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111.
Lara J. Akinbami Philip A. Chan Nga Vuong Samira Sami Dawn Lewis Philip E. Sheridan Susan L. Lukacs Lisa Mackey Lisa A. Grohskopf Anita Patel Lyle R. Petersen 《Emerging infectious diseases》2021,27(3):823
Healthcare personnel are recognized to be at higher risk for infection with severe acute respiratory syndrome coronavirus 2. We conducted a serologic survey in 15 hospitals and 56 nursing homes across Rhode Island, USA, during July 17–August 28, 2020. Overall seropositivity among 9,863 healthcare personnel was 4.6% (95% CI 4.2%–5.0%) but varied 4-fold between hospital personnel (3.1%, 95% CI 2.7%–3.5%) and nursing home personnel (13.1%, 95% CI 11.5%–14.9%). Within nursing homes, prevalence was highest among personnel working in coronavirus disease units (24.1%; 95% CI 20.6%–27.8%). Adjusted analysis showed that in hospitals, nurses and receptionists/medical assistants had a higher likelihood of seropositivity than physicians. In nursing homes, nursing assistants and social workers/case managers had higher likelihoods of seropositivity than occupational/physical/speech therapists. Nursing home personnel in all occupations had elevated seropositivity compared with hospital counterparts. Additional mitigation strategies are needed to protect nursing home personnel from infection, regardless of occupation. 相似文献
112.
Meiling Zhang Jienan Zhou Senquan Jia Xiaonan Zhao Yaoyao Chen Yanhong Sun Zhaosheng Liu Xiaofang Zhou Duo Li Chunrui Luo Yong Zhang Violet Magoma Onsongo Yong Shao Xiaoqing Fu 《Emerging infectious diseases》2021,27(5):1543
To limit the spread of severe acute respiratory syndrome coronavirus 2, the government of China has been monitoring infected travelers and minimizing cold-chain contamination. However, other factors might contribute to recurring outbreaks. We analyze the role of undocumented migrants as potential transmitters of severe acute respiratory syndrome coronavirus 2 in China. 相似文献
113.
Hannah R. Meredith Emerson Arehart Kyra H. Grantz Alexander Beams Theresa Sheets Richard Nelson Yue Zhang Russell G. Vinik Darryl Barfuss Jacob C. Pettit Keegan McCaffrey Angela C. Dunn Michael Good Shannon Frattaroli Matthew H. Samore Justin Lessler Elizabeth C. Lee Lindsay T. Keegan 《Emerging infectious diseases》2021,27(5):1259
The coronavirus disease pandemic has highlighted the key role epidemiologic models play in supporting public health decision-making. In particular, these models provide estimates of outbreak potential when data are scarce and decision-making is critical and urgent. We document the integrated modeling response used in the US state of Utah early in the coronavirus disease pandemic, which brought together a diverse set of technical experts and public health and healthcare officials and led to an evidence-based response to the pandemic. We describe how we adapted a standard epidemiologic model; harmonized the outputs across modeling groups; and maintained a constant dialogue with policymakers at multiple levels of government to produce timely, evidence-based, and coordinated public health recommendations and interventions during the first wave of the pandemic. This framework continues to support the state’s response to ongoing outbreaks and can be applied in other settings to address unique public health challenges. 相似文献
114.
Ria R. Ghai Ann Carpenter Amanda Y. Liew Krystalyn B. Martin Meghan K. Herring Susan I. Gerber Aron J. Hall Jonathan M. Sleeman Sophie VonDobschuetz Casey Barton Behravesh 《Emerging infectious diseases》2021,27(4):1015
The ongoing global pandemic caused by coronavirus disease has once again demonstrated the role of the family Coronaviridae in causing human disease outbreaks. Because severe acute respiratory syndrome coronavirus 2 was first detected in December 2019, information on its tropism, host range, and clinical manifestations in animals is limited. Given the limited information, data from other coronaviruses might be useful for informing scientific inquiry, risk assessment, and decision-making. We reviewed endemic and emerging infections of alphacoronaviruses and betacoronaviruses in wildlife, livestock, and companion animals and provide information on the receptor use, known hosts, and clinical signs associated with each host for 15 coronaviruses detected in humans and animals. This information can be used to guide implementation of a One Health approach that involves human health, animal health, environmental, and other relevant partners in developing strategies for preparedness, response, and control to current and future coronavirus disease threats. 相似文献
115.
