王兴华, 吴国富, 丁蕾. 芜湖市镜湖区新型冠状病毒肺炎首例确诊病例流行病学调查[J]. 上海预防医学, 2020, 32(7): 566-570. DOI: 10.19428/j.cnki.sjpm.2020.20154
引用本文: 王兴华, 吴国富, 丁蕾. 芜湖市镜湖区新型冠状病毒肺炎首例确诊病例流行病学调查[J]. 上海预防医学, 2020, 32(7): 566-570. DOI: 10.19428/j.cnki.sjpm.2020.20154
WANG Xing-hua, WU Guo-fu, DING Lei. Identification of first definite case of COVID-19 in Jinghu District of Wuhu City[J]. Shanghai Journal of Preventive Medicine, 2020, 32(7): 566-570. DOI: 10.19428/j.cnki.sjpm.2020.20154
Citation: WANG Xing-hua, WU Guo-fu, DING Lei. Identification of first definite case of COVID-19 in Jinghu District of Wuhu City[J]. Shanghai Journal of Preventive Medicine, 2020, 32(7): 566-570. DOI: 10.19428/j.cnki.sjpm.2020.20154

芜湖市镜湖区新型冠状病毒肺炎首例确诊病例流行病学调查

Identification of first definite case of COVID-19 in Jinghu District of Wuhu City

  • 摘要:
    目的对安徽省芜湖市镜湖区新型冠状病毒(SARS-CoV-2)肺炎首例确诊病例开展流行病学调查,为此类疫情的调查处置提供参考。
    方法开展现场流行病学调查,采集患者咽拭子标本,用实时荧光聚合酶链反应(RT-PCR)法检测SARS-CoV-2核酸; 追踪排查密切接触者,落实相关预防控制措施。
    结果该患者常住西安,1月22日返回芜湖; 23日发病后经2次SARS-CoV-2核酸检测阴性后排除COVID-19诊断; 26日该患者再次因为发热、胸闷等症状入院,27日SARS-CoV-2核酸检测呈阳性,再经安徽省疾病预防控制中心复核后确诊为COVID-19。该患者无武汉旅行史或居住史,无野生动物及集贸市场接触史,但返回芜湖前与1位COVID-19确诊患者有密切接触史。
    结论根据流行病学史、临床症状和核酸检测结果,该病例被判定为镜湖区首例COVID-19报告病例。

     

    Abstract:
    ObjectiveTo report an epidemiological investigation on identification of the first case of coronavirus disease 2019(COVID-19) in Jinghu District of Wuhu City.
    MethodsA field epidemiologic survey was conducted on the case.Throat swab sample was tested using real-time reverse transcription polymerase chain reaction (RT-PCR) assay to detect the nucleic acid of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).The close contacts of the case were tracked and appropriate prevention and control measures were implemented.
    ResultsThe case had lived in Xi′an usually and arrived in Wuhu from Xi′an on January 22 of 2020.On January 23, the patient developed respiratory symptoms but the diagnosis of COVID-19 was excluded after two negative SARS-CoV-2 nucleic acid tests.On January 26, the patient was admitted to hospital again due to fever, chest tightness and other symptoms.On January 27, the patient tested positive for SARS-CoV-2 nucleic acid and was confirmed with COVID-19 after a review by the Anhui Provincial Center for Disease Control and Prevention.The case had no history of travel or residence in Wuhan, and no history of contact with wildlife or markets, however, had close contact with a confirmed COVID-19 patient before returning to Wuhu.
    ConclusionBased on the epidemiological history, clinical symptoms and the results of the SARS-CoV-2 nucleic acid test, the patient is determined as the first reported case of COVID-19 in Jinghu District of Wuhu City.

     

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