SARS-CoV-2感染的趋势和症状:对阿尔卑斯山人口代表性样本进行纵向研究
Giulia Barbieri1,2, Massimo Pizzato3, Martin Gögele4
1Institute for Biomedicine (affiliated to the University of Lübeck), Eurac Research, Bolzano, Italy giulia.barbieri@eurac.edu cristian.pattaro@eurac.edu.
BMJ open
|June 8, 2023
概括
在社区样本中监测自我报告的症状有效地跟踪了COVID-19的演变. 这种方法可以补充新兴病原体的诊断,加强公共卫生监测.
科学领域:
- 流行病学 流行病学
- 公共卫生监督 公共卫生监督
- 传染病的动态传染病的动态.
背景情况:
- 对SARS-CoV-2和新型病原体的持续监测挑战了基于诊断的监测.
- 对SARS-CoV-2感染事件和症状的长度,人口代表性研究有限.
- 有效的公共卫生监测需要创新的策略超越传统的诊断.
研究的目的:
- 描述COVID-19大流行病在2020-2021年的演变.
- 评估阿尔卑斯山社区定期自我报告的症状监测的有用性.
- 用纵向数据评估症状模式和感染率.
主要方法:
- 设计了一项纵向,人口代表性研究 (南蒂罗尔COVID-19研究中的合作健康研究).
- 845名参与者被评估是否感染;700人每月通过数字问卷进行症状跟踪.
- 纵向聚类,动态相关性分析和回归模型分析了症状轨迹和感染率.
主要成果:
- 在基线时,SARS-CoV-2感染的累积发病率为1.10%.
- 症状轨迹与自我报告和确认的感染相关.
- 嗅觉丧失,疲劳和关节肌肉疼痛是测试阳性的关键区分因素.
结论:
- 从人口样本中定期追踪症状是有效的查工具,补充实验室诊断.
- 公民主导的症状跟踪可以增强针对新型病原体的综合监测系统.
- 这项研究强调了自我报告的症状在理解流行病动态方面的价值.
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