某高校新冠肺炎疫情期间发热学生规范化管理效果分析  

Analysis of the effect of standardized management of febrile students during a novel coronavirus pneumonia outbreak in a university

作　　者：李素英[1] 卢云涛[1] 聂颖[1] 张新焕 田英杰 刘红军[1] 刘博[1] 刘延 邱文风[1] 景文宝 付瑶 LI Suying;LU Yuntao;NIE Ying;ZHANG Xinhuan;TIAN Yingjie;LIU Hongjun;LIU Bo;LIU Yan;QIU Wenfeng;JING Wenbao;FU Yao(Beijing Jiaotong University Hospital,Beijing 100044,China)

机构地区：[1]北京交通大学医院,北京100044

出　　处：《中国病原生物学杂志》2023年第6期709-712,共4页Journal of Pathogen Biology

基　　金：北京交通大学教改项目(No.356651535088)。

摘　　要：目的评价新型冠状病毒肺炎疫情期间校园发热学生规范化管理对疫情防控的效果。方法以北京交通大学医院2021年4月15日至2021年12月18日因主诉发热就诊的1082例学生为研究对象,对发热学生临床症状、诊断、治疗、转诊、转归及随访情况进行分析。结果1082例学生中,女性400例(36.97%),男性682例(占63.03%);年龄15~35岁,其中15~20岁438例(占40.48%),>20~25岁551例(占50.92%);完成两针新型冠状病毒灭活疫苗(Vero细胞)接种者945例,占87.34%,完成三针接种者125例,占11.55%。复测体温有1053例符合发热诊断标准,其中低热697例,占64.42%,中等热315例,占29.11%;合并咽痛者最多(232例,占21.44%)。1082例患者均进行血常规检测,1057例行新冠病毒核酸检测,结果均为阴性;1042例行新冠病毒抗体检测,抗体阳性者847例,占78.28%;1053例发热学生均转诊至上级医院发热门诊,最终确诊上呼吸道感染1006例(92.98%),肺炎8例(0.74%),自发性气胸、丘疹性荨麻疹、急性胃肠炎各1例(0.09%)。确诊法定传染病65例,包括乙型流感、水痘、甲型流感、肺结核、细菌性痢疾。经积极治疗,发热学生均获得治愈。结论新冠疫情期间发热学生的全程管理是高校疫情防控的重要环节,是落实高校新冠疫情防控和其他传染病防控的重要保障。各高校应制定规范完整的发热学生管理流程,并不断进行调整和完善。Objective To evaluate the effect of standardized management of febrile students on campus during the novel coronavirus pneumonia epidemic on the prevention and control of the epidemic.Methods 1082 students who visited Beijing Jiaotong University Hospital with complaints of fever from April 15,2021 to December 18,2021 were used as the study population,and the clinical symptoms,diagnosis,treatment,referral,transfer and follow-up of febrile students were analyzed.Results Among the 1082 students,400(36.97%)were female and 682(63.03%)were male;their ages ranged from 15 to 35 years,including 438(40.48%)aged 15-20 years and 551(50.92%)aged>20-25 years;945(87.34%)completed two doses of the new inactivated coronavirus vaccine(Vero cells)and 87.34%completed three doses.87.34%and 125 cases(11.55%)completed three doses.The temperature of 1053 cases met the diagnostic criteria for fever,including 697 cases(64.42%)with low fever and 315 cases(29.11%)with moderate fever;the largest number of patients(232 cases(21.44%)had a sore throat.1082 patients had routine blood tests,1057 had nucleic acid tests for the new coronavirus,and the results were all negative.All 1053 cases of fever were referred to the fever clinic of a higher level hospital.1006 cases(92.98%)of upper respiratory tract infections,8 cases(0.74%)of pneumonia and 1 case each(0.09%)of spontaneous pneumothorax,papular urticaria and acute gastroenteritis were finally diagnosed.Sixty-five cases of statutory infectious diseases were confirmed,including influenza B,chickenpox,influenza A,tuberculosis and bacillary dysentery.All febrile students were cured after active treatment.Conclusion The whole management of febrile students during the new crown epidemic is an important part of the epidemic prevention and control in universities,and is an important guarantee for the implementation of the prevention and control of the new crown epidemic and other infectious diseases in universities.Universities should develop a standardized and complete management process for febrile s

关 键 词：新型冠状病毒肺炎(COVID-19) 发热 大学生 规范化管理 

分 类 号：R373.1[医药卫生—病原生物学]