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印度拉贾斯坦邦焦特布尔参与新冠疫情调查的一线医护人员的抗新冠病毒2型免疫球蛋白G状态。

Anti-SARS-CoV-2 IgG status among frontline health workers involved in COVID-19 survey at Jodhpur, Rajasthan, India.

作者信息

Jain Vidhi, Khan Salman, Ramankutty Neetha T, Vishwakarma Kirti, Goel Akhil D, Saurabh Suman, Bhardwaj Pankaj, Gupta Manoj K, Dara Sanjeeta, Kumar Ashok, Sharma Praveen, Nag Vijaya Lakshmi, Misra Sanjeev

机构信息

All India Institute of Medical Sciences, Jodhpur, Phase II, Basni, Jodhpur, Rajasthan, India.

College of Nursing, All India Institute of Medical Sciences, Jodhpur, Phase II, Basni, Jodhpur, Rajasthan, India.

出版信息

J Family Med Prim Care. 2022 Jan;11(1):118-122. doi: 10.4103/jfmpc.jfmpc_534_21. Epub 2022 Jan 31.

Abstract

BACKGROUND

Asymptomatic carriers are responsible for the consistent spread of coronavirus disease 2019 (COVID-19) in the community. The Government of India has deputed house-to-house survey teams to aid in identifying asymptomatic individuals and their susceptible contacts. We selected door-to-door survey teams of a COVID-19 red zone in western India and determined their infectioncontrol practices and anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) immunoglobin G (IgG) status.

MATERIALS AND METHODS

This single-day prospective cross-sectional study was conducted by the Department of Microbiology of a tertiary care hospital of Jodhpur, in collaboration with the Rajasthan State Health Services. Participants were asked to fill out a questionnaire regarding personal protective equipment (PPE) use after written informed consent. Venous blood samples were collected and Kavach enzyme-linked immunosorbent assay (ELISA) (J Mitra and Co.) was performed to determine anti-SARS-CoV-2 IgG status.

RESULTS

Out of the total 39 participants, IgG antibody was detected in four. Of them, three reported mild symptoms in the past. Out of two previously real-time polymerase chain reaction (RT-PCR) SARS-CoV-2-positive participants, only one had detectable IgG antibodies (Ab) in serum. Cloth mask was used by 24, N95 mask by 11, and surgical masks by four.

CONCLUSION

Anti-SARS-CoV-2 IgG Abs were detected among four members of house-to-house COVID-19 survey teams in Jodhpur. Most of the team members used cloth masks, whereas the Government of India guidelines has recommended triple-layered surgical masks as minimum essential PPE for healthcare workers in India. More such studies should be conducted to ascertain infection prevention and control practices among such vulnerable frontline workers in our country.

摘要

背景

无症状携带者是2019冠状病毒病(COVID-19)在社区持续传播的原因。印度政府已派遣挨家挨户的调查小组,以协助识别无症状个体及其易感接触者。我们选择了印度西部一个COVID-19红色区域的挨家挨户调查小组,并确定了他们的感染控制措施和抗严重急性呼吸综合征冠状病毒2(SARS-CoV-2)免疫球蛋白G(IgG)状态。

材料与方法

这项单日前瞻性横断面研究由焦特布尔一家三级护理医院的微生物学系与拉贾斯坦邦卫生服务部门合作进行。在获得书面知情同意后,要求参与者填写一份关于个人防护装备(PPE)使用情况的问卷。采集静脉血样本,并进行Kavach酶联免疫吸附测定(ELISA)(J Mitra and Co.)以确定抗SARS-CoV-2 IgG状态。

结果

在总共39名参与者中,有4人检测到IgG抗体。其中,3人报告过去有轻微症状。在两名先前实时聚合酶链反应(RT-PCR)检测SARS-CoV-2呈阳性的参与者中,只有一人血清中可检测到IgG抗体(Ab)。24人使用布口罩,11人使用N95口罩,4人使用外科口罩。

结论

在焦特布尔挨家挨户进行COVID-19调查的小组中有4名成员检测到抗SARS-CoV-2 IgG抗体。大多数小组成员使用布口罩,而印度政府的指导方针建议三层外科口罩是印度医护人员最低限度必需的个人防护装备。应该进行更多这样的研究,以确定我国这类易受感染的一线工作人员的感染预防和控制措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e472/8930169/c25d68708951/JFMPC-11-118-g001.jpg

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