The diagnosis situation of the patients with COVID-19 in outpatients with fever in Wuha General Hospital

LIU Li; TONG Xiao-ling; WEI Jing-jing; LIANG Xiao-ming; WANG Xiao-meng

doi:10.16462/j.cnki.zhjbkz.2021.04.021

Volume 25 Issue 4

May 2021

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2021 > 25(4): 488-491

LIU Li, TONG Xiao-ling, WEI Jing-jing, LIANG Xiao-ming, WANG Xiao-meng. The diagnosis situation of the patients with COVID-19 in outpatients with fever in Wuha General Hospital[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(4): 488-491. doi: 10.16462/j.cnki.zhjbkz.2021.04.021

Citation:

LIU Li, TONG Xiao-ling, WEI Jing-jing, LIANG Xiao-ming, WANG Xiao-meng. The diagnosis situation of the patients with COVID-19 in outpatients with fever in Wuha General Hospital[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(4): 488-491. doi: 10.16462/j.cnki.zhjbkz.2021.04.021

Citation:

LIU Li, TONG Xiao-ling, WEI Jing-jing, LIANG Xiao-ming, WANG Xiao-meng. The diagnosis situation of the patients with COVID-19 in outpatients with fever in Wuha General Hospital[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(4): 488-491. doi: 10.16462/j.cnki.zhjbkz.2021.04.021

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The diagnosis situation of the patients with COVID-19 in outpatients with fever in Wuha General Hospital

doi: 10.16462/j.cnki.zhjbkz.2021.04.021

1.
Hankou Hospital Area, Central Theater General Hospital, Wuhan 430010, China
2.
Department of Health and Service, Central Theater General Hospital, Wuhan 430070, China

More Information

Corresponding author: TONG Xiao-ling, E-mail: 1411043854@qq.com
Received Date: 2020-03-04
Rev Recd Date: 2021-03-19

Available Online: 2021-05-11

Publish Date: 2021-04-10

Abstract

Abstract

Objective To analyze the epidemiological characteristics of febrile patients during the outbreak of the COVID-19 in Wuhan and explore its pathogenesis, so as to provide scientific basis and theoretical support for the prevention and control of the epidemic. Methods The data of 2 698 fever cases in fever clinic of general hospital were collected, including pneumonia cases and the positive cases of nucleic acid test of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and analysed by descriptive epidemiology. Results From January 1, 2020 to February 12, 2020, a total of 2 698 febrile patients were treated in the General outpatient department of Wuhan, including 683 (25.3%) patients with pneumo nia, in which 377 patients(55.2%) with virus pneumonia. Combined with imaging examination results and clinical manifestations, 289 cases were confirmed as COVID-19. However, 286 cases were confirmed as COVID-19 according to the results of nucleic acid detection. Compared with other age groups, the rates of people over 50 years old was higher in confirmed cases of COVID-19, especially for aged 60-69. Conclusion For viral pneumonia patients in fever clinic, if COVID-19 nucleic acid test is false negative or not detected, it should be determined according to imaging results and clinical manifestations.
- COVID-19,
- Fever clinics,
- Nucleic acid detection

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References(13)

