Clinical features of familial clustering in patients infected with 2019 novel coronavirus in Wuhan, China

•In the study, we compared clinical characteristics of COVID-19 cases between cluster-onset families (COFs) and solitary-onset families (SOFs).•Patients with exposure to respiratory droplets and close contact, advanced age, and comorbidities were more likely to develop COVID-19 in COFs.•Advanced age...

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Published in:Virus research Vol. 286; p. 198043
Main Authors: Li, Jinzhong, Gong, Xiaobing, Wang, Zhigang, Chen, Renzhou, Li, Taoyuan, Zeng, Dongyu, Li, Minran
Format: Journal Article
Language:English
Published: Netherlands Elsevier B.V 01-09-2020
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Abstract •In the study, we compared clinical characteristics of COVID-19 cases between cluster-onset families (COFs) and solitary-onset families (SOFs).•Patients with exposure to respiratory droplets and close contact, advanced age, and comorbidities were more likely to develop COVID-19 in COFs.•Advanced age and elevated neutrophil/lymphocyte ratio (NLR) were risk factors for death in patients with SARS-CoV-2 infection in COFs. An epidemic caused by SARS-Coronavirus-2 (SARS-CoV-2) infection has appeared in Wuhan City in December 2019. The disease has shown a "clustering epidemic" pattern, and family-clustered onset has been the main characteristic. We collected data about 130 cases from 35 cluster-onset families (COFs) and 41 cases from 16 solitary-onset families (SOFs). The incidence of 2019 coronavirus disease (COVID-19) in COFs was significantly higher than that of SOFs. Our study also showed that patients with exposure to high-risk factors (respiratory droplets and close contact), advanced age, and comorbidities were more likely to develop COVID-19 in the COFs. In addition, advanced age and elevated neutrophil/lymphocyte ratio (NLR) were risk factors for death in patients with SARS-CoV-2 infection in the COFs.
AbstractList An epidemic caused by SARS-Coronavirus-2 (SARS-CoV-2) infection has appeared in Wuhan City in December 2019. The disease has shown a "clustering epidemic" pattern, and family-clustered onset has been the main characteristic. We collected data about 130 cases from 35 cluster-onset families (COFs) and 41 cases from 16 solitary-onset families (SOFs). The incidence of 2019 coronavirus disease (COVID-19) in COFs was significantly higher than that of SOFs. Our study also showed that patients with exposure to high-risk factors (respiratory droplets and close contact), advanced age, and comorbidities were more likely to develop COVID-19 in the COFs. In addition, advanced age and elevated neutrophil/lymphocyte ratio (NLR) were risk factors for death in patients with SARS-CoV-2 infection in the COFs.
• In the study, we compared clinical characteristics of COVID-19 cases between cluster-onset families (COFs) and solitary-onset families (SOFs). • Patients with exposure to respiratory droplets and close contact, advanced age, and comorbidities were more likely to develop COVID-19 in COFs. • Advanced age and elevated neutrophil/lymphocyte ratio (NLR) were risk factors for death in patients with SARS-CoV-2 infection in COFs. An epidemic caused by SARS-Coronavirus-2 (SARS-CoV-2) infection has appeared in Wuhan City in December 2019. The disease has shown a "clustering epidemic" pattern, and family-clustered onset has been the main characteristic. We collected data about 130 cases from 35 cluster-onset families (COFs) and 41 cases from 16 solitary-onset families (SOFs). The incidence of 2019 coronavirus disease (COVID-19) in COFs was significantly higher than that of SOFs. Our study also showed that patients with exposure to high-risk factors (respiratory droplets and close contact), advanced age, and comorbidities were more likely to develop COVID-19 in the COFs. In addition, advanced age and elevated neutrophil/lymphocyte ratio (NLR) were risk factors for death in patients with SARS-CoV-2 infection in the COFs.
