Seroprevalence of COVID-19 Amongst Health Care Workers in a Tertiary Care Hospital of a Metropolitan City from India.
Identifieur interne : 000840 ( Main/Corpus ); précédent : 000839; suivant : 000841Seroprevalence of COVID-19 Amongst Health Care Workers in a Tertiary Care Hospital of a Metropolitan City from India.
Auteurs : Mahesh Goenka ; Shivaraj Afzalpurkar ; Usha Goenka ; Sudipta Sekhar Das ; Mohuya Mukherjee ; Surabhi Jajodia ; Bhavik Bharat Shah ; Vikram Uttam Patil ; Gajanan Rodge ; Ujjwayini Khan ; Syamasis BandyopadhyaySource :
- The Journal of the Association of Physicians of India [ 0004-5772 ] ; 2020.
English descriptors
- KwdEn :
- Betacoronavirus (MeSH), COVID-19 (MeSH), Child (MeSH), Coronavirus Infections (MeSH), Cross-Sectional Studies (MeSH), Health Personnel (MeSH), Humans (MeSH), India (epidemiology), Pandemics (MeSH), Pneumonia, Viral (MeSH), SARS-CoV-2 (MeSH), Seroepidemiologic Studies (MeSH), Tertiary Care Centers (MeSH).
- MESH :
- geographic , epidemiology : India.
- Betacoronavirus, COVID-19, Child, Coronavirus Infections, Cross-Sectional Studies, Health Personnel, Humans, Pandemics, Pneumonia, Viral, SARS-CoV-2, Seroepidemiologic Studies, Tertiary Care Centers.
Abstract
Background
Seroprevalence studies for COVID-19 evaluate the extent of undetected transmission in a defined community, with special significance among health care workers (HCW) owing to their greater exposure and potential to transmit.
Methods
A total of 1122 HCW (approximately 25% of the employees) of a large tertiary care hospital in India were recruited for this cross-sectional study. COVID PCR-positive HCW were excluded. Based on their risk-assessment, participants were grouped into three categories. A questionnaire was administered and they were tested for SARS-CoV-2-IgG antibodies using the chemiluminescence.
Results
The overall seroprevalence among workers was 11.94%, which included 19.85% in COVID units, 11.09% in non-COVID units, and 8% in administrative workers (p=0.007). Antibody prevalence was highest in the department of gastroenterology (11.94%), followed by oncology (10.53%), pathology (10.26%), emergency medicine (7.84%) and critical care medicine (7%). Housekeeping staff, food and beverage staff, lab assistants and technicians had higher seroprevalence rate than doctors and nurses (p < 0.0001). HCW with a history of BCG vaccination in childhood and those who received an adequate prophylactic dose of hydroxychloroquine (HCQ) had a lower seroprevalence as compared to those who did not (7.31% vs. 16.8% and 1.30% vs. 11.25% respectively).
Conclusion
BCG vaccination, HCQ prophylaxis, and the job profile influence the seroprevalence rate in HCW. Seroprevalence rate and follow-up evaluation of its durability may help hospitals to triage their staff at risk, rationalize their placement, prioritize the use of PPE, thereby potentially reducing the risk.
PubMed: 33187030
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Imaging and Interventional Radiology, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Das, Sudipta Sekhar" sort="Das, Sudipta Sekhar" uniqKey="Das S" first="Sudipta Sekhar" last="Das">Sudipta Sekhar Das</name><affiliation><nlm:affiliation>Senior Consultant and Head, Department of Transfusion Medicine, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Mukherjee, Mohuya" sort="Mukherjee, Mohuya" uniqKey="Mukherjee M" first="Mohuya" last="Mukherjee">Mohuya Mukherjee</name><affiliation><nlm:affiliation>Clinical Data Analyst, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Jajodia, Surabhi" sort="Jajodia, Surabhi" uniqKey="Jajodia S" first="Surabhi" last="Jajodia">Surabhi Jajodia</name><affiliation><nlm:affiliation>Consultant, Department of Clinical Imaging and Interventional Radiology, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Shah, Bhavik Bharat" sort="Shah, Bhavik Bharat" uniqKey="Shah B" first="Bhavik Bharat" last="Shah">Bhavik Bharat Shah</name><affiliation><nlm:affiliation>Consultant, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Patil, Vikram Uttam" sort="Patil, Vikram Uttam" uniqKey="Patil V" first="Vikram Uttam" last="Patil">Vikram Uttam Patil</name><affiliation><nlm:affiliation>Registrar, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Rodge, Gajanan" sort="Rodge, Gajanan" uniqKey="Rodge G" first="Gajanan" last="Rodge">Gajanan Rodge</name><affiliation><nlm:affiliation>Registrar, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Khan, Ujjwayini" sort="Khan, Ujjwayini" uniqKey="Khan U" first="Ujjwayini" last="Khan">Ujjwayini Khan</name><affiliation><nlm:affiliation>Consultant, Department of Microbiology, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Bandyopadhyay, Syamasis" sort="Bandyopadhyay, Syamasis" uniqKey="Bandyopadhyay S" first="Syamasis" last="Bandyopadhyay">Syamasis Bandyopadhyay</name><affiliation><nlm:affiliation>Senior Consultant, Department of Internal Medicine, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:33187030</idno><idno type="pmid">33187030</idno><idno type="wicri:Area/Main/Corpus">000840</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000840</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Seroprevalence of COVID-19 Amongst Health Care Workers in a Tertiary Care Hospital of a Metropolitan City from India.