References

[1]	Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia [J]. N Engl J Med, 2020, 382(13): 1199-1207. DOI: 10.1056/NEJMoa2001316.
[2]	Kickbusch I, Leung G. Response to the emerging novel coronavirus outbreak [J]. BMJ, 2020, 368: m406. DOI: 10.1136/bmj.m406.
[3]	Guan WJ, Ni ZY, Hu Y, et al. Clinical characteristics of 2019 novel coronavirus infectionin China [J]. N Engl J Med, 2020, 382(18): 1708-1720. DOI: 10.1056/NEJMoa2002032.
[4]	中华人民共和国国家卫生健康委员会. 新型冠状病毒感染的肺炎纳入法定传染病管理[EB/OL]. (2020-01-20) [2020-02-05]. http://www.nhc.gov.cn/jkj/s7916/202001/44a3b8245e8049d2837a4f27529cd386.shtml. National Health Commission of the People′s Republic of China. Novel coronavirus infection pneumonia is included in the management of notifiable infectious diseases [EB/OL]. (2020-01-20) [2020-02-05]. http://www.nhc.gov.cn/jkj/s7916/202001/44a3b8245e8049d2837a4f27529cd386.shtml.
[5]	Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China [J]. Lancet, 2020, 395(10223): 497-506. DOI: 10.1016/S0140-6736(20)30183-5.
[6]	Wang W, Tang J, Wei F. Updated understanding of the outbreak of 2019 novel coronavirus (2019-nCoV) in Wuhan, China [J]. J Med Virol, 2020, 92(4): 441-447. DOI: 10.1002/jmv.25689.
[7]	中华人民共和国国家卫生健康委员会. 新型冠状病毒感染的肺炎诊疗方案(试行第五版) [EB/OL]. (2020-02-05) [2020-02-05]. http://www.nhc.gov.cn/xcs/zhengcwj/202002/3b09b894ac9b4204a79db5b8912d4440/files/7260301a393845fc87fcf6dd5295ecb.PDF. National Health Commission of the People′s Republic of China. Diagnosis and Treatment of Novel Coronavirus Pneumonia (Trial Version fifth) [EB/OL]. (2020-02-05) [2020-02-05]. http://www.nhc.gov.cn/xcs/zhengcwj/202002/3b09b894ac9b4204a79db5b8912d4440/files/7260301a393845fc87fcf6dd5295ecb.PDF.
[8]	国家卫生健康委办公厅. 新型冠装病毒感染的肺炎实验室检测技术指南[EB/OL]. (2020-01-28) [2020-02-06]. http://www.gov.cn/zhengce/zhengceku/2020-01/29/content_5472893.htm. General Office of National Health Commission of the People′s Republic of China. Technical guidelines for laboratory detection of pneumonia caused by new coronavirus infection [EB/OL]. (2020-01-28) [2020-02-06]. http://www.gov.cn/zhengce/zhengceku/2020-01/29/content_5472893.htm.
[9]	国家卫生健康委办公厅. 新型冠状病毒实验室生物安全指南[EB/OL]. (2020-01-23) [2020-02-06]. http://www.gov.cn/xinwen/2020-01/23/content_5471768.htm. General Office of National Health Commission of the People′s Republic of China. Biological safety guidelines for novel coronavirus laboratory [EB/OL]. (2020-01-23) [2020-02-06]. http://www.gov.cn/xinwen/2020-01/23/content_5471768.htm.
[10]	国家卫生健康委员会. 突发公共卫生事件应急条例(2011修订) [EB/OL]. (2011-01-08) [2020-02-08]. http://www.nhc.gov.cn/fzs/s3576/201808/2052b89971ce4855b62fdbdac0be40a7.shtm. National Health Commission of the People′s Republic of China. Regulations on the Emergency Response of Public Health Emergencies (revised in 2011) [EB/OL]. (2011-01-08) [2020-02-08]. http://www.nhc.gov.cn/fzs/s3576/201808/2052b89971ce4855b62fdbdac0be40a7.shtm.
[11]	赵秀英. 病毒性肺炎发病机制对新型冠状病毒核酸检测的提示[J]. 中华检验医学杂志, 2020, 43(4): 379-382. DOI: 10.3760/cma.j.cn114452-20200210-00059. Zhao XY. Knowledges casted to the 2019 novel coronavirus nucleic acid amplification test from pathogenesis of viral pneumonia [J]. Chin J Lab Med, 2020, 43(4): 379-382. DOI: 10.3760/cma.j.cn114452-20200210-00059.
[12]	World Health Organization. Laboratory testing for 2019 novel coronavirus(2019-nCoV)in suspected human cases [EB/OL]. (2020-01-17) [2020-02-06]. https://www.who.int/publications-detail/laboratory-testing-for-2019-novel-coronavirus-in-suspected-human-cases-20200117.
[13]	Favre G, Pomar L, Musso D, et al. 2019-nCoV epidemic: what about pregnancies [J]. Lancet, 2020, 95(10224): e40. DOI: 10.1016/S0140-6736(20)30311-1.