Caballero Nohemí, Nieto María A, Suarez-Zamora David A, Moreno Sergio, Remolina Camila I, Durán Daniela, Vega Daniela, Rodríguez-Urrego Paula A, Gómez Claudia P, Rojas Diana P, Ramírez Andrea, Martínez Oscar, Baldión-Elorza Ana M, Hernández Luis J, Quintero Juliana
Division of Population Health, Fundación Santa Fe de Bogotá, Colombia.
School of Medicine, Universidad de los Andes, Colombia.
IJID Reg. 2022 Jun;3:150-156. doi: 10.1016/j.ijregi.2022.03.013. Epub 2022 Mar 23.
The aim of this study was to determine current and previous SARS-COV-2 infection, and describe risk factors associated with seropositivity, among HCWs and hospital staff between June and October of 2020.
Data from the day of enrollment for a prospective cohort study were analyzed to determine point prevalence and seroprevalence of SARS-CoV-2 infection in HCWs and hospital staff of a university hospital in Colombia. Respiratory samples were collected to perform RT-PCR tests, along with blood samples to measure SARS-CoV-2 IgM and IgG antibodies. Data on nosocomial and community risk factors for infection were also collected and analyzed.
420 HCWs and hospital staff members were included. The seroprevalence at baseline was 23.2%, of which 10.7% had only IgM antibodies, 0.7% had IgG, and 11.7% had IgM and IgG. The prevalence of acute SARS-CoV-2 infection was 1.9%. Being a nurse assistant was significantly associated with seropositivity when compared with all other job duties (PR 2.39, 95% CI 1.27-3.65, = 0.01).
Overall SARS-CoV-2 prevalence was 1.9% and seroprevalence was 23.15%. Nurse assistants, medical doctors or students, and laboratory workers had a higher possibility of being SARS-CoV-2 seropositive.
本研究旨在确定2020年6月至10月期间医护人员和医院工作人员当前及既往的SARS-CoV-2感染情况,并描述与血清阳性相关的危险因素。
对一项前瞻性队列研究入组当天的数据进行分析,以确定哥伦比亚一家大学医院医护人员和医院工作人员中SARS-CoV-2感染的点患病率和血清阳性率。采集呼吸道样本进行RT-PCR检测,同时采集血液样本检测SARS-CoV-2 IgM和IgG抗体。还收集并分析了医院感染和社区感染危险因素的数据。
纳入了420名医护人员和医院工作人员。基线时血清阳性率为23.2%,其中仅IgM抗体阳性者占10.7%,IgG抗体阳性者占0.7%,IgM和IgG抗体均阳性者占11.7%。急性SARS-CoV-2感染的患病率为1.9%。与所有其他工作职责相比,护士助理血清阳性与血清阳性显著相关(PR 2.39,95%CI 1.27 - 3.65,P = 0.01)。
总体SARS-CoV-2患病率为1.9%,血清阳性率为23.15%。护士助理、医生或医学生以及实验室工作人员SARS-CoV-2血清阳性的可能性更高。