</title><author><name sortKey="Goenka, Mahesh" sort="Goenka, Mahesh" uniqKey="Goenka M" first="Mahesh" last="Goenka">Mahesh Goenka</name><affiliation><nlm:affiliation>Director and Head, Medicine, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Afzalpurkar, Shivaraj" sort="Afzalpurkar, Shivaraj" uniqKey="Afzalpurkar S" first="Shivaraj" last="Afzalpurkar">Shivaraj Afzalpurkar</name><affiliation><nlm:affiliation>Registrar, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Goenka, Usha" sort="Goenka, Usha" uniqKey="Goenka U" first="Usha" last="Goenka">Usha Goenka</name><affiliation><nlm:affiliation>Director and Head, Department of Clinical Imaging and Interventional Radiology, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Das, Sudipta Sekhar" sort="Das, Sudipta Sekhar" uniqKey="Das S" first="Sudipta Sekhar" last="Das">Sudipta Sekhar Das</name><affiliation><nlm:affiliation>Senior Consultant and Head, Department of Transfusion Medicine, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Mukherjee, Mohuya" sort="Mukherjee, Mohuya" uniqKey="Mukherjee M" first="Mohuya" last="Mukherjee">Mohuya Mukherjee</name><affiliation><nlm:affiliation>Clinical Data Analyst, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Jajodia, Surabhi" sort="Jajodia, Surabhi" uniqKey="Jajodia S" first="Surabhi" last="Jajodia">Surabhi Jajodia</name><affiliation><nlm:affiliation>Consultant, Department of Clinical Imaging and Interventional Radiology, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Shah, Bhavik Bharat" sort="Shah, Bhavik Bharat" uniqKey="Shah B" first="Bhavik Bharat" last="Shah">Bhavik Bharat Shah</name><affiliation><nlm:affiliation>Consultant, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Patil, Vikram Uttam" sort="Patil, Vikram Uttam" uniqKey="Patil V" first="Vikram Uttam" last="Patil">Vikram Uttam Patil</name><affiliation><nlm:affiliation>Registrar, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Rodge, Gajanan" sort="Rodge, Gajanan" uniqKey="Rodge G" first="Gajanan" last="Rodge">Gajanan Rodge</name><affiliation><nlm:affiliation>Registrar, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Khan, Ujjwayini" sort="Khan, Ujjwayini" uniqKey="Khan U" first="Ujjwayini" last="Khan">Ujjwayini Khan</name><affiliation><nlm:affiliation>Consultant, Department of Microbiology, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author><author><name sortKey="Bandyopadhyay, Syamasis" sort="Bandyopadhyay, Syamasis" uniqKey="Bandyopadhyay S" first="Syamasis" last="Bandyopadhyay">Syamasis Bandyopadhyay</name><affiliation><nlm:affiliation>Senior Consultant, Department of Internal Medicine, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</nlm:affiliation></affiliation></author></analytic><series><title level="j">The Journal of the Association of Physicians of India</title><idno type="ISSN">0004-5772</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Betacoronavirus (MeSH)</term><term>COVID-19 (MeSH)</term><term>Child (MeSH)</term><term>Coronavirus Infections (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Health Personnel (MeSH)</term><term>Humans (MeSH)</term><term>India (epidemiology)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (MeSH)</term><term>SARS-CoV-2 (MeSH)</term><term>Seroepidemiologic Studies (MeSH)</term><term>Tertiary Care Centers (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>India</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Betacoronavirus</term><term>COVID-19</term><term>Child</term><term>Coronavirus Infections</term><term>Cross-Sectional Studies</term><term>Health Personnel</term><term>Humans</term><term>Pandemics</term><term>Pneumonia, Viral</term><term>SARS-CoV-2</term><term>Seroepidemiologic Studies</term><term>Tertiary Care Centers</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Background</b></p><p>Seroprevalence studies for COVID-19 evaluate the extent of undetected transmission in a defined community, with special significance among health care workers (HCW) owing to their greater exposure and potential to transmit.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>A total of 1122 HCW (approximately 25% of the employees) of a large tertiary care hospital in India were recruited for this cross-sectional study. COVID PCR-positive HCW were excluded. Based on their risk-assessment, participants were grouped into three categories. A questionnaire was administered and they were tested for SARS-CoV-2-IgG antibodies using the chemiluminescence.