[1]许 涛a,杨 磊b,高玉芳a,等.中国地区新型冠状病毒感染者的密切接触人群SARS-CoV-2核酸阳性率的meta分析[J].现代检验医学杂志,2021,36(04):122-128.[doi:10.3969/j.issn.1671-7414.2021.04.026]
 XU Taoa,YANG Leib,GAO Yu-fanga,et al.SARS-CoV-2 Nucleic Acid Positive Rate among Close Contacts of thePatients Infected with Novel Coronavirus in China:A Meta-Analysis[J].Journal of Modern Laboratory Medicine,2021,36(04):122-128.[doi:10.3969/j.issn.1671-7414.2021.04.026]
点击复制

中国地区新型冠状病毒感染者的密切接触人群SARS-CoV-2核酸阳性率的meta分析()
分享到:

《现代检验医学杂志》[ISSN:/CN:]

卷:
第36卷
期数:
2021年04期
页码:
122-128
栏目:
新型冠状病毒肺炎检验专题
出版日期:
2021-07-31

文章信息/Info

Title:
SARS-CoV-2 Nucleic Acid Positive Rate among Close Contacts of thePatients Infected with Novel Coronavirus in China:A Meta-Analysis
文章编号:
1671-7414(2021)04-122-07
作者:
许 涛a杨 磊b高玉芳a张建平a
(咸阳市中心医院 a. 检验科;b. 生殖医学科,陕西咸阳 712000)
Author(s):
XU Taoa YANG Leib GAO Yu-fanga ZHANG Jian-pinga
(a. Department of Clinical Laboratory; b. Department of Reproductive Medicine, Xianyang Central Hospital,Shaanxi Xianyang 712000, China)
关键词:
新型冠状病毒病密切接触者严重急性呼吸综合征冠状病毒2核酸阳性率
分类号:
R373.1;R446
DOI:
10.3969/j.issn.1671-7414.2021.04.026
文献标志码:
A
摘要:
目的 了解中国地区新型冠状病毒感染者的密切接触人群严重急性呼吸综合征冠状病毒(SARS-CoV-2)核酸阳性率的现状。方法 检索PubMed,EMbase,中国期刊全文数据总库(CNKI)、万方科技期刊全文数据库、维普中文科技期刊全文数据库(VIP)中有关中国地区新型冠状病毒感染者的密切接触人群SARS-CoV-2 核酸检测相关文献,检索时间为2019 年12 月~2020 年12 月24 日。参照修改后的美国卫生保健研究与质量机构(AHRQ)声明评价文献质量。采用StataSE15.0 软件进行meta 分析,利用Freeman-Tukey 双反正弦转换法计算合并的阳性率,根据性别、年龄、感染人员关系、感染方式及接触频率进行亚组分析,并进行敏感性分析及Egger 法检验发表偏倚。结果 共纳入11 篇文献,总样本量为24 906 例,新型冠状病毒感染者的密切接触人群SARS-CoV-2 核酸阳性率为5.42%(95%CI:3.57%~7.64%),亚组分析显示,男性阳性率为4.35%,女性阳性率为6.36%;0~9 岁组阳性率为5.88%,10~59 岁组为4.76%,≥ 60 岁组为8.73%;家庭成员组阳性率为13.42%,其它为2.09%;共同生活人员阳性率为11.44%,聚餐为9.90%,其它感染方式组为1.95%;偶尔接触者、一般接触者、经常接触者阳性率分别为1.32%,6.12% 和9.60%,各亚组间差异均有统计学意义(χ2=37.89~809.90,均P <0.05)。敏感度分析提示结果稳定,Egger 法检验发表偏倚为差异无统计学意义(t=0.93,P =0.376)。结论 中国地区新型冠状病毒感染者的密切接触人群SARS-CoV-2 核酸具有一定的阳性率。

参考文献/References:

