Response System for and Epidemiological Features of COVID-19 in Gyeongsangnam-do Province in South Korea
| Autor: | In-Gyu Bae, Sunjoo Kim, Byung-Han Ryu, Oh-Hyun Cho, Kyunglan Moon, Su Jin Lee, Yu Mi Wi, Si-Ho Kim, Seungjin Lim, Su Jin Lim, Sun In Hong, Kyung-Wook Hong |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty Isolation (health care) Anosmia Health Personnel 030204 cardiovascular system & hematology Asymptomatic law.invention 03 medical and health sciences 0302 clinical medicine law Severity of illness Epidemiology Quarantine Republic of Korea medicine Major Article Humans 030212 general & internal medicine Rapid response team business.industry SARS-CoV-2 Outbreak COVID-19 Asymptomatic patients AcademicSubjects/MED00290 Infectious Diseases Cohort Emergency medicine medicine.symptom Response Team business Ageusia |
| Zdroj: | Clinical Infectious Diseases Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America |
| ISSN: | 1537-6591 1058-4838 |
| DOI: | 10.1093/cid/ciaa967 |
| Popis: | Background The South Korean government has been combating the coronavirus disease 2019 (COVID-19) outbreak using public information and extensive viral screening. We describe the application of the Korean response system in Gyeongsangnam-do province and outline the epidemiological features of COVID-19 in the cohort. Methods A Rapid Response Team tracked the patients’ activities and identified close contacts. A Patient Management Team made decisions regarding the severity of illness, hospital allocation depending on severity, and time of discharge. A national medical center with 155 beds and 4 university-affiliated hospitals with 48 negative-pressure isolation rooms were dedicated for patients with COVID-19. Results As of 15 April, 17 400 residents were tested, of whom 111 were confirmed positive cases. Of the 111 patients, 78 were cured and discharged, 2 recovered after mechanical ventilation, and none died. One healthcare worker at the national center tested positive for SARS-CoV-2. All 412 staff members at the center were tested, but there were no additional infections. Cough (30.0%) was the most common initial symptom, whereas anosmia and ageusia were the first symptoms in 14.7% and 15.7% of the patients, respectively. Overall, 25 patients (22.5%) reported having no symptoms at admission and 7 (6.3%) remained asymptomatic at discharge. Conclusions A response system that enabled the early detection of COVID-19 cases, including asymptomatic and presymptomatic cases, and timely quarantine of these patients and their contacts, along with efficient allocation of medical resources, was the key to curbing the COVID-19 outbreak in Gyeongsangnam-do Province. |
| Databáze: | OpenAIRE |
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