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严重急性呼吸综合征冠状病毒2型免疫球蛋白G抗体:医护人员中的血清流行率

SARS-CoV2 IgG antibody: Seroprevalence among health care workers.

作者信息

Prakash Om, Solanki Bhavin, Sheth Jay, Makwana Govind, Kadam Mina, Vyas Sheetal, Shukla Aparajita, Pethani Jayshri, Tiwari Hemant

机构信息

Deputy Municipal Commissioner, Ahmedabad Municipal Corporation, India.

Health Department, Ahmedabad Municipal Corporation, India.

出版信息

Clin Epidemiol Glob Health. 2021 Jul-Sep;11:100766. doi: 10.1016/j.cegh.2021.100766. Epub 2021 May 8.

Abstract

BACKGROUND

Health Care Workers (HCWs) are at higher risk for Covid19. Sero-surveillance among HCWs using IgG antibodies can add further value to the scientific findings.

OBJECTIVES

To estimate seropositivity among HCWs and to correlate it with various factors affecting seropositivity.

METHODS

Population based large scale sero-surveillance among HCWs was carried out during second half of August'20 in Ahmedabad using "Covid-Kavach" IgG Antibody Detection ELISA kits. Seropositivity among HCWs was estimated and compared with various demographic & other factors to understand their infection & immunity status. Proportions and Z-test were used as appropriate.

RESULTS

As on August'20, Seropositivity among HCWs from Ahmedabad is 23.65% (95% Confidence Interval 21.70-25.73%). Seropositivity of 25.98% (95%CI 23.47-28.66) among female HCWs is significantly higher than 19.48% (95%CI 16.53-22.80) among male HCWs. The zone wise positivity among HCWs closely correlate with cases reported from the respective zone. The sero-positivity among HCWs from the earliest and worst affected zones have lower level of seropositivity as compared to the zones affected recently. This might be pointing towards the fact that the IgG Antibodies may not be long lasting.

CONCLUSION

As on August 2020, the seropositivity of 23.65% in HCWs indicate high level of disease transmission and higher risk of infection among HCWs in Ahmedabad. The seropositivity is significantly higher among female HCWs. Zone wise seropositivity, closely correlate with the reported cases from the respective zone. Their comparison also indicates the possibility of reducing IgG seropositivity, which necessitates further in-depth scientific research to generate greater scientific evidences.

摘要

背景

医护人员感染新冠病毒19的风险更高。使用IgG抗体对医护人员进行血清学监测可为科学研究结果增添更多价值。

目的

评估医护人员中的血清阳性率,并将其与影响血清阳性率的各种因素相关联。

方法

2020年8月下旬在艾哈迈达巴德使用“新冠卫士”IgG抗体检测ELISA试剂盒,对医护人员进行基于人群的大规模血清学监测。评估医护人员中的血清阳性率,并与各种人口统计学及其他因素进行比较,以了解他们的感染和免疫状况。酌情使用比例和Z检验。

结果

截至2020年8月20日,艾哈迈达巴德医护人员的血清阳性率为23.65%(95%置信区间21.70-25.73%)。女性医护人员的血清阳性率为25.98%(95%CI 23.47-28.66),显著高于男性医护人员中的19.48%(95%CI 16.53-22.80)。医护人员按区域划分的阳性率与各区域报告的病例密切相关。与最近受影响的区域相比,最早和受影响最严重区域的医护人员血清阳性率较低。这可能表明IgG抗体可能不会持久。

结论

截至2020年8月,医护人员23.65%的血清阳性率表明艾哈迈达巴德医护人员中疾病传播水平较高且感染风险较高。女性医护人员的血清阳性率显著更高。按区域划分的血清阳性率与各区域报告的病例密切相关。它们的比较还表明降低IgG血清阳性率的可能性,这需要进一步深入的科学研究以产生更多科学证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7db/8105124/71c5e627a031/gr1_lrg.jpg

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