[1] LU Roujian , ZHAO Xiang , LI Juan ,et al. Genomiccharacterisation and epidemiology of 2019 novelcoronavirus: implications for virus origins and receptorbinding[J]. The Lancet, 2020, 395(10224):565-574.
[2] DONG Yetan, DAI Tong, LIU Jun, et al. Coronavirus incontinuous flux: from SARS-CoV to SARS-CoV-2[J].Advanced Science (Weinheim, Baden-Wurttemberg,Germany), 2020, 7(20): 2001474.
[3] World Health Organization ,Pan American HealthOrganization,2021. Coronavirus disease(COVID-19)pandemic[EB/OL].https://www.paho.org/en/topics/coronavirus-infections/coronavirus-disease-covid-19-pandemic.
[4] FEEHAN D M, MAHMUD A S. Quantifyingpopulation contact patterns in the United States duringthe COVID-19 pandemic[J]. Nature Communications,2021, 12(1): 893.
[5] MANIGANDAN S, WU M T, PONNUSAMY V K, etal. A systematic review on recent trends in transmission,diagnosis, prevention and imaging features of COVID-19[J]. Process Biochemistry (Barking, London,England), 2020, 98: 233-240.
[6] 国家卫生健康委员会办公厅,国家中医药管理局办公室. 国卫办医函〔2020〕680 号: 新型冠状病毒肺炎诊疗方案(试行第八版)[EB/OL].[2020.8.18]http://www.nhc.gov.cn/xcs/zhengcwj/202008/0a7bdf12bd4b46e5bd28ca7f9a7f5e5a/files/a449a3e2e2c94d9a856d5faea2ff0f94.pdf.General Office for National Health Commission,National Administration of Traditional ChineseMedicine. Medical Letter of the State Health Office[2020] No. 680:Diagnosis and treatment program ofCOVID-19 (Trial Eighth Edition) [EB/OL]. [2020.8.18].http://www.nhc.gov.cn/xcs/zhengcwj/202008/0a7bdf12bd4b46e5bd28ca7f9a7f5e5a/files/a449a3e2e2c94d9a856d5faea2ff0f94.pdf.
[7] HUNG I F N, CHENG V C C, LI Xin, et al. SARSCoV-2 shedding and seroconversion among passengers quarantined after disembarking a cruise ship: a caseseries[J]. The Lancet Infectious Diseases, 2020, 20(9):1051-1060.
[8] HUA Chunzhen, MIAO Ziping, ZHENG Jishan, et al.Epidemiological features and viral shedding in childrenwith SARS-CoV-2 infection[J]. Journal of MedicalVirology, 2020, 92(11): 2804-2812.
[9] LIU Tao, LIANG Wenjia, ZHONG Haojie, et al.Risk factors associated with COVID-19 infection: aretrospective cohort study based on contacts tracing[J].Emerging Microbes & Infections, 2020, 9(1): 1546-1553.
[10] ZHAO Dong, WANG Mengmei, WANG Ming, et al.Asymptomatic infection by SARS-CoV-2 in healthcareworkers: A study in a large teaching hospital in Wuhan,China[J]. International Journal of Infectious Diseases,2020, 99: 219-225.
[11] BI Qifang, WU Yongsheng, MEI Shujiang, et al.Epidemiology and transmission of COVID-19 in 391cases and 1286 of their close contacts in Shenzhen,China: a retrospective cohort study[J]. The LancetInfectious Diseases, 2020, 20(8): 911-919.
[12] 高海军,张珽,许光荣,等.四川省甘孜藏族自治州新型冠状病毒肺炎病例流行病学特征分析 [J]. 疾病监测,2020,35(9):793-797.GAO Haijun, ZHANG Ting, XU Guangrong, etal. Epidemiological characteristics of coronavirusdisease 2019 outbreak in Ganzr Tibetan AutonomousPrefecture, Sichuan[J]. Disease Surveillance, 2020, 35(9): 793-797.
