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德国直接接触 COVID-19 患者的医护人员中 SARS-CoV-2 特异性抗体的检测。

SARS-CoV-2-specific antibody detection in healthcare workers in Germany with direct contact to COVID-19 patients.

机构信息

Department of Nephrology, University Hospital Essen, University of Duisburg-Essen, Hufelandstr. 55, 45147 Essen, Germany.

Department of Nephrology, University Hospital Essen, University of Duisburg-Essen, Hufelandstr. 55, 45147 Essen, Germany.

出版信息

J Clin Virol. 2020 Jul;128:104437. doi: 10.1016/j.jcv.2020.104437. Epub 2020 May 13.

Abstract

BACKGROUND

The novel coronavirus SARS-CoV-2 is associated with a severe respiratory manifestation, COVID-19, and presents a challenge for healthcare systems worldwide. Healthcare workers are a vulnerable cohort for SARS-CoV-2 infection due to frequent and close contact to patients with COVID-19.

STUDY DESIGN

Serum samples from 316 healthcare workers of the University Hospital Essen, Germany were tested for SARS-CoV-2-IgG antibodies. A questionnaire was used to collect demographic and clinical data. Healthcare workers were grouped depending on the frequency of contact to COVID-19 patients in high-risk-group (n = 244) with daily contact to known or suspected SARS-CoV-2 positive patients, intermediated-risk-group (n = 37) with daily contact to patients without known or suspected SARS-CoV-2 infection at admission and low-risk-group (n = 35) without patient contact.

RESULTS

In 5 of 316 (1.6 %) healthcare workers SARS-CoV-2-IgG antibodies could be detected. The seroprevalence was higher in the intermediate-risk-group vs. high-risk-group (2/37 (5.4 %) vs. 3/244 (1.2 %), p = 0.13). Four of the five subject were tested negative for SARS-CoV-2 via PCR. One (20 %) subject was not tested via PCR since he was asymptomatic.

CONCLUSION

The overall seroprevalence of SARS-CoV-2 in healthcare workers of a tertiary hospital in Germany is low (1.6 %). The data indicate that the local hygiene standard might be effective.

摘要

背景

新型冠状病毒 SARS-CoV-2 与严重的呼吸道疾病 COVID-19 有关,对全球的医疗保健系统构成挑战。医护人员因频繁且密切接触 COVID-19 患者,是感染 SARS-CoV-2 的脆弱人群。

研究设计

对德国埃森大学医院的 316 名医护人员的血清样本进行了 SARS-CoV-2-IgG 抗体检测。使用问卷收集了人口统计学和临床数据。医护人员根据与 COVID-19 患者接触的频率分为高风险组(n=244),每日接触已知或疑似 SARS-CoV-2 阳性患者;中风险组(n=37),每日接触入院时无已知或疑似 SARS-CoV-2 感染的患者;低风险组(n=35),无患者接触。

结果

在 316 名医护人员中,有 5 名(1.6%)检测到 SARS-CoV-2-IgG 抗体。中风险组的血清阳性率高于高风险组(2/37(5.4%)比 3/244(1.2%),p=0.13)。五名受试者中的四名通过 PCR 检测 SARS-CoV-2 呈阴性。由于无症状,其中一名(20%)受试者未进行 PCR 检测。

结论

德国一家三级医院医护人员的 SARS-CoV-2 总体血清阳性率较低(1.6%)。数据表明,当地的卫生标准可能有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a6d/7219425/08a10715f28b/gr1_lrg.jpg

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