Local variations in the timing of RSV epidemics

Abstract Background Respiratory syncytial virus (RSV) is a primary cause of hospitalizations in children worldwide. The timing of seasonal RSV epidemics needs to be known in order to administer prophylaxis to high-risk infants at the appropriate time. Methods We used data from the Connecticut State...

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Main Authors: Douglas B. Noveroske, Joshua L. Warren, Virginia E. Pitzer, Daniel M. Weinberger
Format: Article
Language:English
Published: BMC 2016-11-01
Series:BMC Infectious Diseases
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12879-016-2004-2
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author Douglas B. Noveroske
Joshua L. Warren
Virginia E. Pitzer
Daniel M. Weinberger
author_facet Douglas B. Noveroske
Joshua L. Warren
Virginia E. Pitzer
Daniel M. Weinberger
author_sort Douglas B. Noveroske
collection DOAJ
description Abstract Background Respiratory syncytial virus (RSV) is a primary cause of hospitalizations in children worldwide. The timing of seasonal RSV epidemics needs to be known in order to administer prophylaxis to high-risk infants at the appropriate time. Methods We used data from the Connecticut State Inpatient Database to identify RSV hospitalizations based on ICD-9 diagnostic codes. Harmonic regression analyses were used to evaluate RSV epidemic timing at the county level and ZIP code levels. Linear regression was used to investigate associations between the socioeconomic status of a locality and RSV epidemic timing. Results 9,740 hospitalizations coded as RSV occurred among children less than 2 years old between July 1, 1997 and June 30, 2013. The earliest ZIP code had a seasonal RSV epidemic that peaked, on average, 4.64 weeks earlier than the latest ZIP code. Earlier epidemic timing was significantly associated with demographic characteristics (higher population density and larger fraction of the population that was black). Conclusions Seasonal RSV epidemics in Connecticut occurred earlier in areas that were more urban (higher population density and larger fraction of the population that was). These findings could be used to better time the administration of prophylaxis to high-risk infants.
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spelling doaj.art-f6f05eaca64d4b7f97281f04ff9317702022-12-22T00:22:21ZengBMCBMC Infectious Diseases1471-23342016-11-011611710.1186/s12879-016-2004-2Local variations in the timing of RSV epidemicsDouglas B. Noveroske0Joshua L. Warren1Virginia E. Pitzer2Daniel M. Weinberger3Department of Epidemiology of Microbial Diseases, Yale School of Public HealthDepartment of Biostatistics, Yale School of Public HealthDepartment of Epidemiology of Microbial Diseases, Yale School of Public HealthDepartment of Epidemiology of Microbial Diseases, Yale School of Public HealthAbstract Background Respiratory syncytial virus (RSV) is a primary cause of hospitalizations in children worldwide. The timing of seasonal RSV epidemics needs to be known in order to administer prophylaxis to high-risk infants at the appropriate time. Methods We used data from the Connecticut State Inpatient Database to identify RSV hospitalizations based on ICD-9 diagnostic codes. Harmonic regression analyses were used to evaluate RSV epidemic timing at the county level and ZIP code levels. Linear regression was used to investigate associations between the socioeconomic status of a locality and RSV epidemic timing. Results 9,740 hospitalizations coded as RSV occurred among children less than 2 years old between July 1, 1997 and June 30, 2013. The earliest ZIP code had a seasonal RSV epidemic that peaked, on average, 4.64 weeks earlier than the latest ZIP code. Earlier epidemic timing was significantly associated with demographic characteristics (higher population density and larger fraction of the population that was black). Conclusions Seasonal RSV epidemics in Connecticut occurred earlier in areas that were more urban (higher population density and larger fraction of the population that was). These findings could be used to better time the administration of prophylaxis to high-risk infants.http://link.springer.com/article/10.1186/s12879-016-2004-2RSVEpidemic timingProphylaxisHarmonic regression
spellingShingle Douglas B. Noveroske
Joshua L. Warren
Virginia E. Pitzer
Daniel M. Weinberger
Local variations in the timing of RSV epidemics
BMC Infectious Diseases
RSV
Epidemic timing
Prophylaxis
Harmonic regression
title Local variations in the timing of RSV epidemics
title_full Local variations in the timing of RSV epidemics
title_fullStr Local variations in the timing of RSV epidemics
title_full_unstemmed Local variations in the timing of RSV epidemics
title_short Local variations in the timing of RSV epidemics
title_sort local variations in the timing of rsv epidemics
topic RSV
Epidemic timing
Prophylaxis
Harmonic regression
url http://link.springer.com/article/10.1186/s12879-016-2004-2
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