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COVID-19 in a Long-Term Care Facility - King County, Washington, February 27-March 9, 2020.

新型冠状病毒肺炎在一个长期护理机构-国王县,华盛顿,2 月 27 日-3 月 9 日,2020 年。

  • 影响因子:7.42
  • DOI:10.15585/mmwr.mm6912e1
  • 作者列表:"McMichael TM","Clark S","Pogosjans S","Kay M","Lewis J","Baer A","Kawakami V","Lukoff MD","Ferro J","Brostrom-Smith C","Riedo FX","Russell D","Hiatt B","Montgomery P","Rao AK","Currie DW","Chow EJ","Tobolowsky F","Bardossy AC","Oakley LP","Jacobs JR","Schwartz NG","Stone N","Reddy SC","Jernigan JA","Honein MA","Clark TA","Duchin JS","Public Health – Seattle & King County, EvergreenHealth, and CDC COVID-19 Investigation Team.
  • 发表时间:2020-03-27
Abstract

:On February 28, 2020, a case of coronavirus disease (COVID-19) was identified in a woman resident of a long-term care skilled nursing facility (facility A) in King County, Washington.* Epidemiologic investigation of facility A identified 129 cases of COVID-19 associated with facility A, including 81 of the residents, 34 staff members, and 14 visitors; 23 persons died. Limitations in effective infection control and prevention and staff members working in multiple facilities contributed to intra- and interfacility spread. COVID-19 can spread rapidly in long-term residential care facilities, and persons with chronic underlying medical conditions are at greater risk for COVID-19-associated severe disease and death. Long-term care facilities should take proactive steps to protect the health of residents and preserve the health care workforce by identifying and excluding potentially infected staff members and visitors, ensuring early recognition of potentially infected patients, and implementing appropriate infection control measures.

摘要

: 2020 年 2 月 28 日,华盛顿国王县一家长期护理技术护理机构 (设施a) 的一名女性居民发现了一例冠状病毒疾病 (新型冠状病毒肺炎)。* 对A机构的流行病学调查发现了 129 例与A机构有关的新型冠状病毒肺炎,包括 81 名居民,34 名工作人员和 14 名访客; 23 人死亡。有效感染控制和预防的局限性以及在多个设施工作的工作人员导致了设施内和设施间的传播。新型冠状病毒肺炎可以在长期的住院护理设施中迅速传播,患有慢性基础疾病的人患新型冠状病毒肺炎相关严重疾病和死亡的风险更大。长期护理机构应采取积极措施,通过识别和排除潜在感染的工作人员和访客,确保早期识别潜在感染的患者,保护居民的健康和维护卫生保健人员队伍,并实施适当的感染控制措施。

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DOI:10.3346/jkms.2020.35.e79
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翻译标题与摘要 下载文献
影响因子:2.48
发表时间:2020-04-01
来源期刊:Infection
DOI:10.1007/s15010-020-01401-y
作者列表:["Cheng ZJ","Shan J"]

METHODS::There is a current worldwide outbreak of a new type of coronavirus (2019-nCoV), which originated from Wuhan in China and has now spread to 17 other countries. Governments are under increased pressure to stop the outbreak spiraling into a global health emergency. At this stage, preparedness, transparency, and sharing of information are crucial to risk assessments and beginning outbreak control activities. This information should include reports from outbreak sites and from laboratories supporting the investigation. This paper aggregates and consolidates the virology, epidemiology, clinical management strategies from both English and Chinese literature, official news channels, and other official government documents. In addition, by fitting the number of infections with a single-term exponential model, we report that the infection is spreading at an exponential rate, with a doubling period of 1.8 days.

呼吸道感染方向

呼吸道感染分为上呼吸道感染与下呼吸道感染。上呼吸道感染是指自鼻腔至喉部之间的急性炎症的总称,是最常见的感染性疾病。下呼吸道感染是最常见的感染性疾患,治疗时必须明确引起感染的病原体以选择有效的抗生素。

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