[13] 胡永峰,刘立平,姚喜清,等.武汉市某区新型冠状病毒肺炎密切接触者感染与发病流行病学特征分析[J]. 现代预防医学,2020,47(21):3993-3997.HU Yongfeng, LIU Liping, YAO Xiqing, et al.Epidemiological characteristics of the infection andincidence in close contacts of COVID-19 in somedistrict, Wuhan [J]. Modern Preventive Medicine, 2020,47 (21): 3993-3997.
[14] 王晟,刘兴态,秦军,等.738 例新型冠状病毒肺炎病例密切接触者核酸筛查结果分析[J]. 中国感染控制杂志,2020,19(4):297-300.WANG Sheng, LIU Xingtai, QIN Jun, et al. Nucleicacid screening results of 738 close contacts ofcoronavirus disease 2019 [J]. Chinese Journal ofInfection Control, 2020, 19 (4): 297-300.
[15] 谢燕湘,邓海斌,谢朝梅,等.常德市重点人群新型冠状病毒感染流行病学调查分析[J].实用预防医学,2020,27(7):776-779.XIE Yanxiang, DENG Haibin, XIE Zhaomei, et al.Epidemiological investigation and analysis of 2019novel coronavirus infection in key population inChangde city[J]. Practical Preventive Medicine, 2020,27 (7): 776-779.
[16] 许纯,董玉颖,田婧棽,等.扬州市新型冠状病毒肺炎病例密切接触者流行病学特征分析[J]. 江苏预防医学,2020,31(3):269-270,274.XU Chun, DONG Yuyin, TIAN Jingchen, et al.Epidemiological characteristics of novel coronaviruspneumonia case close contats in Yangzhou [J]. JiangsuJournal of Preventive Medicine, 2020, 31 (3): 269-270,274.
[17] 赵寒, 熊宇, 杨琳, 等. 重庆市新型冠状病毒肺炎传染性分析[J]. 国际流行病学传染病学杂志,2020,47(3):187-190.ZHAO Han, XIONG Yu, YANG Lin, et al. Analysison the infectivity of COVID-19 in Chongqing [J].International Journal of Epidemiology and InfectiousDisease , 2020, 47 (3): 187-190.
[18] HARRISON A G, LIN Tao, WANG Penghua.Mechanisms of SARS-CoV-2 transmission andpathogenesis[J]. Trends in Immunology, 2020, 41(12):1100-1115.
[19] MARKS M, MILLAT-MARTINEZ P, OUCHI D,et al. Transmission of COVID-19 in 282 clustersin Catalonia, Spain: a cohort study[J]. The LancetInfectious Diseases, 2021, 21(5): 629-636.
[20] FORESTA C, ROCCA M S, DI NISIO A. Gendersusceptibility to COVID-19: a review of the putativerole of sex hormones and X chromosome[J]. Journal ofEndocrinological Investigation, 2021, 44(8): 951-956.
[21] MARKUS H, KLEINE-WEBER H, SCHROEDERS, et al. SARS-CoV-2 cell entry depends on ACE2and TMPRSS2 and is blocked by a clinically provenprotease inhibitor[J]. Cell, 2020, 181(2): 271-280,e8.
[22] TUKIAINEN T, VILLANI A C, YEN A, et al.Landscape of X chromosome inactivation across humantissues[J]. Nature, 2017, 550(7675): 244-248.
[23] CHEN Nanshan, ZHOU Min, DONG Xuan, etal. Epidemiological and clinical characteristics of99 cases of 2019 novel coronavirus pneumonia inWuhan,China:a descriptive study[J]. Lancet, 2020,395(10223): 507-513.
[24] GUAN Weiji, NI Zhengyi, HU Yu, et al. Clinicalcharacteristics of coronavirus disease 2019 in China[J].New England Journal of Medicine, 2020, 382(18):1708-1720.
[25] REHMAN S, MAJEED T, AZAM A M, et al. Currentscenario of COVID-19 in pediatric age group andphysiology of immune and thymus response[J]. SaudiJournal of Biological Sciences, 2020, 27(10): 2567-2573.
[26] T?NSHOFF B, M?LLER B, ELLING R, et al. Prevalenceof SARS-CoV-2 infection in children and theirparents in southwest Germany[J]. JAMA Pediatrics,2021.DOI:10.1001/jamapediatrics.2021.0001.
