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时间:2018-10-01
《SARS患者恢复期传染性的随访调查 .doc》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、SARS患者恢复期传染性的随访调查作者:王昆,王波,门可,徐德忠,闫永平【关键词】严重急性呼吸综合征 【Abstract】AIM:Tostudytheinfectiousnessoftheconvalescentpatientswithsevereacuterespiratorysyndrome(SARS).METHODS:Standardizedepidemiologicalfollow-upstudyquestionnairewasadoptedinthefollowupstudybyphoneoftheconvalescent(1monthafterdis
2、charge)patientswhowerereportedduringAprilandMay2003indatabaseofepidemiologicalindividualcaseswithSARSinBeijing.Dataofinvestigationwereprocessedtobuilddatabaseforstatisticalandepidemiologicalanalysis.RESULTS:Inthe300casesthatwereselectedrandomly,133cases(44.3%)whohadbeendiagnosedwithSA
3、RSweresuccessfullyfollowedup,withasexratioof1∶1.2andanagerangefrom15to66.167cases(55.7%)werelostinthefollow-upstudy.Themostcommonsymptomwasfever(100%),followedbycough(72.2%),pneumoniaonchestradiograph(70.7%),decreasedleukocytecounts(66.9%),cold(54.9%),inertia(35.3%),headache(23.3%),ac
4、hingpain(21.2%),expectoration(9.8%).Ninety-fourpercentofthe133SARScasesadoptedhomeisolationafterbeingdischargedfromhospital,amongwhom98cases(78.4percentofisolatedcases)wereisolatedfor14days.Theinfectioncontrolprecautionscouldbedividedinto6categories.Nonethosewhohadclosecontactswithcon
5、valescentSARSpatientswereinfected.CONCLUSION:TheconvalescentSARSpatients,whoaredischargedfromhospitalaccordingtothedischargecriteriaforSARSpatientspromulgatedbyministryofhealth,havenoobviousinfectiousness. 【Keywords】severeacuterespiratorysyndrome;convalescence;diseasetransmission,hor
6、izontal 【摘要】目的:了解严重急性呼吸综合征(SARS)恢复期患者的传染性.方法:采用统一制定的流行病学随访调查表,在《北京市SARS流行病学个案调查数据库》中随机抽取300例200304/200305报告的SARS病例进行恢复期(出院后1mo)电话随访调查,建立数据库进行统计学和流行病学分析.结果:随机抽取300例中,随访到133例(占443%)确诊SARS的恢复期患者,失访167例(占557%),实际随访率为700%.133例SARS患者中男女性别比为1∶12,年龄在15~66yr之间.临床表现发热133例(100%),咳嗽96例(722%),X线胸
7、片肺炎特征94例(707%),白细胞总数减少89例(669%),畏寒73例(549%),乏力47例(353%),头痛31例(233%),全身酸痛28例(211%),咳痰13例(98%).出院后进行隔离者125例(940%),隔离时间为144d者98例(784%).所采取的隔离措施可分为6种,措施组合共有11种.恢复期患者的密切接触者中被感染人数为0.结论:以卫生部颁发的《传染性非典型肺炎病例出院参考标准》为准出院的SARS患者在恢复期无论是否采取相应的隔离措施均未发现有明显的传染性. 【关键词】严重急性呼吸综合征;恢复期;疾病传播,水平 0引言 严重急性呼吸
8、综合征(s
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