State Key Laboratory of Information Engineering in Surveying, Mapping and Remote Sensing, Wuhan University, Wuhan, China.
State Key Laboratory of Information Engineering in Surveying, Mapping and Remote Sensing, Wuhan University, Wuhan, China; Collaborative Innovation Center of Geospatial Technology, Wuhan, China; Key Laboratory of Aerospace Information Security and Trusted Computing, Ministry of Education, Wuhan University, Wuhan, China.
J Hosp Infect. 2021 Apr;110:172-177. doi: 10.1016/j.jhin.2021.02.002. Epub 2021 Feb 6.
Studying the spatiotemporal distribution of SARS-CoV-2 infections among healthcare workers (HCWs) can aid in protecting them from exposure.
To describe the spatiotemporal distributions of SARS-CoV-2 infections among HCWs in Wuhan, China.
In this study, an open-source dataset of HCW diagnoses was provided. 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 number of daily HCW infections over time in Wuhan followed a log-normal distribution, with 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 those in the outer ring of Wuhan. The infection of HCWs in Wuhan exhibited clear spatial heterogeneity. The number of HCW infections was higher in the central city and lower in the outer city.
HCW infections displayed significant spatial autocorrelation and dependence. Factor analysis 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.
研究医护人员(HCWs)中 SARS-CoV-2 感染的时空分布情况,可以帮助保护他们免受感染。
描述中国武汉 HCWs 中 SARS-CoV-2 感染的时空分布情况。
本研究提供了一个 HCW 诊断的开源数据集。然后,使用地理探测器技术研究了医院级别、类型、距感染源的距离以及 HCW 感染的其他外部指标对感染的影响。
武汉 HCW 感染的每日数量随时间呈现对数正态分布,其平均值出现在 2020 年 1 月 23 日,标准差为 10.8 天。城市封锁等影响较大的措施的实施,可能会在短期内增加 HCW 感染的可能性,尤其是对武汉外环的 HCW 而言。武汉 HCW 的感染表现出明显的空间异质性。市中心的 HCW 感染人数较高,而市外的感染人数较低。
HCW 感染显示出显著的空间自相关和依赖性。因子分析表明,医院级别和类型对 HCW 感染的影响更大;靠近感染源的三级和综合医院与感染的高风险相关。