Medical University of Lodz, Łódź, Poland (Department of Infectious Diseases and Hepatology).
Int J Occup Med Environ Health. 2023 Nov 27;36(5):643-655. doi: 10.13075/ijomeh.1896.02162. Epub 2023 Sep 27.
The assessment of the prevalence of anti-SARS-CoV-2 antibodies in various professional groups is very important. Hence, the purpose of the following study was to analyze the seroprevalence of anti-SARS-CoV-2 antibodies among employees performing both medical and nonmedical professions before the launch of SARS-CoV-2 vaccination.
The study was conducted among employers of 1 of the institutions: The Provincial Specialist Hospital of Władysław Biegański in Łódź, Poland, Radio Łódź and the Border Guards of Łódź Airport. Blood samples were collected in December 2020-February 2021. Patients were screened for the presence of SARS-CoV-2 antibodies. Simultaneously respondents were asked to complete a self-designed questionnaire including demographic data, detailed profession, history of SARS-CoV-2 infection and willingness to be vaccinated against COVID-19.
Seroprevalence was significantly higher in the group of rural residents (p < 0.012), participants who declared previous COVID-19 infection (p < 0.001) and healthcare workers (HCWs) (p = 0.002), especially nurses (35.5%, p = 0.003) and medics worked in areas dedicated to COVID-19 than in other specialties (38.7% vs. 26.8%, respectively, p = 0.017). There was no association between the presence of antibodies and the gender (p = 0.118), age (p = 0.559) or BMI (p = 0.998).
Healthcare workers, in particular nurses, are at high risk of contracting COVID-19 in the workplace. Occupational infections can occur during occur not only during contact with the patient, but also with members of the medical team who do not show typical symptoms of the disease. Shortages in medical staff may also increase the number of infections among HCWs. Medical and hospital staff providing health services during the COVID-19 epidemic in Poland, may seek compensation in the event of consequences related to SARS-CoV-2 infection. The effectiveness of education and self-discipline in complying to safety rules among HCWs should also be constantly monitored. Int J Occup Med Environ Health. 2023;36(5):643-55.
评估不同职业人群中抗 SARS-CoV-2 抗体的流行率非常重要。因此,本研究的目的是分析在启动 SARS-CoV-2 疫苗接种之前,从事医疗和非医疗职业的员工中抗 SARS-CoV-2 抗体的血清流行率。
该研究在波兰罗兹省专家医院、罗兹广播电台和罗兹机场边防部队的 1 家机构的雇主中进行。2020 年 12 月至 2021 年 2 月采集血样。对患者进行 SARS-CoV-2 抗体筛查。同时,要求受访者填写一份自行设计的问卷,包括人口统计学数据、详细职业、SARS-CoV-2 感染史和接种 COVID-19 疫苗的意愿。
农村居民(p<0.012)、报告有 COVID-19 既往感染史的参与者(p<0.001)和医务人员(HCWs)(p=0.002)的血清阳性率显著更高,尤其是护士(35.5%,p=0.003)和在专门针对 COVID-19 的区域工作的医护人员(38.7% vs. 26.8%,p=0.017)。抗体阳性与性别(p=0.118)、年龄(p=0.559)或 BMI(p=0.998)无关。
HCWs,特别是护士,在工作场所感染 COVID-19 的风险较高。职业感染不仅发生在与患者接触时,还发生在不表现出疾病典型症状的医疗团队成员之间。医务人员短缺也可能增加 HCWs 的感染人数。在波兰 COVID-19 疫情期间提供医疗服务的医疗和医院工作人员,可能会在与 SARS-CoV-2 感染相关的后果中寻求赔偿。还应不断监测 HCWs 遵守安全规则的教育和自律效果。国际职业医学与环境卫生杂志。2023;36(5):643-55。