2019 年冠状病毒病在纽约市专科医院外科医生和麻醉师中的暴露情况：症状和 SARS-CoV-2 抗体状况的横断面研究。
Coronavirus Disease 2019 Exposure in Surgeons and Anesthesiologists at a New York City Specialty Hospital: A Cross-Sectional Study of Symptoms and SARS-CoV-2 Antibody Status.
机构信息
Department of Anesthesiology, Critical Care and Pain Management (Dr Soffin); Department of Orthopaedic Surgery, The Spine Care Institute (Dr Reisener, Dr Sama, Dr Salzmann, Dr Chiapparelli, Dr Okano, Dr Oezel, Dr Cammisa, Dr Girardi, Dr Hughes); Department of Orthopaedic Surgery, Hip and Knee Arthroplasty (Dr Padgett); Department of Orthopaedic Surgery, Sports Medicine (Dr Kelly); Department of Epidemiology, Biostatistics Core (Ms Zhu); Department of Medicine, Infectious Diseases (Dr Miller), Hospital for Special Surgery, New York, New York; Orthopaedic and Trauma Surgery, University Hospital Duesseldorf, Duesseldorf, Germany (Dr Oezel).
出版信息
J Occup Environ Med. 2021 Jun 1;63(6):521-527. doi: 10.1097/JOM.0000000000002182.
OBJECTIVE
We measured the seroprevalence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) immunoglobulin G (IgG) antibodies among surgeons and anesthesiologists and associated antibody status with coronavirus disease 2019 (COVID-19) clinical illness.
METHODS
A cross-sectional study of SARS-CoV-2 IgG seroprevalence with a survey assessing demographics, SARS-CoV-2 exposure risk, and COVID-19 illness. The primary outcome was the period prevalence of SARS-CoV-2 IgG antibodies associated with COVID-19 illness.
RESULTS
One hundred forty three surgeons and anesthesiologists completed both serology and survey testing. We found no significant relationships between antibody status and clinical role (anesthesiologist, surgeon), mode of commuting to work, other practice settings, or place of residence. SARS-CoV-2 IgG seroprevalence was 9.8%. Positive IgG status was highly correlated with presence of symptoms of COVID-19 illness.
CONCLUSIONS
These results suggest the relative safety of surgeons and anesthesiologists where personal protective equipment (PPE) is available and infection control protocols are implemented.
目的
我们测量了外科医生和麻醉师中严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）免疫球蛋白 G（IgG）抗体的血清阳性率，并将抗体状态与 2019 年冠状病毒病（COVID-19）临床疾病相关联。
方法
一项 SARS-CoV-2 IgG 血清阳性率的横断面研究，采用问卷调查评估人口统计学、SARS-CoV-2 暴露风险和 COVID-19 疾病。主要结局是与 COVID-19 疾病相关的 SARS-CoV-2 IgG 抗体的时期流行率。
结果
143 名外科医生和麻醉师完成了血清学和调查检测。我们没有发现抗体状态与临床角色（麻醉师、外科医生）、通勤方式、其他执业环境或居住地点之间存在显著关系。SARS-CoV-2 IgG 血清阳性率为 9.8%。阳性 IgG 状态与 COVID-19 疾病症状的存在高度相关。
结论
这些结果表明，在个人防护设备（PPE）可用且感染控制方案实施的情况下，外科医生和麻醉师相对安全。
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