长期护理院与随后的SARS-CoV-2疫情之间的联系
Yiqing Xia1, Huiting Ma2, Kamil Malikov3
1Department of Epidemiology and Biostatistics, School of Population and Global Health, McGill University, Montréal, Québec, Canada.
BMC public health
|August 2, 2025
概括
长期护理院 (LTCH) 之间的员工流动增加显著增加了SARS-CoV-2爆发的风险. 设施基础设施和人员福利对于管理疫情规模至关重要,一旦病例被引入.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染病传播 传染病传播
背景情况:
- 在多个长期护理院 (LTCH) 雇佣的工人可以促进SARS-CoV-2的传播.
- 了解LTCH之间的连接对于控制这些设施的疫情至关重要.
研究的目的:
- 调查LTCH之间的连接和SARS-CoV-2疫情之间的关联.
- 确定影响LTCH疫情规模的因素.
主要方法:
- 追溯队列研究,利用大多伦多地区179个LTCH的综合监测和移动地理位置数据.
- 检查的结果包括居民SARS-CoV-2诊断,累积病例和第一次爆发的时间.
- 互联LTCH连接来自移动应用的位置数据.
主要成果:
- 经历爆发的LTCH的LTCH之间的连接率是没有爆发的LTCH的1.2倍.
- 每个额外的LTCH连接都会使疫情爆发的几率增加8% (aOR=1.08).
- 更高的连接性与早期的SARS-CoV-2首例病例相关,但不是疫情规模.
结论:
- 虽然员工凝聚力可能会降低进口风险,但设施层面的因素,如基础设施和员工福利,是管理疫情规模的关键.
- 结构性策略对于预防和管理LTCH未来的呼吸道病毒爆发至关重要.
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