北京市房山区一起新型冠状病毒肺炎家庭聚集性疫情流行病学调查  

Epidemiological study of a family cluster of coronavirus disease 2019 in Fangshan District,Beijing

作　　者：魏柯雯 李丽丽[1] 马仲慧 田竞[1] 阚震[1] 黄少平[1] WEI Ke-wen;LI Li-li;MA Zhong-hui;TIAN Jing;KAN Zhen;HUANG Shao-ping(Department for Infectious and Endemic Diseases Control,Fangshan District Center for Disease Control and Prevention,Beijing 102488,China)

机构地区：[1]北京市房山区疾病预防控制中心传染病与地方病控制科,北京102488

出　　处：《上海预防医学》2021年第10期935-939,共5页Shanghai Journal of Preventive Medicine

摘　　要：【目的】分析北京市房山区一起新型冠状病毒肺炎(COVID-19)家庭聚集性疫情病例的流行病学调查,为COVID-19防控策略的制定提供参考和科学依据。【方法】按照《新型冠状病毒感染的肺炎防控方案(第三版)》要求,采用现场流行病学调查方法,对该起疫情的2例病例开展个案调查,采集痰液和(或)咽拭子标本并送至北京市房山区疾病预防控制中心(CDC)实验室进行2019新型冠状病毒(2019⁃nCoV)核酸检测,追踪密切接触者并进行隔离观察。【结果】病例1李某2020年2月3日痰液和咽拭子标本检测结果为2019⁃nCoV核酸阳性,其妻子熊某作为密切接触者接受筛查,2月4日熊某咽拭子标本检测结果为2019⁃nCoV核酸阳性,判定为一起家庭聚集性疫情。通过对2例病例进行隔离治疗,对按照密切接触者管理的人员进行集中医学观察,对患者住所开展消毒等,疫情得到有效控制。【结论】CDC专业人员要加强舆情监测,结合最新研究动态综合分析病例资料,提高专业敏感性,及时开展筛查,尽早发现病例,防止疫情进一步扩散。[Objective]To conduct epidemiological investigation of a family cluster of coronavirus disease 2019(COVID-19)in Fangshan District,Beijing,so as to provide reference and scientific basis for the strategy of prevention and control.[Methods]Based on the"Prevention and Control Plan for COVID-19(Third Edition)"issued by the National Health Commission of China,two cases from the same family were studied by field epidemiological investigation method.Sputum and/or throat swab specimens were collected and sent to the laboratory of Fangshan District Center for Disease Control and Prevention(CDC)for nucleic acid detection of 2019 novel coronavirus(2019-nCoV).Tracking close contacts and isolation observation were conducted.[Results]Both sputum and throat swab specimens of case 1 were positive for 2019-nCoV nucleic acid on February 3rd,2020.Case 2(wife of case 1)received screening as a close contact,and throat swab specimen was positive on February 4th,2020.Therefore,it was determined to be a family cluster.The epidemic was effectively controlled after a series of measures,including isolation treatment,medical observation according to management of close contact and terminal disinfection of residence.[Conclusion]The CDC professionals should strengthen monitoring of new findings,comprehensively analyze case data based on the latest research trends,improve professional sensitivity,and conduct timely screening to detect cases as soon as possible for the prevention of further epidemic spreading.

关 键 词：新型冠状病毒肺炎 2019新型冠状病毒 聚集性疫情 流行病学调查 病例管理 

分 类 号：R181.3[医药卫生—流行病学]