Patricia Nicole Wiegele Iyad Kabar Laura Kerschke Christopher Froemmel Anna Hüsing-Kabar Hartmut Schmidt Elena Vorona Richard Vollenberg Phil-Robin Tepasse 《Emerging infectious diseases》2021,27(5):1353
Limited information is available on the clinical course of outpatients with mild coronavirus disease (COVID-19). This information is critically important to inform public health prevention strategies and to provide anticipatory guidance to patients, primary care providers, and employers. We retrospectively assessed the daily prevalence of symptoms in 313 COVID-19 outpatients for the first 20 days of illness. Generalized estimating equations were used to assess the probability of symptom occurrence over time. Fatigue (91%), cough (85%), and headache (78%) were the most common symptoms and occurred a median of 1 day from symptom onset. Neurologic symptoms, such as loss of taste (66%) and anosmia (62%), and dyspnea (51%) occurred considerably later (median 3–4 days after symptom onset). Symptoms of COVID-19 are similar to those of other respiratory pathogens, so symptomatic patients should be tested more frequently for severe acute respiratory syndrome coronavirus 2 during influenza season to prevent further spread of COVID-19. 相似文献
116.
We report mean severe acute respiratory syndrome coronavirus 2 serial intervals for Montana, USA, from 583 transmission pairs; infectors’ symptom onset dates occurred during March 1–July 31, 2020. Our estimate was 5.68 (95% CI 5.27–6.08) days, SD 4.77 (95% CI 4.33–5.19) days. Subperiod estimates varied temporally by nonpharmaceutical intervention type and fluctuating incidence. 相似文献
117.
Young June Choe Eun Hwa Choi Jong Woon Choi Byung Wook Eun Lucy Youngmin Eun Yae-Jean Kim Yeo Hyang Kim Young A. Kim Yun-Kyung Kim Ji Hee Kwak Hyuk Min Lee Hyunju Lee Joon Kee Lee June Dong Park Eun-Jin Kim Young Joon Park Jin Gwack Sang Won Lee 《Emerging infectious diseases》2021,27(4):1196
A concerning development during the coronavirus disease pandemic has been multisystem inflammatory syndrome in children. Reports of this condition in East Asia have been limited. In South Korea, 3 cases were reported to the national surveillance system for multisystem inflammatory syndrome in children. All case-patients were hospitalized and survived with no major disease sequelae. 相似文献
118.
Takahisa Fujino Hidetoshi Nomoto Satoshi Kutsuna Mugen Ujiie Tetsuya Suzuki Rubuna Sato Tsuguto Fujimoto Makoto Kuroda Takaji Wakita Norio Ohmagari 《Emerging infectious diseases》2021,27(4):1243
Multiple severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants with higher transmission potential have been emerging globally, including SARS-CoV-2 variants from the United Kingdom and South Africa. We report 4 travelers from Brazil to Japan in January 2021 infected with a novel SARS-CoV-2 variant with an additional set of mutations. 相似文献
119.
120.
《Surgery (Oxford)》2021,39(11):730-735
Acute pancreatitis is primarily caused by gallstone disease and excessive alcohol use. The clinical course is varied and those with severe disease may develop pancreatic necrosis and localized collections. Up to 30% of patients with pancreatic necrosis develop infection. This is difficult to diagnose but requires prompt treatment with antibiotics and often percutaneous, endoscopic or surgical intervention. The imprudent use of antibiotics risks the overgrowth of antibiotic-resistant organisms and makes the treatment of subsequent infections more challenging. Advances in biomarkers and imaging may improve the detection of infection, but the optimal timing of antibacterial and antifungal initiation and duration remain unresolved. Clinical trials are required to address these questions. 相似文献