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张泽华, 宋仁杰, 孟令胜, 孔德华, 刘俊, 李思兆, 周超, 孙娟. 合肥市1例同病房密切接触者确诊人感染H7N9禽流感调查[J]. 中国公共卫生, 2017, 33(7): 1122-1124. DOI: 10.11847/zgggws2017-33-07-24
引用本文: 张泽华, 宋仁杰, 孟令胜, 孔德华, 刘俊, 李思兆, 周超, 孙娟. 合肥市1例同病房密切接触者确诊人感染H7N9禽流感调查[J]. 中国公共卫生, 2017, 33(7): 1122-1124. DOI: 10.11847/zgggws2017-33-07-24
ZHANG Ze-hua, SONG Ren-jie, MENG Ling-sheng.et al, . Human infection with H7N9 avian influenza via close contact with wardmates in Hefei city:a case study[J]. Chinese Journal of Public Health, 2017, 33(7): 1122-1124. DOI: 10.11847/zgggws2017-33-07-24
Citation: ZHANG Ze-hua, SONG Ren-jie, MENG Ling-sheng.et al, . Human infection with H7N9 avian influenza via close contact with wardmates in Hefei city:a case study[J]. Chinese Journal of Public Health, 2017, 33(7): 1122-1124. DOI: 10.11847/zgggws2017-33-07-24

合肥市1例同病房密切接触者确诊人感染H7N9禽流感调查

Human infection with H7N9 avian influenza via close contact with wardmates in Hefei city:a case study

  • 摘要: 目的 分析安徽省合肥市1例同病房密切接触者人感染H7N9禽流感病例的流行病学特征,为制定人感染H7N9禽流感病毒相关防控措施提供参考依据。方法 对安徽省合肥市1例同病房密切接触者进行流行病学调查,并采集呼吸道及血液标本应用逆转录聚合酶链反应(RT-PCR)方法检测H7N9病毒核酸。结果 病例谷某于2016年12月22日确诊为人感染H7N9禽流感病例,无明显禽类接触史;12月18日该病例曾密切接触同病房闫某,后闫某确诊为H7N9禽流感病例且死亡;2人病毒核酸检测均为同种同源禽流感病毒核酸阳性;除闫某外,其他与谷某密切接触者均未出现人感染H7N9禽流感病毒症状。结论 谷某可能为一起医院内感染疫情的续发病例,人传人的可能性大,但单传染力有限,非持续。

     

    Abstract: Objective To analyze the epidemiological characteristics of a case of H7N9 virus infection via close contact in ward of a hospital in Hefei city of Anhui province and to provide evidences for formulating prevention and control measures of human H7N9 virus infection.Methods An epidemiological survey on a close contactee of a confirmed H7N9 virus infection patient in a hospital in Hefei city was carried out.Sputum and blood specimens of the contacteee were collected for the detection of H7N9 virus nucleic acid with reverse transcription polymerase chain reaction (RT-PCR)method.Results A male patient (aged 62 years and being a farmer without obvious history of exposure to poultries)was admitted in a hospital for the treatment of nephrotic syndrome and acute upper respiratory tract infection on December 16,2016.During the hospitalization,the patient experienced a close contact with a wardmate on December 18;later on,the wardmate was diagnosed with H7N9 virus infection and died on December 20.Then,the patient had a fever (37.7℃),pharyngalgia,nasal congestion,and occasional cough on December 21 and was detected as positive to nucleic acid of the same homologous H7N9 virus to that of the H7N9 virus infection case (the wardmate) on December 22.No symptoms of H7N9 virus infection were observed among other close contactees of the died wardmate afterwards.Conclusion The case of H7N9 virus infection may be considered as a human to human transmission due to secondary infection in hospital but the transmission was limited and not sustained.

     

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