2022, Number 4
<< Back Next >>
salud publica mex 2022; 64 (4)
Prevalence of anti-SARS-CoV-2 antibodies and associated factors in healthcare workers of a Mexican Covid-19 hospital
Herrera-Ortiz A, Rojas-Delgado HU, García-Cisneros S, Xibille-Friedmann DX, Martínez-Barnetche J, Olamendi-Portugal M, González-Sánchez HM, Sánchez-Alemán MÁ
Language: English
References: 37
Page: 348-356
PDF size: 268.48 Kb.
ABSTRACT
Objective. To determine the prevalence of SARS-CoV-2
antibodies among healthcare workers (HCW) and to identify
factors associated with infection.
Materials and methods.
A cross-sectional study was conducted in a Covid-19
hospital in Morelos, Mexico. Antibodies against SARS-CoV-2
spike and nucleocapsid proteins were detected by ELISA. A
bivariate and multivariable Poisson regression model were
performed to identify factors associated with infection.
Results. Among all participants, 31% had anti-SARS-CoV-2
antibodies, while only 13.1% had reported a history of positive
RT-PCR. Individuals who reported cohabiting with someone
with Covid-19, and those who had a previous RT-PCR test,
were more likely to be seropositive. Laboratory personnel had
the lowest seroprevalence (12.0%), while social workers had
the highest (35.7%).
Conclusions. The results of this study
show the seroprevalence of SARS-CoV-2 antibodies among
HCW in a hospital in Mexico, and underline the importance
of serological tests for a better estimate of prevalence in
health systems where only symptomatic cases are recorded.
REFERENCES
Pal M, Berhanu G, Desalegn C, Kandi V. Severe acute respiratory syndromecoronavirus-2 (SARS-CoV-2): an update. Cureus. 2020;12(3):e7423.https://doi.org/10.7759/cureus.7423
He X, Lau EHY, Wu P, Deng X, Wang J, Hao X, et al. Temporal dynamicsin viral shedding and transmissibility of COVID-19. Nat Med.2020;26(5):672-5. https://doi.org/10.1038/s41591-020-0869-5
Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factorsfor mortality of adult inpatients with COVID-19 in Wuhan, China: aretrospective cohort study. Lancet. 2020;395(10229):1054-62. https://doi.org/10.1016/S0140-6736(20)30566-3
Hellewell J, Abbott S, Gimma A, Bosse NI, Jarvis CI, Russell TW, et al.Feasibility of controlling COVID-19 outbreaks by isolation of cases andcontacts. Lancet Glob Health. 2020;8(4):e488-96. https://doi.org/10.1016/S2214-109X(20)30074-7
Li W, Su YY, Zhi SS, Huang J, Zhuang CL, Bai WZ, et al. Virus sheddingdynamics in asymptomatic and mildly symptomatic patients infected withSARS-CoV-2. Clin Microbiol Infect. 2020;26(11):1556.e1-6. https://doi.org/10.1016/j.cmi.2020.07.008
Alserehi HA, Alqunaibet AM, Al-Tawfiq JA, Alharbi NK, Alshukairi AN,Alanazi KH, et al. Seroprevalence of SARS-CoV-2 (COVID-19) amonghealthcare workers in Saudi Arabia: comparing case and control hospitals.Diagn Microbiol Infect Dis. 2021;99(3):115273. https://doi.org/10.1016/j.diagmicrobio.2020.115273
Piccoli L, Ferrari P, Piumatti G, Jovic S, Rodriguez BF, Mele F, et al. Riskassessment and seroprevalence of SARS-CoV-2 infection in healthcareworkers of COVID-19 and non-COVID-19 hospitals in Southern Switzerland.Lancet Reg Health Eur. 2021;1:100013. https://doi.org/10.1016/j.lanepe.2020.100013
ONU México. Uno de cada siete infectados de coronavirus es un trabajadormédico. México: Noticias ONU, 2020 [cited 2021 May 30]. Availablefrom: https://coronavirus.onu.org.mx/uno-de-cada-siete-infectados-decoronavirus-es-un-trabajador-medico
Gomez-Ochoa SA, Franco OH, Rojas LZ, Raguindin PF, Roa-Diaz ZM,Wyssmann BM, et al. COVID-19 in healthcare workers: a living systematicreview and meta-analysis of prevalence, risk factors, clinical characteristics,and outcomes. Am J Epidemiol. 2021;190(1):161-75. https://doi.org/10.1093/aje/kwaa191
