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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Clinical and Transmission Characteristics of Covid-19 — A Retrospective Study of 25 Cases from a Single Thoracic Surgery Department</title><author><name sortKey="Li, Yang Kai" sort="Li, Yang Kai" uniqKey="Li Y" first="Yang-Kai" last="Li">Yang-Kai Li</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Peng, Shu" sort="Peng, Shu" uniqKey="Peng S" first="Shu" last="Peng">Shu Peng</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Li, Le Qun" sort="Li, Le Qun" uniqKey="Li L" first="Le-Qun" last="Li">Le-Qun Li</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Wang, Qi" sort="Wang, Qi" uniqKey="Wang Q" first="Qi" last="Wang">Qi Wang</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Ping, Wei" sort="Ping, Wei" uniqKey="Ping W" first="Wei" last="Ping">Wei Ping</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Zhang, Ni" sort="Zhang, Ni" uniqKey="Zhang N" first="Ni" last="Zhang">Ni Zhang</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Fu, Xiang Ning" sort="Fu, Xiang Ning" uniqKey="Fu X" first="Xiang-Ning" last="Fu">Xiang-Ning Fu</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">7104422</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7104422</idno><idno type="RBID">PMC:7104422</idno><idno type="doi">10.1007/s11596-020-2176-2</idno><idno type="pmid">NONE</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000363</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000363</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Clinical and Transmission Characteristics of Covid-19 — A Retrospective Study of 25 Cases from a Single Thoracic Surgery Department</title><author><name sortKey="Li, Yang Kai" sort="Li, Yang Kai" uniqKey="Li Y" first="Yang-Kai" last="Li">Yang-Kai Li</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Peng, Shu" sort="Peng, Shu" uniqKey="Peng S" first="Shu" last="Peng">Shu Peng</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Li, Le Qun" sort="Li, Le Qun" uniqKey="Li L" first="Le-Qun" last="Li">Le-Qun Li</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Wang, Qi" sort="Wang, Qi" uniqKey="Wang Q" first="Qi" last="Wang">Qi Wang</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Ping, Wei" sort="Ping, Wei" uniqKey="Ping W" first="Wei" last="Ping">Wei Ping</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Zhang, Ni" sort="Zhang, Ni" uniqKey="Zhang N" first="Ni" last="Zhang">Ni Zhang</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Fu, Xiang Ning" sort="Fu, Xiang Ning" uniqKey="Fu X" first="Xiang-Ning" last="Fu">Xiang-Ning Fu</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Current Medical Science</title><idno type="ISSN">2096-5230</idno><idno type="eISSN">2523-899X</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The outbreak of corona virus disease 2019 (Covid-19) imposes a major challenge in managing patients undergoing surgical operation. In this study, we analyzed clinical and transmission features of 25 cases of Covid-19 from a single thoracic department, including 13 patients and 12 health care staff. There were 13 males and 12 females. The median age of the patients was 61 (range: 51 to 69) years. The median age of the health care staff was 35 (range: 22 to 51) years. By the end of follow-up date (Mar. 3, 2020), there were 16 non-severe cases (64%) and 9 severe cases (36%), 5 cases were dead (20%). Nineteen (76%) of the infected cases were confirmed by SARS-CoV-2 nucleic acid test, the rest were clinically diagnosed as suspected Covid-19 cases, and 19 (76%) of the infected cases had positive exposure history. We found that COPD was significantly associated with severity and death (<italic>P</italic>=0.040, and <italic>P</italic>=0.038, respectively), and chest operation was significantly associated with death for Covid-19 patients (<italic>P</italic>=0.039). A potential “super spreader” may be the source of the transmission before the implementation of quarantine and comprehensive protection. It was concluded that Covid-19 is associated with poor prognosis for patients undergoing thoracic operation, especially for those with COPD. Implementation of comprehensive protective measures is important to control nosocomial infection.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Liu, Yx" uniqKey="Liu Y">YX Liu</name></author><author><name sortKey="Yang, Y" uniqKey="Yang Y">Y Yang</name></author><author><name sortKey="Zhang, C" uniqKey="Zhang C">C Zhang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jiang, Wy" uniqKey="Jiang W">WY Jiang</name></author><author><name sortKey="Xiong, R" uniqKey="Xiong R">R Xiong</name></author><author><name sortKey="Lu, Zl" uniqKey="Lu Z">ZL Lu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ji, Js" uniqKey="Ji J">JS Ji</name></author><author><name sortKey="Wei, Tm" uniqKey="Wei T">TM Wei</name></author><author><name sortKey="Yang, Wb" uniqKey="Yang W">WB Yang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Song, F" uniqKey="Song F">F Song</name></author><author><name sortKey="Shi, N" uniqKey="Shi N">N Shi</name></author><author><name sortKey="Shan, F" uniqKey="Shan F">F Shan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chung, M" uniqKey="Chung M">M Chung</name></author><author><name sortKey="Bernheim, A" uniqKey="Bernheim A">A Bernheim</name></author><author><name sortKey="Mei, X" uniqKey="Mei X">X