小児気管支炎の地理的クラスター:コネチカット州におけるパンデミック前後のマッピング
Alexander H Hogan1,2, Aaron Adams3, Doug Brugge4
1Division of Hospital Medicine, Connecticut Children's, Hartford, Connecticut, USA.
Pediatric pulmonology
|December 29, 2025
まとめ
小児気管支炎の症例は、特に冬の間、コネチカット州の貧しい地域で地理的にクラスター化しています。これらのハイリスクゾーンでのターゲットを絞った公衆衛生介入と予防接種は、転帰と健康の公平性を向上させることができます。
科学分野:
- 小児感染症; 公衆衛生サーベイランス; 空間疫学
背景:
- 気管支炎は、幼い子供たちの一般的な呼吸器感染症です。; その地理的分布を理解することは、効果的な公衆衛生介入にとって重要です。; COVID-19パンデミックは、呼吸器系ウイルスの季節性と医療利用に影響を与えました。
主な方法:
- 2018年から2022年までの州全体の退院データを使用した後ろ向きコホート研究。; 郵便番号集計区域(ZCTA)の分析、2歳未満の子供を対象。; Moran's I、Getis-Ord Gi*、SaTScanを含む空間分析。
結論:
- パンデミック後、気管支炎の季節性が再出現しました。; 社会経済的に不利な地域での一貫した地理的クラスターは、格差を浮き彫りにしています。; 公平な結果を得るためには、これらの地域でのターゲットを絞ったリソース配分と予防接種の推進が推奨されます。
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