Department of Pharmacy Practice, Chapman University School of Pharmacy, Irvine, CA, USA.
Department of Pharmacy, Hoag Memorial Hospital Presbyterian, Newport Beach, CA, USA.
J Racial Ethn Health Disparities. 2021 Dec;8(6):1551-1555. doi: 10.1007/s40615-020-00918-0. Epub 2020 Nov 23.
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.
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。
J Racial Ethn Health Disparities. 2021-12
JAMA Netw Open. 2021-11-1
Int J Qual Methods. 2024
Open Forum Infect Dis. 2023-5-23
Open Forum Infect Dis. 2021-7-27
J Public Health (Oxf). 2021-6-7
J Public Health (Oxf). 2020-8-18
J Public Health (Oxf). 2020-8-18
J Clin Microbiol. 2020-7-23
MMWR Morb Mortal Wkly Rep. 2020-5-8
Lancet Public Health. 2020-5
Lancet Infect Dis. 2020-5