Mayo Clinic, Jacksonville, FL.
Mayo Clinic, Rochester, MN.
Mayo Clin Proc. 2021 May;96(5):1165-1174. doi: 10.1016/j.mayocp.2021.03.015. Epub 2021 Mar 26.
To estimate the seroprevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodies in health care personnel.
The Mayo Clinic Serology Screening Program was created to provide a voluntary, two-stage testing program for SARS-CoV-2 antibodies to health care personnel. The first stage used a dried blood spot screening test initiated on June 15, 2020. Those participants identified as reactive were advised to have confirmatory testing via a venipuncture. Venipuncture results through August 8, 2020, were considered. Consent and authorization for testing was required to participate in the screening program. This report, which was conducted under an institutional review board-approved protocol, only includes employees who have further authorized their records for use in research.
A total of 81,113 health care personnel were eligible for the program, and of these 29,606 participated in the screening program. A total of 4284 (14.5%) of the dried blood spot test results were "reactive" and warranted confirmatory testing. Confirmatory testing was completed on 4094 (95.6%) of the screen reactive with an overall seroprevalence rate of 0.60% (95% CI, 0.52% to 0.69%). Significant variation in seroprevalence was observed by region of the country and age group.
The seroprevalence for SARS-CoV-2 antibodies through August 8, 2020, was found to be lower than previously reported in other health care organizations. There was an observation that seroprevalence may be associated with community disease burden.
估计卫生保健人员中严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)抗体的血清阳性率。
梅奥诊所血清学筛查计划旨在为卫生保健人员提供一项自愿的 SARS-CoV-2 抗体两阶段检测计划。第一阶段于 2020 年 6 月 15 日开始使用干血斑筛查试验。那些被确定为阳性的参与者被建议通过静脉穿刺进行确认性检测。截至 2020 年 8 月 8 日的静脉穿刺结果被认为是有效的。参与筛查计划需要同意并授权进行检测。本报告是在机构审查委员会批准的方案下进行的,仅包括进一步授权其记录用于研究的员工。
共有 81113 名卫生保健人员有资格参加该计划,其中 29606 人参加了筛查计划。共有 4284 份(14.5%)干血斑检测结果呈“阳性”,需要进行确认性检测。共有 4094 份(95.6%)经筛选呈阳性的血样完成了确认性检测,总体血清阳性率为 0.60%(95%CI,0.52%~0.69%)。按国家地区和年龄组划分,血清阳性率存在显著差异。
截至 2020 年 8 月 8 日,SARS-CoV-2 抗体的血清阳性率低于先前在其他医疗机构报告的水平。观察到血清阳性率可能与社区疾病负担有关。