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加利福尼亚州北奥兰治县社区医院急诊科和门诊实验室新型冠状病毒 SARS-CoV-2 的血清流行率。

Seroprevalence of Novel Coronavirus SARS-CoV-2 at a Community Hospital Emergency Department and Outpatient Laboratory in Northern Orange County, California.

机构信息

Department of Pharmacy Practice, Chapman University School of Pharmacy, Irvine, CA, USA.

Department of Pharmacy, Hoag Memorial Hospital Presbyterian, Newport Beach, CA, USA.

出版信息

J Racial Ethn Health Disparities. 2021 Dec;8(6):1551-1555. doi: 10.1007/s40615-020-00918-0. Epub 2020 Nov 23.


DOI:10.1007/s40615-020-00918-0
PMID:33230735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7682954/
Abstract

INTRODUCTION: The severe acute respiratory syndrome related coronavirus 2 (SARS-CoV-2) has infected more than 20 million people worldwide, and the spread is most prevalent in the USA, where California had accounted over 240,000 cases in the initial 5 months of the pandemic. To estimate the number of infected persons in our community, we conducted a cross-sectional study to estimate seroprevalence of SARS-CoV-2 infection. METHODS: This cross-sectional study evaluated the presence of immunoglobulin G, antibody for SARS-CoV-2 during the time period of July 15, 2020, to July 27, 2020. Testing was done on serum samples from patients who had visited affiliated outpatient clinics or our emergency department. Additionally, we collected age, gender, ethnicity, race, and location of testing. RESULTS: Eight hundred sixty-five tests were included in the study. The outpatient clinics cohort accounted for 56% of results and emergency department (ED) contributed 44%. The positive percentage of SARS-CoV-2 test was 9.4% (95% CI: 0.08-0.12). The positivity rates of the outpatient (5.6%) and ED (14.2%) setting differed. The prevalence of SARS-CoV-2 IgG was greatest in those that identified as Hispanic/Latino, 18.1% versus 13.4% in other groups. Specifically compared to the non-Hispanic/Latino population, the prevalence was significantly higher, with a relative risk of 2.73 (95% CI: 1.8-4.1), p < 0.0001. CONCLUSION: The low antibody positivity rate in the community indicates the need for a vaccine. The Hispanic/Latino patient population should be considered for increased education on preventing transmission and acquisition of COVID-19 as well as being considered as a priority for vaccination once a vaccine is available.

摘要

引言:严重急性呼吸系统综合症相关冠状病毒 2(SARS-CoV-2)已在全球范围内感染了超过 2000 万人,其传播最为广泛的地区是美国,加利福尼亚州在大流行的最初 5 个月内就报告了超过 24 万例病例。为了估计我们社区内的感染人数,我们进行了一项横断面研究,以估计 SARS-CoV-2 感染的血清阳性率。

方法:本横断面研究评估了 2020 年 7 月 15 日至 2020 年 7 月 27 日期间血清样本中 SARS-CoV-2 感染的免疫球蛋白 G、抗体的存在情况。检测对象为曾就诊于附属门诊或我们急诊部的患者。此外,我们还收集了患者的年龄、性别、族裔、种族和检测地点等信息。

结果:本研究共纳入了 865 例检测结果。门诊患者队列占结果的 56%,急诊部(ED)占 44%。SARS-CoV-2 检测的阳性百分比为 9.4%(95%CI:0.08-0.12)。门诊(5.6%)和急诊(14.2%)检测结果的阳性率不同。确定为西班牙裔/拉丁裔患者的 SARS-CoV-2 IgG 阳性率最高,为 18.1%,而其他组为 13.4%。与非西班牙裔/拉丁裔人群相比,西班牙裔/拉丁裔人群的患病率明显更高,相对风险为 2.73(95%CI:1.8-4.1),p<0.0001。

结论:社区内抗体阳性率较低表明需要接种疫苗。西班牙裔/拉丁裔患者人群应加强有关预防 COVID-19 传播和感染的教育,一旦有疫苗,也应将其作为接种疫苗的优先人群。

相似文献

[1]
Seroprevalence of Novel Coronavirus SARS-CoV-2 at a Community Hospital Emergency Department and Outpatient Laboratory in Northern Orange County, California.

J Racial Ethn Health Disparities. 2021-12

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
[Seroprevalence of anti-SARS-CoV-2 IgG/IgM antibodies in Borgosesia (Piedmont Region, Northern Italy) population: a surveillance strategy in post-lockdown period?].

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[8]
Seroprevalence of SARS-CoV-2 Infection in Portugal in May-July 2020: Results of the First National Serological Survey (ISNCOVID-19).

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[9]
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[10]
SARS-CoV-2 antibody seroprevalence in the general population and high-risk occupational groups across 18 cities in Iran: a population-based cross-sectional study.

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引用本文的文献

[1]
Community Activation to TrAnsform Local sYSTems (CATALYST): A qualitative study protocol.

Int J Qual Methods. 2024

[2]
A Prospective Study of Key Correlates for Household Transmission of Severe Acute Respiratory Syndrome Coronavirus 2.

Open Forum Infect Dis. 2023-5-23

[3]
Orange County, California COVID-19 Vaccine Equity Best Practices Checklist: A Community-Centered Call to Action for Equitable Vaccination Practices.

Health Equity. 2022-1-17

[4]
SARS-CoV-2 Cumulative Incidence and Period Seroprevalence: Results From a Statewide Population-Based Serosurvey in California.

Open Forum Infect Dis. 2021-7-27

本文引用的文献

[1]
Neighborhood conditions and the initial outbreak of COVID-19: the case of Louisiana.

J Public Health (Oxf). 2021-6-7

[2]
Disparities in Incidence of COVID-19 Among Underrepresented Racial/Ethnic Groups in Counties Identified as Hotspots During June 5-18, 2020 - 22 States, February-June 2020.

MMWR Morb Mortal Wkly Rep. 2020-8-21

[3]
Racial disparities in knowledge, attitudes and practices related to COVID-19 in the USA.

J Public Health (Oxf). 2020-8-18

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J Public Health (Oxf). 2020-8-18

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J Clin Microbiol. 2020-7-23

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Lancet Infect Dis. 2020-5

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