论文标题

中国武汉医护人员中SARS-COV-2感染的时空特征和因子分析

Spatiotemporal Characteristics and Factor Analysis of SARS-CoV-2 Infections among Healthcare Workers in Wuhan, China

论文作者

Wang, Peixiao, Ren, Hui, Zhu, Xinyan, Fu, Xiaokang, Liu, Hongqiang, Hu, Tao

论文摘要

研究医护人员(HCW)中SARS-COV-2感染的时空分布可以帮助保护他们免于暴露。与HCW感染有关的现有研究强调了感染率和保护措施。但是,HCW感染的时空模式和相关的外部环境因素尚不清楚。为了填补这一空白,提供了HCW诊断的开源数据集,并探索了中国HCWS中SARS-COV-2感染的时空分布。然后,使用地理探测器技术研究医院水平,类型,与感染源的距离以及HCW感染的其他外部指标的影响。结果表明,武汉随着时间的流逝每日HCW感染的数量遵循对数正态分布的分布,其平均值于2020年1月23日观察到,标准偏差为10.8天。高影响力措施的实施,例如城市的封锁,可能会增加HCW感染的可能性,尤其是对于武汉外环中的HCW。 HCWS Wuhan的感染表现出明显的空间异质性。中心城市的HCW感染数量较高,外部城市较低。此外,HCW感染显示出明显的空间自相关和依赖性。因素分析表明,医院水平和类型对HCW感染的影响更大。接近感染来源的三等医院和一般医院与感染的风险特别高。这些发现可以帮助全国流行病和控制部门了解导致HCW感染的病毒传播的时空分布以及外部影响因素,这可以促进中国HCW的保护。

Studying the spatiotemporal distribution of SARS-CoV-2 infections among healthcare workers (HCWs) can aid in protecting them from exposure. Existing studies related to HCW infections have emphasized infection rates and protective measures. However, the spatiotemporal patterns and related external environmental factors of HCW infections remain unclear. To fill this gap, an open-source dataset of HCW diagnoses was provided, and the spatiotemporal distributions of SARS-CoV-2 infections among HCWs in Wuhan, China were explored. A geographical detector technique was then used to investigate the impacts of hospital level, type, distance from the infection source, and other external indicators of HCW infections. The results showed that the number of daily HCW infections over time in Wuhan followed a log-normal distribution, with and its mean observed on January 23, 2020 and a standard deviation of 10.8 days. The implementation of high-impact measures, such as the lockdown of the city, may have increased the probability of HCW infections in the short term, especially for HCWs in the outer ring of Wuhan. The infection of HCWs Wuhan exhibited clear spatial heterogeneity. The number of HCW infections was higher in the central city and lower in the outer city. Moreover, HCW infections displayed significant spatial autocorrelation and dependence. Factors analyses revealed that hospital level and type had an even greater impact on HCW infections; third-class and general hospitals closer to infection sources were correlated with especially high risks of infection. These findings can aid national epidemic prevention and control departments to understand the spatiotemporal distributions of viral transmission resulting in HCW infections, as well as external influencing factors, which can facilitate the protection of HCWs in China.

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