[27] DE LUSIGNAN S, DORWARD J, CORREA A, et al.Risk factors for SARS-CoV-2 among patients in theOxford Royal College of General Practitioners Researchand Surveillance Centre primary care network: a crosssectionalstudy[J].The Lancet Infectious Diseases,2020, 20(9): 1034-1042.
[28] MEYEROWITZ E A, RICHTERMAN A, GANDHIR T, et al. Transmission of SARS-CoV-2: A reviewof viral, host, and environmental factors[J]. Annals ofInternal Medicine, 2021, 174(1): 69-79.
[29] CHEN Ying, ZHOU Rui, CHEN Boyan, et al.Knowledge, perceived beliefs, and preventive behaviorsrelated to COVID-19 among chinese older adults:cross-sectional web-based survey[J]. Journal of MedicalInternet Research, 2020, 22(12): e23729.
[30] CHENG Sijing, WU Dingfeng, LI Jie, et al. Riskfactors for the critical illness in SARS-CoV-2 infection:a multicenter retrospective cohort study[J]. RespiratoryResearch, 2020, 21(1): 277.
[31] BERTSIMAS D, LUKIN G, MINGARDI L, et al.COVID-19 mortality risk assessment: An internationalmulti-center study[J]. PLoS One, 2020, 15(12):e0243262.
[32] CHINNADURAI R, OGEDENGBE O, AGARWALP, et al. Older age and frailty are the chief predictorsof mortality in COVID-19 patients admitted to anacute medical unit in a secondary care setting- a cohortstudy[J]. BMC Geriatrics, 2020, 20(1): 409.
[33] MADEWELL Z J, YANG Yang, LONGINI I J, et al.Household transmission of SARS-CoV-2: A systematicreview and meta-analysis[J]. JAMA Network Open,2020, 3(12): e2031756.
[34] COURTEMANCHE C, GARUCCIO J, LE A, et al.Strong social distancing measures in the United Statesreduced the COVID-19 growth rate[J]. Health Affairs(Project Hope), 2020, 39(7): 1237-1246.
[35] 周玉平, 朱传新, 龚娇芳, 等. 新冠肺炎患者临床实验室检测结果分析[J].现代检验医学杂志,2020,35(2):83-87.ZHOU Yuping, ZHU Chuanxin, GONG Jiaofang, et al.Analysis of clinical laboratory test results in patientswith novel coronavirus pneumonia[J].Journal ofModern Laboratory Medicine, 2020, 35 (2): 83-87.
[36] 童伟,陈登奕,陈俊文,等.2019-nCoV 总抗体两种免疫学检测方法的应用评价[J].现代检验医学杂志,2020,35(2):80-82.TONG Wei, CHEN Dengyi, CHEN Junwen, et al.Application evaluation of two immunological detectionmethods of 2019-nCoV specific antibodies [J]. Journalof Modern Laboratory Medicine, 2020, 35(2):80-82.
[37] 朱旭阳, 叶寒青, 陈文亥, 等. 新型冠状病毒肺炎患者血清SARS-CoV-2 抗体的检测分析[J]. 现代检验医学杂志,2020,35(4):106-108,164.ZHU Xuyang, YE Hanqing, CHEN Wenhai, et al.Preliminary analysis of serum antibodies against SARSCoV-2 in patient with coronavirus disease 2019[J].Journal of Modern Laboratory Medicine, 2020, 35(4):106-108,164.

相似文献/References:

[1]许 涛a,高玉芳a,刘振社a,等.中国地区COVID-19 康复者SARS-CoV-2 特异性抗体IgG 阳性率动态变化的meta 分析[J].现代检验医学杂志,2022,37(06):134.[doi:10.3969/j.issn.1671-7414.2022.06.025]
 XU Taoa,GAO Yu-fanga,LIU Zhen-shea,et al.A Meta-analysis of Dynamic Change of the SARS-COV-2 Specific Antibody IgG Positive Rate in Convalescent Patients with COVID-19 in China[J].Journal of Modern Laboratory Medicine,2022,37(04):134.[doi:10.3969/j.issn.1671-7414.2022.06.025]

备注/Memo

备注/Memo:
作者简介: 许涛(1987-),男,硕士,主管检验师,研究方向:分子生物实验室病毒核酸诊断及其流行病学调查,E-mail:dazhuxt126@126.com。
通讯作者:杨磊(1991-),女,硕士,主管检验师,研究方向:临床检验诊断学,E-mail:shangcl21@163.com。
更新日期/Last Update: 1900-01-01