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Reply to Bottanelli et al. 回复Bottanelli等人。
Pub Date : 2022-02-26 DOI: 10.1093/infdis/jiac071
J. Cyktor, R. Bosch, H. Mar, B. Macatangay, Annina Collier, E. Hogg, C. Godfrey, J. Eron, D. McMahon, J. Mellors, R. Gandhi
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引用次数: 0
Neutralizing Activities against the Omicron Variant after a Heterologous Booster in Healthy Adults Receiving Two Doses of CoronaVac Vaccination 在接受两剂冠状病毒疫苗接种的健康成人中,异源加强剂对组粒变异的中和活性
Pub Date : 2022-01-29 DOI: 10.1101/2022.01.28.22269986
S. Assawakosri, S. Kanokudom, N. Suntronwong, C. Auphimai, P. Nilyanimit, P. Vichaiwattana, T. Thongmee, T. Duangchinda, W. Chantima, P. Pakchotanon, D. Srimuan, T. Thatsanatorn, S. Klinfueng, R. Yorsaeng, N. Sudhinaraset, Nasamon Wanlapakorn, J. Mongkolsapaya, S. Honsawek, Y. Poovorawan
Background. The use of an inactivated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine (CoronaVac) against SARS-CoV-2 is implemented worldwide. However, waning immunity and breakthrough infections have been observed. Therefore, we hypothesized that the heterologous booster might improve the protection against the delta and omicron variants. Methods. A total of 224 individuals who completed the two-dose CoronaVac for six months were included. We studied reactogenicity and immunogenicity following a heterologous booster with the inactivated vaccine (BBIBP), the viral vector vaccine (AZD1222), and the mRNA vaccine (both BNT162B2 and mRNA-1273). We also determined immunogenicity at 3- and 6-months boosting intervals. Results. The solicited adverse events (AEs) were mild to moderate and well-tolerated. Total RBD immunoglobulin (Ig), anti-RBD IgG, focus reduction neutralization test (FRNT50) against delta and omicron variants, and T cell response were highest in the mRNA-1273 group followed by the BNT162b2, AZD1222 and BBIBP groups, respectively. We also witnessed a higher total Ig anti-RBD in the long-interval than in the short-interval groups. Conclusions. All four booster vaccines significantly increased binding and NAbs in individuals immunized with two doses of CoronaVac. The present evidence may benefit vaccine strategies development to thwart variants of concern, including the omicron variant. Keywords. COVID-19; Third dose; heterologous booster; omicron; mRNA-1273; BNT162b2; AZD1222; NAbs; T cells.
背景。在全球范围内实施了针对SARS-CoV-2的灭活的SARS-CoV-2疫苗(CoronaVac)。然而,已经观察到免疫力下降和突破性感染。因此,我们假设异种增强剂可能提高对δ和组粒变异的保护。方法。总共有224人完成了为期6个月的双剂量CoronaVac。我们研究了由灭活疫苗(BBIBP)、病毒载体疫苗(AZD1222)和mRNA疫苗(BNT162B2和mRNA-1273)组成的异源增强疫苗的反应原性和免疫原性。我们还在3个月和6个月的强化间隔中测定了免疫原性。结果。所征求的不良事件(ae)为轻度至中度,耐受性良好。rna -1273组RBD总免疫球蛋白(Ig)、抗RBD IgG、针对delta和omicron变体的焦点减少中和试验(FRNT50)和T细胞应答最高,其次是BNT162b2、AZD1222和BBIBP组。我们还发现,与短间隔组相比,长间隔组总Ig抗rbd更高。结论。在接种两剂冠状病毒疫苗的个体中,所有四种加强疫苗都显著增加了结合和nab。目前的证据可能有利于疫苗策略的发展,以阻止令人关注的变异,包括组粒变异。关键词。COVID-19;第三个剂量;不等的助推器;买卖;信使rna - 1273;BNT162b2;AZD1222;小伙子;T细胞。
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引用次数: 48
Screening for SARS-CoV-2 in close contacts of individuals with confirmed infection: performance and operational considerations 在确诊感染者密切接触者中筛查SARS-CoV-2:性能和操作考虑因素
Pub Date : 2022-01-28 DOI: 10.1101/2022.01.27.22269904
S. Zobrist, M. Oliveira-Silva, Alexia Martines Vieira, P. Bansil, E. Gerth-Guyette, B. Leader, A. Golden, Hannah C. Slater, Catherine Duran de Lucena Cruz, E. Garbin, Mariana Sagalovsky, S. Pal, Vin Gupta, L. Wolansky, Deusilene Souza Vieira Dall'Acqua, G. Naveca, Valdinete Alves do Nascimento, Juan Miguel Villalobos Salcedo, P. Drain, Alexandre Dias Tavares Costa, G. Domingo, D. Pereira
Background. Point-of-care and decentralized testing for SARS-CoV-2 is critical to inform public health responses. Performance evaluations in priority use cases such as contact tracing can highlight trade-offs in test selection and testing strategies. Methods. A prospective diagnostic accuracy study was conducted among close contacts of COVID-19 cases in Brazil. Two anterior nares swabs (ANS), a nasopharyngeal swab (NPS), and saliva were collected at all visits. Vaccination history and symptoms were assessed. Household contacts were followed longitudinally. Three rapid antigen tests and one molecular method were evaluated for usability and performance against reference RT-PCR on NPS. Results. Fifty index cases and 214 contacts (64 household) were enrolled. Sixty-five contacts were RT-PCR positive during at least one visit. Vaccination did not influence viral load. Gamma variants were most prevalent; Delta emerged increasingly during implementation. Overall sensitivity of evaluated tests ranged from 33% to 76%. Performance was higher among symptomatic cases and cases with Ct<34 and lower among oligo/asymptomatic cases. Assuming a 24-hour time-to-result for RT-PCR, the cumulative sensitivity of an ANS rapid antigen test was >70% and almost 90% after four days. Conclusions. The near immediate time-to-result for antigen tests significantly offsets lower analytical sensitivity in settings where RT-PCR results are delayed or unavailable.
