Active Monitoring of Persons Exposed to Patients with Confirmed COVID-19 in South of Iran
Background: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) can be transmitted through direct, indirect, or close contact with infected people by contaminated respiratory droplets or saliva. This study aimed to investigate the epidemiology of coronavirus disease 2019 (COVID-19) and the...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2023-01-01
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| Series: | Journal of Health Sciences and Surveillance System |
| Subjects: | |
| Online Access: | https://jhsss.sums.ac.ir/article_49031_26337ce11c7981b73363378581d5d8a5.pdf |
| _version_ | 1827998987293032448 |
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| author | Alireza Mirahmadizadeh Mousa Ghelichi-Ghojogh Fatemeh Rezaei Mehdi Nejat Haleh Ghaem Jafar Hassanzadeh Mohammadreza Karimi Zohre Khodamoradi Kimia Jokari Leila Jahangiry |
| author_facet | Alireza Mirahmadizadeh Mousa Ghelichi-Ghojogh Fatemeh Rezaei Mehdi Nejat Haleh Ghaem Jafar Hassanzadeh Mohammadreza Karimi Zohre Khodamoradi Kimia Jokari Leila Jahangiry |
| author_sort | Alireza Mirahmadizadeh |
| collection | DOAJ |
| description | Background: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) can be transmitted through direct, indirect, or close contact with infected people by contaminated respiratory droplets or saliva. This study aimed to investigate the epidemiology of coronavirus disease 2019 (COVID-19) and the secondary attack rate (SAR) in the cases’ close contact.Methods: A total of 431 confirmed COVID-19 patients were randomly selected using systematic random sampling from 15 May to 13 June 2020. The required data were extracted from the CORONALAB database of the Center for Disease Control and Prevention (CDC) at Shiraz University of Medical Sciences. Detection of COVID-19 was performed using Real- Time Polymerase Chain Reaction (RT-PCR) and nasopharyngeal swabs. SAR was also calculated for different groups.Results: Among the index cases, 64.27% were male, 24.80% were public sector employees, and 4.87% were admitted to the intensive care unit. In addition, most of them aged 30-39 years. The SAR was 11.56% (95% CI: 9.86% to 13.25%) in the close contacts. Accordingly, the highest SAR was observed among the friends, 19.05% (95% CI: 7.17% to 30.92%), followed by the spouses of COVID-19 cases, 16.67% (95% CI: 10.81% to 22.51%). Furthermore, diabetes (6.03%) and cardiovascular disease (5.1%) were the most common comorbidities among the index cases.Conclusion: The findings suggested that the SAR was relatively lower among the close contacts. Considering the familial and non-familial relationships between the index cases and their close contacts were the major causes of disease transmission. Therefore, it is crucial to conduct tracing for COVID-19 contacts in all cases with whom patients have had close contact. |
| first_indexed | 2024-04-10T05:52:08Z |
| format | Article |
| id | doaj.art-b247644d61c144b29273c334e380b637 |
| institution | Directory Open Access Journal |
| issn | 2345-2218 2345-3893 |
| language | English |
| last_indexed | 2024-04-10T05:52:08Z |
| publishDate | 2023-01-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Journal of Health Sciences and Surveillance System |
| spelling | doaj.art-b247644d61c144b29273c334e380b6372023-03-04T07:12:08ZengShiraz University of Medical SciencesJournal of Health Sciences and Surveillance System2345-22182345-38932023-01-01111 (Supplement)15616310.30476/jhsss.2021.92351.134349031Active Monitoring of Persons Exposed to Patients with Confirmed COVID-19 in South of IranAlireza Mirahmadizadeh0Mousa Ghelichi-Ghojogh1Fatemeh Rezaei2Mehdi Nejat3Haleh Ghaem4Jafar Hassanzadeh5Mohammadreza Karimi6Zohre Khodamoradi7Kimia Jokari8Leila Jahangiry9Non-communicable Diseases Research Center, School of Health, Shiraz University of Medical Sciences, Shiraz, IranMetabolic Disorders Research Center, Golestan University of Medical Sciences, Gorgan, IranResearch Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, IranHealth Affairs, Shiraz University of Medical Sciences, Shiraz, IranNon-communicable Diseases Research Center, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, IranResearch Center for Health Sciences, Institute of Health, Department of Epidemiology, Shiraz University of Medical Sciences, Shiraz, IranTechnical Deputy of Vice-chancellery for Health, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, IranStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Health Education and Health Promotion, School of Health, Medical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, IranBackground: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) can be transmitted through direct, indirect, or close contact with infected people by contaminated respiratory droplets or saliva. This study aimed to investigate the epidemiology of coronavirus disease 2019 (COVID-19) and the secondary attack rate (SAR) in the cases’ close contact.Methods: A total of 431 confirmed COVID-19 patients were randomly selected using systematic random sampling from 15 May to 13 June 2020. The required data were extracted from the CORONALAB database of the Center for Disease Control and Prevention (CDC) at Shiraz University of Medical Sciences. Detection of COVID-19 was performed using Real- Time Polymerase Chain Reaction (RT-PCR) and nasopharyngeal swabs. SAR was also calculated for different groups.Results: Among the index cases, 64.27% were male, 24.80% were public sector employees, and 4.87% were admitted to the intensive care unit. In addition, most of them aged 30-39 years. The SAR was 11.56% (95% CI: 9.86% to 13.25%) in the close contacts. Accordingly, the highest SAR was observed among the friends, 19.05% (95% CI: 7.17% to 30.92%), followed by the spouses of COVID-19 cases, 16.67% (95% CI: 10.81% to 22.51%). Furthermore, diabetes (6.03%) and cardiovascular disease (5.1%) were the most common comorbidities among the index cases.Conclusion: The findings suggested that the SAR was relatively lower among the close contacts. Considering the familial and non-familial relationships between the index cases and their close contacts were the major causes of disease transmission. Therefore, it is crucial to conduct tracing for COVID-19 contacts in all cases with whom patients have had close contact.https://jhsss.sums.ac.ir/article_49031_26337ce11c7981b73363378581d5d8a5.pdfclose contactcontact tracingcovid-19secondary attack ratetransmission |
| spellingShingle | Alireza Mirahmadizadeh Mousa Ghelichi-Ghojogh Fatemeh Rezaei Mehdi Nejat Haleh Ghaem Jafar Hassanzadeh Mohammadreza Karimi Zohre Khodamoradi Kimia Jokari Leila Jahangiry Active Monitoring of Persons Exposed to Patients with Confirmed COVID-19 in South of Iran Journal of Health Sciences and Surveillance System close contact contact tracing covid-19 secondary attack rate transmission |
| title | Active Monitoring of Persons Exposed to Patients with Confirmed COVID-19 in South of Iran |
| title_full | Active Monitoring of Persons Exposed to Patients with Confirmed COVID-19 in South of Iran |
| title_fullStr | Active Monitoring of Persons Exposed to Patients with Confirmed COVID-19 in South of Iran |
| title_full_unstemmed | Active Monitoring of Persons Exposed to Patients with Confirmed COVID-19 in South of Iran |
| title_short | Active Monitoring of Persons Exposed to Patients with Confirmed COVID-19 in South of Iran |
| title_sort | active monitoring of persons exposed to patients with confirmed covid 19 in south of iran |
| topic | close contact contact tracing covid-19 secondary attack rate transmission |
| url | https://jhsss.sums.ac.ir/article_49031_26337ce11c7981b73363378581d5d8a5.pdf |
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