Nakamura A, Sato R, Ando S, Oana N, Nozaki E, Endo H, et al. Orthogonalantibody testing for COVID-19 among healthcare workers in anon-epidemic place and time: Japan’s Iwate Prefecture, May 18-31, 2020.Fukushima J Med Sci. 2021;67(1):27-32. https://doi.org/10.5387/fms.2020-21
Grant JJ, Wilmore SMS, McCann NS, Donnelly O, Lai RWL, Kinsella MJ,et al. Seroprevalence of SARS-CoV-2 antibodies in healthcare workers ata London NHS Trust. Infect Control Hosp Epidemiol. 2021;42(2):212-4.https://doi.org/10.1017/ice.2020.402
Leeds C. COVID 19: Health care workers, risks, protection and transmission.Lancet Reg Health Eur. 2021;1:100022. https://doi.org/10.1016/j.lanepe.2020.100022
Kalimuddin S, Tham CYL, Qui M, de Alwis R, Sim JXY, Lim JME, etal. Early T cell and binding antibody responses are associated withCOVID-19 RNA vaccine efficacy onset. Med (N Y). 2021;2(6):682.e4-8.https://doi.org/10.1016/j.medj.2021.04.003
Galanis P, Vraka I, Fragkou D, Bilali A, Kaitelidou D. Seroprevalence ofSARS-CoV-2 antibodies and associated factors in healthcare workers:a systematic review and meta-analysis. J Hosp Infect. 2021;108:120-34.https://doi.org/10.1016/j.jhin.2020.11.008
Self WH, Tenforde MW, Stubblefield WB, Feldstein LR, Steingrub JS,Shapiro NI, et al. Seroprevalence of SARS-CoV-2 Among Frontline HealthCare Personnel in a Multistate Hospital Network - 13 Academic MedicalCenters, April-June 2020. Morb Mortal Wkly Rep. 2020;69(35):1221-6.https://doi.org/10.15585/mmwr.mm6935e2
Venugopal U, Jilani N, Rabah S, Shariff MA, Jawed M, Mendez-Batres A, etal. SARS-CoV-2 seroprevalence among health care workers in a New YorkCity hospital: A cross-sectional analysis during the COVID-19 pandemic.Int J Infect Dis. 2021;102:63-9. https://doi.org/10.1016/j.ijid.2020.10.036
Yogo N, Greenwood KL, Thompson L, Wells PJ, Munday S, Smith TC, etal. Point prevalence survey to evaluate the seropositivity for coronavirusdisease 2019 (COVID-19) among high-risk healthcare workers. InfectControl Hosp Epidemiol. 2021;42(10):1260-5. https://doi.org/10.1017/ice.2020.1370
Costa SF, Giavina-Bianchi P, Buss L, Mesquita-Peres CH, Rafael MM, DosSantos LGN, et al. SARS-CoV-2 seroprevalence and risk factors amongoligo/asymptomatic healthcare workers (HCW): estimating the impact ofcommunity transmission. Clin Infect Dis. 2021;73(5):e1214-8. https://doi.org/10.1093/cid/ciaa1845
Silva A, Aguirre M, Ballejo C, Marro M, Gamarnik A, Vargas G, et al.Seroprevalencia de Infección por SARS-COV-2 en personal de salud dela Región Sanitaria VIII, Provincia de Buenos Aires, Argentina. Rev ArgentSalud Publica. 2020;12(supl 1):1-9. Available from: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1853-810X2020000300014&lng=es
Ariza B, Torres X, Salgado D, Cepeda M, Restrepo CG, Castellanos JC,et al. Seroprevalence and seroconversion rates to SARS-CoV-2 in interns,residents, and medical doctors in a University Hospital in Bogotá, Colombia.Infectio. 2021;25(3):145-52. https://doi.org/10.22354/in.v25i3.938
Chafloque-Vásquez RA, Pampa-Espinoza L, Celis-Salinas JC. Seroprevalenciade COVID-19 en trabajadores de un hospital de la Amazoníaperuana. Act Med Peru. 2020;37(3):390-2. https://doi.org/10.35663/amp.2020.373.1050
Ritchie H, Mathieu E, Rodés-Guirao L, Appel C, Giattino C, Ortiz-Ospina E, et al. Coronavirus Pandemic (COVID-19). Our World In Data[cited 2021 Jan]. Available from: https://ourworldindata.org/coronavirus
Basto-Abreu A, Carnalla M, Torres-Ibarra L, Romero-Martínez M,Martínez-Barnetche J, et al. Nationally representative SARS-CoV-2 antibodyprevalence estimates after the first epidemic wave in Mexico. NatCommun. 2022;13(1):589. https://doi.org/10.1038/s41467-022-28232-9
