新型冠状病毒感染复阳人员口罩及病房环境污染情况调查
作者:
作者单位:

1.复旦大学附属中山医院医院感染管理科, 上海 200032;2.复旦大学附属中山医院检验科, 上海 200032;3.复旦大学附属 中山医院(厦门)院感管理部, 福建 厦门 361015;4.复旦大学附属中山医院心理科, 上海 200032;5.复旦大学附属中山医院核医学科, 上海 200032

作者简介:

通讯作者:

高晓东  E-mail: gao.xiaodong@zs-hospital.sh.cn

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基金项目:

上海市科委应急科技攻关项目(20411950104);上海申康医院发展中心市级医院临床科技创新项目(SHDC22021315);复旦大学附属中山医院青年基金(2020ZSQN76)


Contamination on mask and ward environment of SARS-CoV-2 infection re-positive persons
Author:
Affiliation:

1.Department of Healthcare-associated Infection Management, Zhongshan Hospital, Fudan University, Shanghai 200032, China;2.Department of Laboratory Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China;3.Department of Healthcare-associated Infection Management, Zhongshan Hospital, Fudan University (Xiamen), Xiamen 361015, China;4.Department of Psychology, Zhongshan Hospital, Fudan University, Shanghai 200032, China;5.Department of Nuclear Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China

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    摘要:

    目的 探讨新型冠状病毒核酸复阳人员新型冠状病毒污染环境物体情况,为医院感染防控提供数据支持。 方法 2022年6月15—30日,选取上海市某新型冠状病毒感染定点救治医院收治的27例核酸复阳人员,收集患者基本信息,并对其当日所佩戴的口罩内、外侧及患者所住病房内高频接触的物体表面进行采样并进行新型冠状病毒核酸检测。应用SPSS 20.0进行数据录入与分析。 结果 27例复阳患者中,6例(22.22%)入院后首次新型冠状病毒核酸检测Ct值< 35,21例(77.78%)入院后首次核酸检测Ct值≥35。162份环境相关标本中,16份(9.88%)核酸检测阳性,其中双基因阳性标本5份(3.09%),单基因阳性标本11份(6.79%)。不同采样位点中,床垫+床单的阳性率最高(18.52%),所有环境阳性标本的Ct值均>35。患者入院后第一次新型冠状病毒核酸检测结果Ct值是否 < 35与患者相关环境病毒核酸检测阳性率无关,差异无统计学意义(P>0.05)。不同类型物体表面污染情况比较,差异无统计学意义(P>0.05)。 结论 新型冠状病毒核酸检测复阳患者新型冠状病毒通过呼吸道污染所处环境的病毒载量较低,通过环境媒介传播的风险较低。

    Abstract:

    Objective To evaluate the contamination of SARS-CoV-2 on environmental object via SARS-CoV-2 nucleic acid re-positive persons, and provide data support for healthcare-associated infection prevention and control. Methods From June 15 to 30, 2022, 27 nucleic acid re-positive patients admitted to a COVID-19 designated hospital in Shanghai were selected. Basic information of patients were collected. Specimens were taken from the inside and outside of patients' masks wore on the sampling day and high frequently touched object surfaces in patients' ward. SARS-CoV-2 nucleic acid of specimens was tested. SPSS 20.0 was used for analysis. Results Of the 27 re-positive patients, 6 (22.22%) had a Ct value < 35 and 21 (77.78%) had a Ct value ≥ 35 in the first SARS-CoV-2 nucleic acid test after admission. Of the 162 environment-related specimens, 16 (9.88%) were positive for nucleic acid test, including 5 (3.09%) double-gene positive specimens and 11 (6.79%) single-gene positive specimens. Among the different sampling sites, positive rate of mattress+sheet was the highest (18.52%), Ct value of all positive environmental specimens was >35. Whether the Ct value of the first nucleic acid test of patients after admission was < 35 has nothing to do with the positive rate of nucleic acid test result of patient-related environment, difference was not statistically significant (P>0.05). Contamination of different object surfaces was not statistically significant (P>0.05). Conclusion Viral load of SARS-CoV-2 contamination on environment through respiratory tract of SARS-CoV-2 nucleic acid test re-positive patients is low, thus transmission risk through environmental media is low.

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林佳冰,史庆丰,孙伟,等.新型冠状病毒感染复阳人员口罩及病房环境污染情况调查[J]. 中国感染控制杂志,2023,(4):468-472. DOI:10.12138/j. issn.1671-9638.20232300.
Jia-bing LIN, Qing-feng SHI, Wei SUN, et al. Contamination on mask and ward environment of SARS-CoV-2 infection re-positive persons[J]. Chin J Infect Control, 2023,(4):468-472. DOI:10.12138/j. issn.1671-9638.20232300.

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  • 收稿日期:2022-10-11
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  • 在线发布日期: 2024-04-28
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