广州医药 ›› 2022, Vol. 53 ›› Issue (5): 17-21.DOI: 10.3969/j.issn.1000-8535.2022.05.003

• 专题论著: 新型冠状病毒肺炎 • 上一篇    下一篇

深圳市某健康驿站14例新冠病毒肺炎病例的感染来源分析

彭常基1, 彭涛1, 郭晓静1, 雷明玲2   

  1. 1 深圳市龙岗区坂田公共卫生服务中心(深圳 518129)
    2 深圳市龙华区中心医院检验科(深圳 518110)
  • 收稿日期:2022-05-24 出版日期:2022-09-20 发布日期:2022-10-11

Analysis and discussion on the source of infection of 14 COVID-19 cases in a health station in Shenzhen

PENG Changji1, PENG Tao2, GUO Xiaojing2, LEI Mingling2   

  1. 1 Bantian Public Health Service Center, Longgang District, Shenzhen City, Shenzhen 518129,China
    2 Laboratory of Shenzhen Longhua District Central Hospital,Shenzhen 518110,China
  • Received:2022-05-24 Online:2022-09-20 Published:2022-10-11

摘要: 目的 分析探讨健康驿站新冠病毒肺炎病例感染来源,评估驿站站内感染风险,规范驿站管理,降低感染风险。方法 对驿站2022年2月21日—3月9日全部14例新冠肺炎病例自入境到报告进行全链条风险分析。结果 14例病例为7批次不同时间入住,其中病例1、2、3、4、5、6、7、8、9、10、12、13共12例病例入境后即确诊,病例11入住5天(其共同入境、同住人员病例10,入境后即确诊)确诊、病例14入住10天发病确诊,其余病例均未呈现感染发病时间特异性,未呈现入境后交叉感染时间特异性,未见入住后空间、通风系统、排污系统交集,未见交叉感染情况。结论 该驿站目前报告新冠肺炎病例均有相关旅居史,主要在香港本土感染。13名病例大概率均在香港感染,入境隔离时发病确诊,其中病例1、2、3、4,病例6、7、8,病例10、11是3起呈现家庭聚集性感染发病,病例5、9是独立个案,病例14需要进一步排除,驿站未规范管理会导致误报及进一步扩大站内感染风险。

关键词: 驿站, 新冠肺炎, Omicron, 感染

Abstract: Objective To investigate and analyze the source of infection of COVID-19 cases in health station, assess the risk of infection, standardize the management and reduce the risk of infection. Methods From February 21 to March 9, 2022, the whole chain risk analysis of all 14 COVID-19 cases from entry to reporting was carried out. Results Fourteen cases were admitted in 7 batches at different times. Except for case 11 who diagnosed at the 5th day (the case of co-entry and co-resident case 10 was diagnosed after entry), and case 14 who diagnosed at the 10th day, the rest of the cases were diagnosed after entry, which did not show infection-onset time specificity, no time specificity of cross-infection after entry, no intersection of space, ventilation system and sewage system after entry, and no cross-infection. Conclusions The COVID-19 cases reported by the station were mainly infected in Hong Kong. Those 13 cases were highly likely infected in Hong Kong, all were diagnosed at the time of entry quarantine, while cases 1~4, cases 6~8, and cases 10~11 were 3 cases of family cluster infection, case 5 and 9 were an independent case, and case 14 needed to be further investigation. Failure to standardize the management of the station will lead to false alarms and further increase the risk of infection in the station.

Key words: health station, COVID-19, Omicron, infection