Cases of 193 Inpatients and Caregivers with COVID-19 Negative Conversion Positive— A Single-Center Analysis

Chuang Yang, Luobu Ouzhu, Caihong Hao, Enya Ning
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Abstract

Background: A sudden outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in the Tibetan Autonomous Region in August 2022 disrupted the coronavirus disease 2019 (COVID-19)-free status of the Tibetan over the past 3 years and poses severe risks to public health. Methods: A total of 2966 patients and caregivers were admitted to our hospital from August 01, 2022 to October 10, 2022 and cases of negative-to-positive conversion were analyzed during hospitalization. Results: In total, 193 cases of negative-to-positive conversion were identified. The rates of hospitalization for adults (age, ≥15 years), children (age, 0–14 years), and caregivers were 4.04%, 3.07%, and 5.94%, respectively. For the majority of COVID-19 cases, negative-to-positive conversion occurred within 1–4 days. The rates of cases with mild, moderate, and severe symptoms were 41.45%, 46.63%, and 11.92%, respectively. The Tibetan population accounted for 86.01% of all positive cases. Conclusion: Mutant variants of SARS-CoV-2 can adapt to harsh conditions at high altitudes and spread among local populations, suggesting that infection prevention and control efforts should be continued in some regions to protect public health.
193例住院患者及护理人员COVID-19阴性转化阳性——单中心分析
背景:2022年8月,西藏自治区突发SARS-CoV-2感染疫情,打破了西藏自治区过去3年的无冠状病毒肺炎(COVID-19)状态,对公共卫生构成严重威胁。方法:对2022年8月1日至2022年10月10日我院收治的2966例患者及护理人员进行住院期间阴转阳性病例分析。结果:共发现193例阴性转化为阳性。成人(年龄≥15岁)、儿童(年龄0 ~ 14岁)和护理人员的住院率分别为4.04%、3.07%和5.94%。对于大多数COVID-19病例,在1-4天内发生了从阴性到阳性的转化。轻、中、重度症状发生率分别为41.45%、46.63%和11.92%。藏族人口占全部阳性病例的86.01%。结论:SARS-CoV-2突变体能够适应高海拔地区的恶劣条件,并在当地人群中传播,建议在一些地区继续开展感染防控工作,以保障公众健康。
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