Effectiveness of workplace social distancing measures in reducing influenza transmission: a systematic review.

Effectiveness of workplace social distancing measures in reducing influenza transmission: a systematic review.
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DOI:
10.1186/s12889-018-5446-1
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发表时间:
2018-04-18
期刊:
影响因子:
4.5
通讯作者:
Uzicanin A
Uzicanin A
中科院分区:
医学2区
文献类型:
--
作者:
Ahmed F;Zviedrite N;Uzicanin A

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保持社交距离是流感大流行期间可能建议的社区缓解措施之一。社交距离可以通过增加物理距离或减少在学校或工作场所等社交密集社区环境中聚集的频率来减少病毒传播。我们进行了一项系统性审查,以评估非医疗工作场所的社交距离减少或减缓流感传播的证据。使用MEDLINE、Embase、Scopus、科克伦图书馆、PsycINFO、CINAHL、NIOSHTIC-2和EconLit进行电子检索,以识别2000年1月1日至2017年5月3日期间以英文发表的研究。数据提取由两名评审员独立完成。进行叙述性综合。15项研究(代表12项建模研究和3项流行病学研究)符合资格标准。流行病学研究表明,保持社交距离与流感样疾病和2009年甲型H1N1流感血清转化率的降低有关。然而,流行病学研究中偏倚的总体风险是严重的。模型研究估计,仅工作场所社交距离措施就可使普通人群的累计流感发作率降低23%。它还推迟和降低了流感发病率的高峰。当工作场所社交距离与其他非药物或药物干预措施相结合时,累积攻击率的降低更为明显。然而,据估计,随着基本再生产数值的增加、工作场所社交距离的延迟触发或依从性的降低,有效性会下降。建模研究支持非医疗工作场所的社会距离,但缺乏精心设计的流行病学研究。PROSPERO注册号CRD 42017065310。本文的在线版本(10.1186/s12889-018-5446-1)包含补充材料,可供授权用户使用。
Social distancing is one of the community mitigation measures that may be recommended during influenza pandemics. Social distancing can reduce virus transmission by increasing physical distance or reducing frequency of congregation in socially dense community settings, such as schools or workplaces. We conducted a systematic review to assess the evidence that social distancing in non-healthcare workplaces reduces or slows influenza transmission. Electronic searches were conducted using MEDLINE, Embase, Scopus, Cochrane Library, PsycINFO, CINAHL, NIOSHTIC-2, and EconLit to identify studies published in English from January 1, 2000, through May 3, 2017. Data extraction was done by two reviewers independently. A narrative synthesis was performed. Fifteen studies, representing 12 modeling and three epidemiological, met the eligibility criteria. The epidemiological studies showed that social distancing was associated with a reduction in influenza-like illness and seroconversion to 2009 influenza A (H1N1). However, the overall risk of bias in the epidemiological studies was serious. The modeling studies estimated that workplace social distancing measures alone produced a median reduction of 23% in the cumulative influenza attack rate in the general population. It also delayed and reduced the peak influenza attack rate. The reduction in the cumulative attack rate was more pronounced when workplace social distancing was combined with other nonpharmaceutical or pharmaceutical interventions. However, the effectiveness was estimated to decline with higher basic reproduction number values, delayed triggering of workplace social distancing, or lower compliance. Modeling studies support social distancing in non-healthcare workplaces, but there is a paucity of well-designed epidemiological studies. PROSPERO registration # CRD42017065310. The online version of this article (10.1186/s12889-018-5446-1) contains supplementary material, which is available to authorized users.
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