 related illness. This study showed the efforts put for facility quarantine and that such activity yielded a lower incidence of positive cases. There was a need to have a backup healthcare facility to accommodate those developing a medical need for evaluation and admission for non-COVID-19 related illnesses.
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