德国西部某大城市B.1.1.7 SARS-CoV-2的初始比例和动态

Biomedicine Hub Pub Date : 2022-02-25 DOI:10.1159/000519968
S. Herkenrath, Kyrill Boschung, Julia A. Nacov, A. Heibges, Britta Schroer, M. Treml, W. Randerath
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摘要

理由:在过去的几个月里,已经发现了几种SARS-CoV-2的突变变体,其在全球范围内的流行率不断上升。一些变异,如B.1.1.7,具有高度相关性,因为它们的传播能力增强,促进了病毒的传播,需要采取更严格的遏制措施。目的:研究德国西部某大城市sars - cov -2阳性样本中B.1.1.7的比例和动态。方法:在4周(2021年1月中旬至2月中旬)期间,从当地门诊诊所连续获得sars - cov -2阳性样本,检查B.1.1.7变体的存在。比较B.1.1.7感染聚集群与非B.1.1.7感染聚集群的大小。根据当地儿童日托中心的相应感染聚集性病例描述了SARS-CoV-2变体B.1.1.7的传播性。结果:226例sars - cov -2阳性病例中,74例(33%)检出B.1.1.7。B.1.1.7比例的7天移动平均值从20%开始,仅3周后就达到了50%。B.1.1.7集群包括10.7±12.1人,而非B.1.1.7集群则小得多(5.1±5.8)。在一个有40名儿童的日托中心发生了一起特定的B.1.1.7感染聚集,一名教师导致11名儿童感染,8名教师感染。感染蔓延到6个家庭和另一个日托中心,共有43名sars - cov -2阳性受试者。结论:我们发现SARS-CoV-2变体B.1.1.7快速增加,感染聚集性大于非B.1.1.7。这些结果表明,在分析期间之后的一段时间内,B.1.1.7比例迅速增加,SARS-CoV-2感染总数再次增加。考虑到病毒变异的迅速出现和传播,密切监测突变事件至关重要。因此,除了寻找已知的突变外,常规的全基因组测序似乎是有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Initial Proportion and Dynamic of B.1.1.7 SARS-CoV-2 in a Large City in the West of Germany
Rationale: Several mutational variants of SARS-CoV-2 have been identified in the past months with increasing prevalence worldwide. Some variants, such as B.1.1.7, are of high relevance due to increased transmissibility, facilitating virus spread and calling for stricter containment measures. Objectives: The aim of this study was to examine proportion and dynamic of B.1.1.7 in SARS-CoV-2-positive samples in a large city in the west of Germany. Methods: Consecutive SARS-CoV-2-positive samples from a local outpatient clinic, obtained over a period of 4 weeks (mid-January to mid-February 2021), were examined for the presence of the variant B.1.1.7. The size of B.1.1.7 infection clusters was compared with non-B.1.1.7 clusters. The transmissibility of SARS-CoV-2 variant B.1.1.7 was described based on corresponding cases of an infection cluster in a local child daycare centre. Results: Among 226 SARS-CoV-2-positive cases, B.1.1.7 was detected in 74 subjects (33%). The 7-day moving mean of the B.1.1.7 proportion started at 20% and reached 50% only 3 weeks later. B.1.1.7 clusters comprised 10.7 ± 12.1 persons per cluster, while non-B.1.1.7 clusters were considerably smaller (5.1 ± 5.8). One specific B.1.1.7 infection cluster in a 40-children daycare centre started with one teacher leading to 11 infected children and 8 infections among teachers. The infection spread to 6 families and one other daycare centre, with a total 43 SARS-CoV-2-positive subjects. Conclusions: We found a rapid increase in the SARS-CoV-2 variant B.1.1.7 with larger infection clusters than non-B.1.1.7. These results suggested a rapid increase in the B.1.1.7 proportion and a renewed increase in the total number of SARS-CoV-2 infections for the time following the analysed period. Considering the rapid emergence and spread of viral variants, close monitoring of mutation events is essential. Therefore, routine whole-genome sequencing appears to be useful in addition to searching for known mutations.
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