•In the study, we compared clinical characteristics of COVID-19 cases between cluster-onset families (COFs) and solitary-onset families (SOFs).•Patients with exposure to respiratory droplets and close contact, advanced age, and comorbidities were more likely to develop COVID-19 in COFs.•Advanced age and elevated neutrophil/lymphocyte ratio (NLR) were risk factors for death in patients with SARS-CoV-2 infection in COFs. An epidemic caused by SARS-Coronavirus-2 (SARS-CoV-2) infection has appeared in Wuhan City in December 2019. The disease has shown a "clustering epidemic" pattern, and family-clustered onset has been the main characteristic. We collected data about 130 cases from 35 cluster-onset families (COFs) and 41 cases from 16 solitary-onset families (SOFs). The incidence of 2019 coronavirus disease (COVID-19) in COFs was significantly higher than that of SOFs. Our study also showed that patients with exposure to high-risk factors (respiratory droplets and close contact), advanced age, and comorbidities were more likely to develop COVID-19 in the COFs. In addition, advanced age and elevated neutrophil/lymphocyte ratio (NLR) were risk factors for death in patients with SARS-CoV-2 infection in the COFs.
ArticleNumber 198043
Author Zeng, Dongyu
Li, Minran
Li, Jinzhong
Wang, Zhigang
Li, Taoyuan
Chen, Renzhou
Gong, Xiaobing
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  surname: Li
  fullname: Li, Jinzhong
  organization: Departments of Infectious Disease, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong 510630, PR China
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  givenname: Xiaobing
  surname: Gong
  fullname: Gong, Xiaobing
  organization: Departments of Infectious Disease, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong 510630, PR China
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  givenname: Zhigang
  surname: Wang
  fullname: Wang, Zhigang
  organization: Departments of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong 510630, PR China
– sequence: 4
  givenname: Renzhou
  surname: Chen
  fullname: Chen, Renzhou
  organization: Department of General Surgery, Hankou Hospital of Wuhan City, Wuhan 430312, Hubei Province, China
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  givenname: Taoyuan
  surname: Li
  fullname: Li, Taoyuan
  organization: Departments of Infectious Disease, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong 510630, PR China
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  fullname: Zeng, Dongyu
  organization: Departments of Infectious Disease, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong 510630, PR China
– sequence: 7
  givenname: Minran
  surname: Li
  fullname: Li, Minran
  email: muziran@126.com
  organization: Departments of Infectious Disease, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong 510630, PR China
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32502551$$D View this record in MEDLINE/PubMed
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Keywords Solitary-onset families
SARS-Coronavirus-2
Cluster-onset families
2019 Coronavirus disease
Language English
License Copyright © 2020. Published by Elsevier B.V.
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Snippet •In the study, we compared clinical characteristics of COVID-19 cases between cluster-onset families (COFs) and solitary-onset families (SOFs).•Patients with...
An epidemic caused by SARS-Coronavirus-2 (SARS-CoV-2) infection has appeared in Wuhan City in December 2019. The disease has shown a "clustering epidemic"...
• In the study, we compared clinical characteristics of COVID-19 cases between cluster-onset families (COFs) and solitary-onset families (SOFs). • Patients...
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StartPage 198043
SubjectTerms 2019 Coronavirus disease
Adult
Age Factors
Aged
Aged, 80 and over
Betacoronavirus - pathogenicity
Betacoronavirus - physiology
China
Cluster Analysis
Cluster-onset families
Comorbidity
Coronary Disease - diagnosis
Coronary Disease - mortality
Coronary Disease - physiopathology
Coronavirus Infections - diagnosis
Coronavirus Infections - mortality
Coronavirus Infections - physiopathology
Coronavirus Infections - transmission
COVID-19
Diabetes Mellitus - diagnosis
Diabetes Mellitus - mortality
Diabetes Mellitus - physiopathology
Female
Hospitalization
Humans
Hypertension - diagnosis
Hypertension - mortality
Hypertension - physiopathology
Leukocyte Count
Lymphocytes - pathology
Lymphocytes - virology
Male
Middle Aged
Neutrophils - pathology
Neutrophils - virology
Pandemics
Pneumonia, Viral - diagnosis
Pneumonia, Viral - mortality
Pneumonia, Viral - physiopathology
Pneumonia, Viral - transmission
Retrospective Studies
Risk Factors
SARS-Coronavirus-2
SARS-CoV-2
Severity of Illness Index
Solitary-onset families
Survival Analysis
Title Clinical features of familial clustering in patients infected with 2019 novel coronavirus in Wuhan, China
URI https://dx.doi.org/10.1016/j.virusres.2020.198043
https://www.ncbi.nlm.nih.gov/pubmed/32502551
https://search.proquest.com/docview/2410355149
https://pubmed.ncbi.nlm.nih.gov/PMC7265838
Volume 286
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