背景。医疗点和分散检测SARS-CoV-2对于为公共卫生应对提供信息至关重要。优先级用例(如接触追踪)中的性能评估可以突出测试选择和测试策略中的权衡。方法。在巴西对COVID-19病例密切接触者进行了前瞻性诊断准确性研究。每次就诊均收集两份鼻前拭子(ANS)、一份鼻咽拭子(NPS)和唾液。评估疫苗接种史和症状。对家庭接触者进行纵向跟踪。对三种快速抗原检测方法和一种分子检测方法与参考RT-PCR在NPS上的可用性和性能进行了评估。结果。纳入50例指示病例和214名接触者(64户)。65名接触者在至少一次访问中呈RT-PCR阳性。接种疫苗不影响病毒载量。伽马变异最为普遍;Delta在实施过程中越来越多地出现。评估试验的总体敏感性在33%到76%之间。四天后,症状组、Ct70%组和几乎90%组的表现更高。结论。在RT-PCR结果延迟或无法获得的情况下,抗原检测的接近即时结果时间显著抵消了较低的分析灵敏度。
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引用次数: 4
OUP accepted manuscript OUP接受稿件
Pub Date : 2022-01-01 DOI: 10.1093/infdis/jiac160
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引用次数: 0
OUP accepted manuscript OUP接受稿件
Pub Date : 2022-01-01 DOI: 10.1093/infdis/jiac159
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引用次数: 0
OUP accepted manuscript OUP接受稿件
Pub Date : 2022-01-01 DOI: 10.1093/infdis/jiac111
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引用次数: 0
Physical Measurement Analysis in Pre-Utility Covid-19 Isolation Room: A Case Study Universitas Mataram Teaching Hospital 应用前新冠肺炎隔离室物理测量分析——以马塔兰大学教学医院为例
Pub Date : 2021-11-26 DOI: 10.32667/ijid.v7i2.121
E. H. Wardoyo, I. B. Alit, Monalisa Nasrul, D. Yudhanto, Prima Belia Fathana, R. S. Saptaningtyas
Background: Negative pressure room is recommended for the treatment of COVID-19 patients. Aim this study to describe physical measurement analysis of isolation room Universitas Mataram Teaching Hospital. Methods: Newly developed negative pressure isolation room was physical measure using following instruments: anemometer, moisture meter, hygrometer and pressure gauge.  Results: This study showed physical measurement as follow: 1) ACH (air change per hour) 23.3 / hour [minimum: 12+ ACH]; 2) the difference in pressure gradient between the inpatient room and anteroom -30 Pa [minimum -15 Pa]; 3) the mean of air temperature 24.8°C [21-24]; 4) air humidity 58% [maximum 65%] and 5) concrete moisture 22.45%. Conclusion: The COVID-19 isolation room at the Universitas Mataram Teaching Hospital meets the standard criteria.