Mei</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liu, Cy" uniqKey="Liu C">CY Liu</name></author><author><name sortKey="Cai, Yx" uniqKey="Cai Y">YX Cai</name></author><author><name sortKey="Hao, Zp" uniqKey="Hao Z">ZP Hao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="To, Kk" uniqKey="To K">KK To</name></author><author><name sortKey="Tsang, Ot" uniqKey="Tsang O">OT Tsang</name></author><author><name sortKey="Chik Yan, Y C" uniqKey="Chik Yan Y">Y C Chik-Yan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tuite, Ar" uniqKey="Tuite A">AR Tuite</name></author><author><name sortKey="Fisman, Dn" uniqKey="Fisman D">DN Fisman</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Curr Med Sci</journal-id><journal-id journal-id-type="iso-abbrev">Curr Med Sci</journal-id><journal-title-group><journal-title>Current Medical Science</journal-title></journal-title-group><issn pub-type="ppub">2096-5230</issn><issn pub-type="epub">2523-899X</issn><publisher><publisher-name>Huazhong University of Science and Technology</publisher-name><publisher-loc>Wuhan</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">7104422</article-id><article-id pub-id-type="publisher-id">2176</article-id><article-id pub-id-type="doi">10.1007/s11596-020-2176-2</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Clinical and Transmission Characteristics of Covid-19 — A Retrospective Study of 25 Cases from a Single Thoracic Surgery Department</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Li</surname><given-names>Yang-Kai</given-names></name><address><email>doclyk@163.com</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Peng</surname><given-names>Shu</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Li</surname><given-names>Le-Qun</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Wang</surname><given-names>Qi</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Ping</surname><given-names>Wei</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Ni</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Fu</surname><given-names>Xiang-Ning</given-names></name><address><email>fuxn2006@aliyun.com</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.33199.31</institution-id><institution-id institution-id-type="ISNI">0000 0004 0368 7223</institution-id><institution>Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College,</institution><institution>Huazhong University of Science and Technology,</institution></institution-wrap>Wuhan, 430030 China</aff></contrib-group><pub-date pub-type="epub"><day>30</day><month>3</month><year>2020</year></pub-date><fpage>1</fpage><lpage>6</lpage><history><date date-type="received"><day>7</day><month>3</month><year>2020</year></date><date date-type="rev-recd"><day>13</day><month>3</month><year>2020</year></date></history><permissions><copyright-statement>© Huazhong University of Science and Technology 2020</copyright-statement><license><license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p></license></permissions><abstract id="Abs1"><p>The outbreak of corona virus disease 2019 (Covid-19) imposes a major challenge in managing patients undergoing surgical operation. In this study, we analyzed clinical and transmission features of 25 cases of Covid-19 from a single thoracic department, including 13 patients and 12 health care staff. There were 13 males and 12 females. The median age of the patients was 61 (range: 51 to 69) years. The median age of the health care staff was 35 (range: 22 to 51) years. By the end of follow-up date (Mar. 3, 2020), there were 16 non-severe cases (64%) and 9 severe cases (36%), 5 cases were dead (20%). Nineteen (76%) of the infected cases were confirmed by SARS-CoV-2 nucleic acid test, the rest were clinically diagnosed as suspected Covid-19 cases, and 19 (76%) of the infected cases had positive exposure history. We found that COPD was significantly associated with severity and death (<italic>P</italic>=0.040, and <italic>P</italic>=0.038, respectively), and chest operation was significantly associated with death for Covid-19 patients (<italic>P</italic>=0.039). A potential “super spreader” may be the source of the transmission before the implementation of quarantine and comprehensive protection. It was concluded that Covid-19 is associated with poor prognosis for patients undergoing thoracic operation, especially for those with COPD. Implementation of comprehensive protective measures is important to control nosocomial infection.</p></abstract><kwd-group xml:lang="en"><title>Key words</title><kwd>corona virus disease 2019</kwd><kwd>SARS-CoV-2</kwd><kwd>nosocomial infection</kwd></kwd-group></article-meta></front><back><fn-group><fn><p><bold>Conflict of Interest Statement</bold></p><p>We declare that we do not have any commercial or associative interest that represents a conflict of interest in connection with the manuscript we submitted.</p></fn></fn-group><ref-list id="Bib1"><title>References</title><ref id="CR1"><label>1</label><mixed-citation publication-type="other">Diagnosis and treatment guideline of Covid-19 (version 7.0) <ext-link ext-link-type="uri" 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Clinical characteristics of 30 medical workers infected with new coronavirus pneumonia. Chin J Tuberc Respir Dis (Chinese), 2020, 43 (2020-02-17): Epub ahead of print.</mixed-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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