Epidemiology of COVID-19 in Mexico: Symptomatic profiles and presymptomatic people

墨西哥 COVID-19 流行病学:症状特征和症状前人群

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作者:Miguel A Fernández-Rojas, Marco A Luna-Ruiz Esparza, Abraham Campos-Romero, Diana Y Calva-Espinosa, José L Moreno-Camacho, Ariadna P Langle-Martínez, Abraham García-Gil, Claudia J Solís-González, Adrián Canizalez-Román, Nidia León-Sicairos, Jonathan Alcántar-Fernández

Conclusion

The incidence of SARS-CoV-2 was high among outpatients with a significant proportion of presymptomatic carriers, and thus it is necessary to increase testing and continue SARS-CoV-2 surveillance with a better description of signs and symptoms; in this regard, we identified three symptomatic profiles that could help in the diagnosis of COVID-19.

Methods

From June to September, epidemiological, clinical, and demographic data of 482,413 individuals diagnosed by RT-PCR test for SARS-CoV-2 in Salud Digna clinics were collected.

Results

We observed a 41% incidence of SARS-CoV-2 infections with a mean age of 36 years and with young adults (20-40 years) being the most affected. Among occupations, delivery persons (OR 1.38) or informal traders (OR 1.33) had a higher risk of COVID-19. Moreover, 13% of SARS-CoV-2 infections were in presymptomatic patients. Finally, we identified three different symptomatic profiles (common, respiratory, and gastrointestinal) associated with COVID-19.

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