背景:推荐使用负压室治疗COVID-19患者。目的对马塔兰大学附属医院隔离室进行物理测量分析。方法:采用风速计、湿度计、湿度计、压力表等仪器对新研制的负压隔离室进行物理测量。结果:本研究物理测量结果如下:1)ACH(每小时换气量)23.3 /小时[最小:12+ ACH];2)住院室与接待室压力梯度差- 30pa[最小- 15pa];3)平均气温24.8℃[21-24];4)空气湿度58%[最大65%],5)混凝土含水率22.45%。结论:马塔兰大学附属医院新冠肺炎隔离室符合标准。
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引用次数: 0
Surveilans Epidemiologi Kasus Terkonfirmasi COVID-19 pada Pasien Rawat Inap di Rumah Sakit Pusat Infeksi Prof. Dr. Sulianti Saroso Tahun 2020 2020年,Sulianti Saroso博士感染中心住院病人的病因流行病学检验证实
Pub Date : 2021-11-26 DOI: 10.32667/ijid.v7i2.127
H. Herlina, Anita Puspitasari Diah Nugroho, Siti Maemun, Intansari Pertiwi, Farida Murtiani, Andi Dala Intan Sapta Nanda
Latar Belakang: Surveilans epidemiologi adalah pengamatan terus menerus terhadap perkembangan kasus dan kematian melalui analisis dan intervensi epidemiologi yang terstandar dengan tujuan untuk membatasi penyebaran penyakit, sebagai bahan bagi pemerintah daerah, otoritas Kesehatan masyarakat dan rumah sakit untuk mengelola kasus penyakit (dalam hal ini COVID-19), surveilans juga dibutuhkan untuk memantau tren jangka panjang penularan COVID-19 dan perubahan virus. Metode: surveilans pasif dan aktif Surveilans pasif adalah surveilans dengan cara mengambil data dari sumber status pasien (rekam medik) dan laporan dari ruang perawatan, sementara surveilans aktif  adalah mencari data langsung ke pasien (menanyakan langsung kepada pasien dengan cara menelpon ataupun melalui  whatsapp ).  Hasil: Jumlah pasien rawat inap COVID-19 tahun 2021 sebanyak 1065 pasien, sebagian besar kasus antara lain laki-laki (573 pasien), kelompok umur >18 tahun (1028 pasien), domisili Jakarta Utara (288 pasien), datang sendiri (35%)., sebagian besar pasien keluar hidup (911 pasien) dan hasil PCR terkonfirmasi (880 pasien). Kesimpulan: Pelaksanaan surveilans epidemiologi kasus COVID-19 di RSPI Sulianti Saroso  berdasarkan orang , tempat dan waktu ( variable jumlah kasus,  umur, jenis kelamin, asal domisili, pemeriksaan , luaran pasien dan asal rujukan).  Surveilans sangat dibutuhkan untuk evaluasi pelayanan dan program penanggulangan penyakit, oleh karena itu dibutuhkan dukungan kelengkapan data dan ketepatan waktu pelaporan untuk mendapatkan data yang valid.
背景:流行病学监控是对发展的持续观察和死亡案件通过terstandar的流行病学分析和干预,目的是限制疾病的传播,作为一种对地方政府来说,公共卫生和医院的管理当局在这方面疾病(COVID-19)为例,也要求监测监控COVID-19感染和病毒变化的长期趋势。方法:被动监控和主动监控是通过从病人状态源(医疗记录)和治疗室的数据获取数据的监视,而主动监控则是通过电话或whatsapp直接询问病人。结果:2021年住院病人共1065人,主要是男性(573名患者)、年龄为18岁的>患者(1028名患者)、雅加达北部居民(288名患者)。大部分患者都活了下来(911患者),经PCR检测结果(880名患者)确认。结论:在RSPI -19的COVID-19病例流行病学的研究是基于人、年龄、性别、住所、检查、患者外部环境和参考资料的变化。评估服务和治疗方案是必不可少的,因此需要数据完整性和及时报告支持才能获得有效的数据。
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引用次数: 0
Pengaruh Pemberian Posisi Lateral Terhadap Saturasi Oksigen dan Frekuensi Pernapasan pada Anak dengan Gangguan Pemenuhan Kebutuhan Oksigenasi di Ruang Rawat Infeksi Anak 侧向位置对儿童的氧饱和度和呼吸频率的影响,儿童感染病房缺乏氧气需求
Pub Date : 2021-11-26 DOI: 10.32667/ijid.v7i2.122
Paskaliana Hilpriska Danal, Nani Nurhaeni, Dessie Wanda
Latar Belakang: Masalah pemenuhan kebutuhan oksigenasi pada anak sering disebabkan oleh ketidakpatenan jalan napas sehingga modifikasi posisi tubuh salah satunya posisi lateral untuk meningkatkan kelancaran oksigenasi pada anak merupakan intervensi yang efektif. Study ini bertujuan untuk mengidentifikasi pengaruh pemberian posisi lateral terhadap perubahan saturasi oksigen dan frekuensi pernapasan pada anak dengan gangguan pemenuhan kebutuhan oksigenasi di ruang rawat infeksi anak. Metode: Desain kuasi eksperimen. Responden dalam study ini berjumlah 36 orang yang dibagi ke dalam kelompok pemberian posisi lateral dan kelompok yang diberikan posisi sesuai standar perawatan rumah sakit sebagai kontrol, masing-masing 18 responden. Pengumpulan data dilakukan dengan mengukur saturasi oksigen dan frekuensi pernapasan sebelum dan sesudah diberikan intervensi. Analisis data menggunakan uji paired t-test dan Wilcoxon untuk menilai adanya perbedaan saturasi oksigen dan frekuensi pernapasan anak sebelum dan sesudah intervensi. Uji independent t-test dan Mann Whitney digunakan untuk menganalisis perbedaan saturasi oksigen dan frekuensi pernapasan antar kelompok. Hasil: analisis statistik menunjukkan terdapat perbedaan signifikan antara saturasi oksigen (p value < 0,05) dan frekuensi pernapasan (p value < 0,05) sebelum dan sesudah diberikan posisi lateral. Kesimpulan: posisi lateral dapat dijadikan salah satu intervensi keperawatan mandiri yang dapat diterapkan dalam memberikan asuhan pada anak dengan masalah pemenuhan kebutuhan oksigenasi di ruang rawat.
