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戴映雪, 王瑶, 杜训波, 严可, 张双, 刘辉, 范双凤, 王亮. 成都市新冠病毒既往感染者重复感染Omicron变异株情况分析[J]. 中国公共卫生, 2023, 39(4): 442-447. DOI: 10.11847/zgggws1141316
引用本文: 戴映雪, 王瑶, 杜训波, 严可, 张双, 刘辉, 范双凤, 王亮. 成都市新冠病毒既往感染者重复感染Omicron变异株情况分析[J]. 中国公共卫生, 2023, 39(4): 442-447. DOI: 10.11847/zgggws1141316
DAI Yingxue, WANG Yao, DU Xunbo, . Characteristics of Omicron variant-induced SARS-CoV-2 reinfections in Chengdu, China[J]. Chinese Journal of Public Health, 2023, 39(4): 442-447. DOI: 10.11847/zgggws1141316
Citation: DAI Yingxue, WANG Yao, DU Xunbo, . Characteristics of Omicron variant-induced SARS-CoV-2 reinfections in Chengdu, China[J]. Chinese Journal of Public Health, 2023, 39(4): 442-447. DOI: 10.11847/zgggws1141316

成都市新冠病毒既往感染者重复感染Omicron变异株情况分析

Characteristics of Omicron variant-induced SARS-CoV-2 reinfections in Chengdu, China

  • 摘要:
      目的  了解新冠病毒既往感染者重复感染Omicron变异株情况,为新冠病毒重复感染防控策略提供参考。
      方法   以2022年2 — 9月成都市5轮本土疫情涉及的2567例感染者为调查对象,于2022年12月18 — 22日进行电话随访调查,内容主要包括感染者基本人口学特征、近1个月内核酸及抗原检测情况、临床表现等。通过四川省免疫规划信息管理系统查询感染者新冠病毒疫苗接种情况。采用SPSS 19.0统计软件进行不同特征人群重复感染率分析。
      结果   2263例既往感染者完成调查,应答率为88.16%。男性占44.68%,女性占55.32%;年龄最小1月龄,最大90岁,平均年龄(34.88 ± 19.22)岁;初次感染以轻型病例(61.82%)和无症状感染者(31.64%)居多。接种3剂次疫苗者占55.86%,接种2剂次疫苗者占29.56%,初次感染毒株主要为Omicron BA.2分支(98.89%),2022年11 — 12月高峰感染疫情之前未报告新冠病毒重复感染者。在流行毒株为BA.5.2高峰感染疫情中重复感染197例,重复感染率为8.71%,时间间隔MP25P75)为98(93~104)d;其中193例(97.97%)自报有临床症状,主要包括发热、咽痛、头痛等;113例(57.36%)未就诊自行用药。未接种疫苗者重复感染率均高于接种2或3剂者(P = 0.006)。
      结论  奥密克戎变异株的重复感染率整体较低,但重复感染者中临床症状明显,由于检测机会的的减少重复感染有可能被低估,建议扩大研究覆盖面,同时进一步加强人群免疫接种和新冠病毒感染疫情防控健康教育。

     

    Abstract:
      Objective  To explore the characteristics of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reinfections caused by Omicron variant for providing a reference to the containment of SARS-CoV-2 reinfection.
      Methods  From China Information System for Disease Control and Prevention, we extracted 2 567 registered cases of 5 local coronavirus disease 2019 (COVID-19) epidemics in Chengdu city from February to September, 2022. Telephone follow-up surveys were conducted among the cases and their family members to collect the information on demographic characteristics, clinical symptoms, and viral nucleic acid or antigen tests in previous one month. The information on participants' COVID-19 vaccination were extracted from Immunization Program Information Management System of Sichuan Province. Data analyses were performed with SPSS 19.0.
      Results  For the 2 263 eligible respondents (88.16% of all the participants), 44.68% were male and 55.32% were female; the ages of the respondents ranged from one month to 90 years, with the mean age of 34.88 ± 19.22 years; the majority (61.82%) of the respondents were mild cases and 31.64% were asymptomatic cases; 55.86% and 29.56% of the respondents reported having been vaccinated with 3 and 2 doses of COVID-19 vaccine. Based on genome sequencing on virus strains isolated from the cases of the 5 local epidemics, the most (98.89%) of the sufferers of the 5 epidemics were infected with Omicron subvariant BA.2. Among all the eligible respondents, 197 (8.71%) reported COVID-19 reinfection appearing during November – December, 2022 – an epidemic period with Omicron subvariant BA.5.2 being the most prevalent strain in local region and there was no reinfection case being reported before the period, and the self-reported median interval from previous infection to the reinfection was 98 (25th percentile: 93, 75th percentile: 104) days. For the 197 reinfections, 193 (97.97%) reported clinic symptoms including fever, throat ache and headache; 113 (57.36%) reported only having self-medication; more reinfections were reported by the respondents without COVID-19 vaccination compared to the respondents with 3 or 2 doses of COVID-19 vaccine.
      Conclusion  The survey results suggest that Omicron variant-related SARS-CoV-2 reinfection is relatively low but the most of the reinfections are symptomatic. More researches and control measures on are needed for the control of SARS-CoV-2 reinfection.

     

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