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Background: The Coronavirus Disease 2019 (COVID-19) pandemic, caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), evolved rapidly in the United States. This report describes the demographic, clinical, and epidemiologic characteristics of 544 U.S. persons under investigation (PUI) for COVID-19 with complete SARS-CoV-2 testing in the beginning stages of the pandemic from January 17 through February 29, 2020.

Methods: In this surveillance cohort, the U.S. Centers for Disease Control and Prevention (CDC) provided consultation to public health and healthcare professionals to identify PUI for SARS-CoV-2 testing by quantitative real-time reverse-transcription PCR. Demographic, clinical, and epidemiologic characteristics of PUI were reported by public health and healthcare professionals during consultation with on-call CDC clinicians and subsequent submission of a CDC PUI Report Form. Characteristics of laboratory-negative and laboratory-positive persons were summarized as proportions for the period of January 17-February 29, and characteristics of all PUI were compared before and after February 12 using prevalence ratios.

Results: A total of 36 PUI tested positive for SARS-CoV-2 and were classified as confirmed cases. Confirmed cases and PUI testing negative for SARS-CoV-2 had similar demographic, clinical, and epidemiologic characteristics. Consistent with changes in PUI evaluation criteria, 88% (13/15) of confirmed cases detected before February 12, 2020, reported travel from China. After February 12, 57% (12/21) of confirmed cases reported no known travel- or contact-related exposures.

Conclusions: These findings can inform preparedness for future pandemics, including capacity for rapid expansion of novel diagnostic tests to accommodate broad surveillance strategies to assess community transmission, including potential contributions from asymptomatic and presymptomatic infections.

Competing Interests: The authors have declared that no competing interests exist.

Titel:	Demographic, clinical, and epidemiologic characteristics of persons under investigation for Coronavirus Disease 2019-United States, January 17-February 29, 2020.
Autor/in / Beteiligte Person:	McGovern, OL ; Stenger, M ; Oliver, SE ; Anderson, TC ; Isenhour, C ; Mauldin, MR ; Williams, N ; Griggs, E ; Bogere, T ; Edens, C ; Curns, AT ; Lively, JY ; Zhou, Y ; Xu, S ; Diaz, MH ; Waller, JL ; Clarke, KR ; Evans, ME ; Hesse, EM ; Morris, SB ; McClung, RP ; Cooley, LA ; Logan, N ; Boyd, AT ; Taylor, AW ; Bajema, KL ; Lindstrom, S ; Elkins, CA ; Jones, C ; Hall, AJ ; Graitcer, S ; Oster, AM ; Fry, AM ; Fischer, M ; Conklin, L ; Gokhale, RH
Link:	Full Text Finder (Volltext)
Zeitschrift:	PloS one, Jg. 16 (2021-04-15), Heft 4, S. e0249901
Veröffentlichung:	San Francisco, CA : Public Library of Science, 2021
Medientyp:	academicJournal
ISSN:	1932-6203 (electronic)
DOI:	10.1371/journal.pone.0249901
Schlagwort:	Adolescent Adult Aged Aged, 80 and over COVID-19 Nucleic Acid Testing Centers for Disease Control and Prevention, U.S. Child Child, Preschool Cohort Studies Epidemiological Monitoring Female Humans Male Middle Aged Public Health SARS-CoV-2 isolation & purification Travel Travel-Related Illness United States epidemiology Young Adult COVID-19 diagnosis COVID-19 epidemiology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [PLoS One] 2021 Apr 15; Vol. 16 (4), pp. e0249901. <i>Date of Electronic Publication: </i>2021 Apr 15 (<i>Print Publication: </i>2021). MeSH Terms: COVID-19 / diagnosis ; COVID-19 / epidemiology ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; COVID-19 Nucleic Acid Testing ; Centers for Disease Control and Prevention, U.S. ; Child ; Child, Preschool ; Cohort Studies ; Epidemiological Monitoring ; Female ; Humans ; Male ; Middle Aged ; Public Health ; SARS-CoV-2 / isolation & purification ; Travel ; Travel-Related Illness ; United States / epidemiology ; Young Adult References: MMWR Morb Mortal Wkly Rep. 2020 Feb 28;69(8):216-219. (PMID: 32106216) ; JAMA. 2020 Mar 17;323(11):1061-1069. (PMID: 32031570) ; MMWR Morb Mortal Wkly Rep. 2020 Apr 10;69(14):422-426. (PMID: 32271728) ; MMWR Morb Mortal Wkly Rep. 2020 May 08;69(18):551-556. (PMID: 32379733) ; MMWR Morb Mortal Wkly Rep. 2020 Apr 17;69(15):477-481. (PMID: 32298247) ; Lancet. 2020 Apr 4;395(10230):1137-1144. (PMID: 32178768) ; Emerg Infect Dis. 2020 Aug;26(8):. (PMID: 32396505) ; MMWR Morb Mortal Wkly Rep. 2020 Mar 06;69(9):245-246. (PMID: 32134909) ; MMWR Morb Mortal Wkly Rep. 2020 Apr 17;69(15):472-476. (PMID: 32298249) ; JAMA. 2020 Apr 7;323(13):1313-1314. (PMID: 32058570) ; MMWR Morb Mortal Wkly Rep. 2020 Mar 27;69(12):347-352. (PMID: 32214086) ; MMWR Morb Mortal Wkly Rep. 2020 Jun 05;69(22):680-684. (PMID: 32497028) ; MMWR Morb Mortal Wkly Rep. 2020 Feb 14;69(6):166-170. (PMID: 32053579) ; Allergy. 2020 Jul;75(7):1730-1741. (PMID: 32077115) ; Lancet Public Health. 2020 Sep;5(9):e475-e483. (PMID: 32745512) Entry Date(s): Date Created: 20210415 Date Completed: 20210429 Latest Revision: 20210429 Update Code: 20231215 PubMed Central ID: PMC8049245

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Demographic, clinical, and epidemiologic characteristics of persons under investigation for Coronavirus Disease 2019-United States, January 17-February 29, 2020.