Risks, Epidemics, and Prevention Measures of Infectious Diseases in Major Sports Events: Scoping Review.

Risks, Epidemics, and Prevention Measures of Infectious Diseases in Major Sports Events: Scoping Review.
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DOI:
10.2196/40042
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发表时间:
2022-12-02
影响因子:
8.5
通讯作者:
Zhang, Bo
Zhang, Bo
中科院分区:
医学3区
文献类型:
--
作者:
Yan, Xiangyu;Fang, Yian;Li, Yongjie;Jia, Zhongwei;Zhang, Bo

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重大体育赛事是世界关注的焦点。然而,这些活动期间人群聚集造成了传染病传播的巨大风险,构成了重大的公共卫生威胁。目的:系统综述重大体育赛事中传染病的流行病学特征及预防措施。本次范围界定审查的程序遵循Arksey和O 'Malley的五步方法框架。系统检索了PubMed、Web of Science、Scopus和Embase等电子数据库。对每项研究的一般信息(即发表年份、研究类型)、体育赛事特征(即日期和举办地点)、传染病流行病学特征(即流行病学、危险因素)、预防措施和监测范式进行提取、分类和总结。从数据库中共检索到24,460篇文章,根据选择标准,358项研究被纳入最终数据合成中。近年来,研究迅速增长。调查流行病和体育赛事风险因素的研究数量从2000年前的16/254(6.3%)增加到2010年后的201/254(79.1%)。2010年以后发表的论文中,以传染病预防措施为主的研究占85.0%(238/280)。已报告了多种传染病,包括呼吸道感染、胃肠道感染、媒介传播感染、血液传播感染和水接触感染。其中呼吸道感染是最受关注的疾病(250/358,69.8%)。除了针对不同疾病的危险因素采取一些常规预防措施外,文献中强调加强监测。监控系统似乎经历了三个发展阶段,包括手动存档,基于网络的系统和自动化智能平台。对以往经验证据的批判性总结和整理,对举办大型体育赛事具有一定的借鉴意义。必须改进监测技术,以便及时发现流行病的出现,并在今后的实践中提高对风险的认识。
Major sports events are the focus of the world. However, the gathering of crowds during these events creates huge risks of infectious diseases transmission, posing a significant public health threat. The aim of this study was to systematically review the epidemiological characteristics and prevention measures of infectious diseases at major sports events. The procedure of this scoping review followed Arksey and O’Malley’s five-step methodological framework. Electronic databases, including PubMed, Web of Science, Scopus, and Embase, were searched systematically. The general information (ie, publication year, study type) of each study, sports events’ features (ie, date and host location), infectious diseases’ epidemiological characteristics (ie, epidemics, risk factors), prevention measures, and surveillance paradigm were extracted, categorized, and summarized. A total of 24,460 articles were retrieved from the databases and 358 studies were included in the final data synthesis based on selection criteria. A rapid growth of studies was found over recent years. The number of studies investigating epidemics and risk factors for sports events increased from 16/254 (6.3%) before 2000 to 201/254 (79.1%) after 2010. Studies focusing on prevention measures of infectious diseases accounted for 85.0% (238/280) of the articles published after 2010. A variety of infectious diseases have been reported, including respiratory tract infection, gastrointestinal infection, vector-borne infection, blood-borne infection, and water-contact infection. Among them, respiratory tract infections were the most concerning diseases (250/358, 69.8%). Besides some routine prevention measures targeted at risk factors of different diseases, strengthening surveillance was highlighted in the literature. The surveillance system appeared to have gone through three stages of development, including manual archiving, network-based systems, and automated intelligent platforms. This critical summary and collation of previous empirical evidence is meaningful to provide references for holding major sports events. It is essential to improve the surveillance techniques for timely detection of the emergence of epidemics and to improve risk perception in future practice.
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