背景:儿童对氧气需求的满足问题通常是由呼吸方式不协调引起的,因此身体位置的改变是促进儿童氧化流畅性的一个横向位置。本研究旨在确定儿童受感染病房缺氧和呼吸频率变化的横向位置影响,以满足其对氧气饱和和呼吸频率的需求。方法:准实验设计。在这些研究中,36名受访者被分成横向职位组,小组被分配到医院管理的标准位置,每个小组18名受访者。数据收集是通过在干预前和干预后测量氧气饱和度和呼吸频率来完成的。数据分析使用paired t-test和Wilcoxon测试来评估儿童饱和度和呼吸频率的差异。独立测试t-test和Mann Whitney被用来分析组之间的氧饱和度和呼吸频率的差异。结果:统计分析显示,在提供横向位置之前和之后,氧饱和度(p值< 0.05)和呼吸频率(p值< 0.05)之间存在显著差异。结论:多边位置可作为一种独立的护理干预措施之一,用于培养儿童,解决病房氧气需求的问题。
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引用次数: 0
Gambaran Pegawai Terkonfirmasi COVID-19 di Rumah Sakit Pusat Infeksi Sulianti Saroso Tahun 2020
Pub Date : 2021-11-26 DOI: 10.32667/ijid.v7i2.126
Anita Puspitasari Dyah Nugroho, Herlina Herlina, Nunung Hendrawati, Siti Maemun, I. Pertiwi, Farida Murtiani, Andi Dala Intan Sapta Nanda
Latar Belakang: Tenaga kesehatan yang berada di garis depan penanganan COVID-19 berisiko tinggi terinfeksi COVID-19 sehingga hasil surveilans menjadi dasar strategi untuk melindungi tenaga kesehatan, menghambat penyebaran infeksi dan mengurangi risiko transmisi. Tujuan: Mengetahui gambaran pegawai yang terkonfirmasi COVID-19 di RSPI Sulianti Saroso tahun 2020 berdasakan data surveilans. Metode: Desain deskriptif cross-sectional, total sampel 173 sampel, data sekunder bersumber dari data hasil RT-PCR dan data surveilans epidemiologi. Hasil: Kejadian infeksi COVID-19 dimulai pada bulan Maret 2020, puncak kasus pegawai tertinggi minggu ke-35, terbesar pada pegawai perempuan (60%), rentang umur 29-38 tahun (38%), terbesar pada tenaga kesehatan perawat (38%). Pegawai yang mengalami tanda & gejala (58%), melaksanakan isolasi mandiri (63%) dan sembuh (98%). Kesimpulan: Gambaran pegawai yang terkonfirmasi COVID-19 di RSPI Sulianti Saroso tahun 2020 dilihat berdasarkan jenis kelamin, umur, jenis ketenagaan, tanda dan gejala, tindak lanjut penanganan dan luaran
背景:站在接受COVID-19治疗的第一线的卫生工作者处于感染风险很高的COVID-19的风险之下,因此监控结果成为保护卫生工作者、抑制感染扩散和降低传播风险的战略基础。目标:根据监视数据,了解2020年RSPI Sulianti - Saroso的确认员工的形象。方法:分段描述性设计,总样本173,二级数据来自RT-PCR结果和流行病监控数据。结果:2020年3月,COVID-19感染病例达到第35周的峰值,女性中年龄最大的(60%),年龄最大的29-38岁(38%),医疗保健专业人员(38%)。有症状和症状的员工(58%),自我隔离(63%),并治愈(98%)。结论:2020年RSPI Sulianti - so (RSPI -19)认证员工的形象是根据性别、年龄、冷静程度、症状、治疗过程和遗漏来衡量的
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引用次数: 0
期刊
The Indonesian Journal of Infectious Diseases
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