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논문 기본 정보

자료유형
학술저널
저자정보
Seok Hyeri (Division of Infectious Diseases Department of Internal Medicine Korea University Ansan Hospital Kor) Lim Seungkwan (Department of Internal Medicine Gyeonggi Provincial Medical Center Ansung Hospital Anseong Korea.) Kim Ji-Yeon (Division of Infectious Disease Department of Medicine Seongnam Citizens Medical Center Seongnam Kor) Park Chul Hee (Department of Internal Medicine Gyeonggi Provincial Medical Center Icheon Hospital Icheon Korea.) Kim Joon Ho (Department of Surgery Gyeonggi Provincial Medical Center Uijeongbu Hospital Uijeongbu Korea.) Woo Myoung Lyeol (Department of Internal Medicine Gyeonggi Provincial Medical Center Uijeongbu Hospital Uijeongbu Kor) Won Hyejin (Department of Internal Medicine Gyeonggi Provincial Medical Center Pocheon Hospital Pocheon Korea.) Kang Yu Min (Division of Infectious Disease Department of Internal Medicine Myongji Hospital Goyang Korea.) Oh Hong Sang (Department of Internal Medicine Armed Forces Capital Hospital Seongnam Korea.) Song Kyoung-Ho (Department of Internal Medicine Seoul National University Bundang Hospital Seoul National Universit) Jung Yun Jung (Department of Pulmonary and Critical Care Medicine Ajou University School of Medicine Suwon Korea.) Kim Tark (Department of Internal Medicine Soonchunhyang University Bucheon Hospital Bucheon Korea.) Jo Soonam (Infectious Disease Control Center Gyeonggi Provincial Government Suwon Korea.) Choi Won Suk (Division of Infectious Diseases Department of Internal Medicine Korea University Ansan Hospital Kor)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.37 No.14
발행연도
2022.4
수록면
1 - 10 (10page)
DOI
10.3346/jkms.2022.37.e106

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Background: Although several characteristics of coronavirus disease 2019 (COVID-19), an ongoing pandemic disease, have been identified, data on the infectivity of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are limited. Methods: This prospective cohort study was conducted to analyze the infectivity of SARSCoV-2 based on data of all patients diagnosed with COVID-19 confirmed using real-time polymerase chain reaction test from January to April 2020 in Gyeonggi-do, the largest province in Korea. Results: Of the 502 patients, 298 consisting of 106 clusters with 5,909 contacts were included. Of these, 277 (93.0%) were symptomatic, and the most common symptoms were cough, fever, sputum, sore throat, and headache. A total of 94 patients (31.5%) had pneumonia, while 8 (2.7%) died during the follow-up period. The secondary attack rate (SAR) in the study population was 3.5% (204/5,909). In exposure settings, the SAR was higher in religious gathering (13.5% [95% confidence interval, 10.7?16.8%]), workplaces (8.49% [95% CI, 6.08?11.74%]), and schools (6.38% [95% CI, 3.39?11.69%]) than in health care facilities (1.92% [95% CI, 1.45?2.55%]). Sore throat at any period, dyspnea at diagnosis or any period, lower cycle threshold value in the lower respiratory tract samples, leukocytosis, and higher bilirubin levels were associated with higher infectivity of COVID-19. The presence of symptoms was not related to the infectivity. Conclusion: In establishing the infection control strategies for COVID-19, the variables associated with high infectivity may be considered.

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