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医护人员中 SARS-CoV-2 抗体的血清流行率:10 个哥伦比亚城市的多中心横断面研究。

Seroprevalence of the SARS-CoV-2 antibody in healthcare workers: a multicentre cross-sectional study in 10 Colombian cities.

机构信息

Doctorado en Salud Pública, El Bosque University Faculty of Medicine, Bogota, Colombia

Grupo de investigación en Salud Ambiental y Laboral, Instituto Nacional de Salud, Bogotá, Colombia.

出版信息

Occup Environ Med. 2022 Jun;79(6):388-395. doi: 10.1136/oemed-2021-107487. Epub 2021 Nov 5.

Abstract

BACKGROUND

Healthcare workers are at increased risk of infection due to occupational exposure to SARS-CoV-2-infected patients. The objective of this study was to determine the seroprevalence of SARS-CoV-2 in healthcare workers in Colombia.

METHODS

This study is a cross-sectional study focused on estimating the seroprevalence of SARS-CoV-2 antibodies in healthcare workers from 65 hospitals in 10 cities in Colombia during the second semester of 2020. The seroprevalence was determined using an automated immunoassay (Abbott SARS-CoV-2 CLIA IgG). The study included a survey to establish the sociodemographic variables and the risk of infection. A multivariate model was used to evaluate the association between the results of seroprevalence and risk factors.

RESULTS

The global seroprevalence of antibodies against SARS-CoV-2 was 35% (95% Bayesian CI 33% to 37%). All the personnel reported the use of protective equipment. General services personnel and nurses presented the highest ratios of seroprevalence among the healthcare workers. Low socioeconomic strata have shown a strong association with seropositivity.

CONCLUSION

This study estimates the prevalence of SARS-CoV-2 infection among healthcare workers. Even though all the personnel reported the use of protective equipment, the seroprevalence in the general services personnel and nurses was high. Also, a significant difference by cities was observed.

摘要

背景

由于职业暴露于 SARS-CoV-2 感染患者,医护人员感染的风险增加。本研究的目的是确定哥伦比亚医护人员中 SARS-CoV-2 的血清流行率。

方法

本研究是一项横断面研究,旨在评估 2020 年下半年哥伦比亚 10 个城市 65 家医院的医护人员中 SARS-CoV-2 抗体的血清流行率。使用自动化免疫分析(雅培 SARS-CoV-2 CLIA IgG)确定血清流行率。研究包括一项调查,以确定社会人口统计学变量和感染风险。使用多变量模型评估血清流行率结果与危险因素之间的关联。

结果

SARS-CoV-2 抗体的全球血清流行率为 35%(95%贝叶斯可信区间为 33%至 37%)。所有人员均报告使用防护设备。总务人员和护士的医护人员血清流行率最高。低社会经济阶层与血清阳性率有很强的关联。

结论

本研究估计了医护人员中 SARS-CoV-2 感染的流行率。尽管所有人员均报告使用防护设备,但总务人员和护士的血清流行率较高。此外,还观察到城市之间存在显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe4/9120387/82ba674ab158/oemed-2021-107487f01.jpg

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