Goldblatt D, Johnson M, Falup-Pecurariu O, Ivaskeviciene I, Spoulou V,Tamm E, et al. Cross-sectional prevalence of SARS-CoV-2 antibodies inhealthcare workers in paediatric facilities in eight countries. J Hosp Infect.2021;110:60-6. https://doi.org/10.1016/j.jhin.2020.12.019
Mahto M, Banerjee A, Biswas B, Kumar S, Agarwal N, Singh PK. Seroprevalenceof IgG against SARS-CoV-2 and its determinants among healthcareworkers of a COVID-19 dedicated hospital of India. Am J Blood Res.2021;11(1):44-52 [cited 2021 Jan]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8010601/#__ffn_sectitle
Kassem AM, Talaat H, Shawky S, Fouad R, Amer K, Elnagdy T, et al.SARS-CoV-2 infection among healthcare workers of a gastroenterologicalservice in a tertiary care facility. Arab J Gastroenterol. 2020;21(3):151-5.https://doi.org/10.1016/j.ajg.2020.07.005
Kantele A, Lääveri T, Kareinen L, Pakkanen SH, Blomgren K, MeroS, et al. SARS-CoV-2 infections among healthcare workers at HelsinkiUniversity Hospital, Finland, spring 2020: Serosurvey, symptoms and riskfactors. Travel Med Infect Dis. 2021;39:101949. https://doi.org/10.1016/j.tmaid.2020.101949
Galán MI, Velasco M, Casas ML, Goyanes MJ, Rodríguez-Caravaca G,Losa-García JE, et al. Hospital-Wide SARS-CoV-2 seroprevalence in healthcare workers in a Spanish teaching hospital. Enferm Infecc Microbiol Clin(Engl Ed). 2020;40(6):302-9. https://doi.org/10.1016/j.eimc.2020.11.015
Barallat J, Fernández-Rivas G, Quirant-Sánchez B, González V, DoladéM, Martinez-Caceres E, et al. Seroprevalence of SARS-CoV-2 IgG specificantibodies among healthcare workers in the Northern MetropolitanArea of Barcelona, Spain, after the first pandemic wave. PLoS ONE.2020;15(12):e0244348. https://doi.org/10.1371/journal.pone.0244348
Iversen K, Bundgaard H, Hasselbalch RB, Kristensen JH, Nielsen PB,Pries-Heje M, et al. Risk of COVID-19 in health-care workers in Denmark:an observational cohort study. Lancet Infect Dis. 2020;20(12):1401-8.https://doi.org/10.1016/S1473-3099(20)30589-2
Xiang F, Wang X, He X, Peng Z, Yang B, Zhang J, et al. Antibody detectionand dynamic characteristics in patients with coronavirus disease 2019. ClinInfect Dis. 2020;71(8):1930-4. https://doi.org/10.1093/cid/ciaa461
Masiá M, Telenti G, Fernández M, García JA, Agulló V, Padilla S, et al.SARS-CoV-2 seroconversion and viral clearance in patients hospitalizedwith COVID-19: viral load predicts antibody response. Open Forum InfectDis. 2021;8(2):ofab005. https://doi.org/10.1093/ofid/ofab005
Wang Y, Zhang L, Sang L, Ye F, Ruan S, Zhong B, et al. Kinetics of viralload and antibody response in relation to COVID-19 severity. J Clin Invest.2020;130(10):5235-44. https://doi.org/10.1172/JCI138759
Zhao J, Yuan Q, Wang H, Liu W, Liao X, Su Y, et al. Antibody responsesto SARS-CoV-2 in patients with novel coronavirus disease 2019. ClinInfect Dis. 2020;71(16):2027-34. https://doi.org/10.1093/cid/ciaa344
Long QX, Tang XJ, Shi QL, Li Q, Deng HJ, Yuan J, et al. Clinical andimmunological assessment of asymptomatic SARS-CoV-2 infections. NatMed. 2020;26(8):1200-4. https://doi.org/10.1038/s41591-020-0965-6
Lumley SF, Wei J, O’Donnell D, Stoesser NE, Matthews PC, Howarth A,et al. The duration, dynamics, and determinants of severe acute respiratorysyndrome coronavirus 2 (SARS-CoV-2) antibody responses in individualhealthcare workers. Clin Infect Dis. 2021;73(3):e699-709. https://doi.org/10.1093/cid/ciab004
Lumley SF, O’Donnell D, Stoesser NE, Matthews PC, Howarth A, HatchSB, et al. Antibody status and incidence of SARS-CoV-2 infection in healthcare workers. N Engl J Med. 2021;384(6):533-40. https://doi.org/10.1056/NEJMoa2034545