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>The overall seroprevalence among workers was 11.94%, which included 19.85% in COVID units, 11.09% in non-COVID units, and 8% in administrative workers (p=0.007). Antibody prevalence was highest in the department of gastroenterology (11.94%), followed by oncology (10.53%), pathology (10.26%), emergency medicine (7.84%) and critical care medicine (7%). Housekeeping staff, food and beverage staff, lab assistants and technicians had higher seroprevalence rate than doctors and nurses (p < 0.0001). HCW with a history of BCG vaccination in childhood and those who received an adequate prophylactic dose of hydroxychloroquine (HCQ) had a lower seroprevalence as compared to those who did not (7.31% vs. 16.8% and 1.30% vs. 11.25% respectively).</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>BCG vaccination, HCQ prophylaxis, and the job profile influence the seroprevalence rate in HCW. Seroprevalence rate and follow-up evaluation of its durability may help hospitals to triage their staff at risk, rationalize their placement, prioritize the use of PPE, thereby potentially reducing the risk.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Automated" Owner="NLM"><PMID Version="1">33187030</PMID><DateCompleted><Year>2020</Year><Month>11</Month><Day>17</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>18</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0004-5772</ISSN><JournalIssue CitedMedium="Print"><Volume>68</Volume><Issue>11</Issue><PubDate><Year>2020</Year><Month>Nov</Month></PubDate></JournalIssue><Title>The Journal of the Association of Physicians of India</Title><ISOAbbreviation>J Assoc Physicians India</ISOAbbreviation></Journal><ArticleTitle>Seroprevalence of COVID-19 Amongst Health Care Workers in a Tertiary Care Hospital of a Metropolitan City from India.</ArticleTitle><Pagination><MedlinePgn>14-19</MedlinePgn></Pagination><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Seroprevalence studies for COVID-19 evaluate the extent of undetected transmission in a defined community, with special significance among health care workers (HCW) owing to their greater exposure and potential to transmit.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">A total of 1122 HCW (approximately 25% of the employees) of a large tertiary care hospital in India were recruited for this cross-sectional study. COVID PCR-positive HCW were excluded. Based on their risk-assessment, participants were grouped into three categories. A questionnaire was administered and they were tested for SARS-CoV-2-IgG antibodies using the chemiluminescence.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">The overall seroprevalence among workers was 11.94%, which included 19.85% in COVID units, 11.09% in non-COVID units, and 8% in administrative workers (p=0.007). Antibody prevalence was highest in the department of gastroenterology (11.94%), followed by oncology (10.53%), pathology (10.26%), emergency medicine (7.84%) and critical care medicine (7%). Housekeeping staff, food and beverage staff, lab assistants and technicians had higher seroprevalence rate than doctors and nurses (p < 0.0001). HCW with a history of BCG vaccination in childhood and those who received an adequate prophylactic dose of hydroxychloroquine (HCQ) had a lower seroprevalence as compared to those who did not (7.31% vs. 16.8% and 1.30% vs. 11.25% respectively).</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">BCG vaccination, HCQ prophylaxis, and the job profile influence the seroprevalence rate in HCW. Seroprevalence rate and follow-up evaluation of its durability may help hospitals to triage their staff at risk, rationalize their placement, prioritize the use of PPE, thereby potentially reducing the risk.</AbstractText><CopyrightInformation>© Journal of the Association of Physicians of India 2011.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Goenka</LastName><ForeName>Mahesh</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Director and Head, Medicine, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Afzalpurkar</LastName><ForeName>Shivaraj</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Registrar, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goenka</LastName><ForeName>Usha</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Director and Head, Department of Clinical Imaging and Interventional Radiology, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Das</LastName><ForeName>Sudipta Sekhar</ForeName><Initials>SS</Initials><AffiliationInfo><Affiliation>Senior Consultant and Head, Department of Transfusion Medicine, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mukherjee</LastName><ForeName>Mohuya</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Clinical Data Analyst, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jajodia</LastName><ForeName>Surabhi</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Consultant, Department of Clinical Imaging and Interventional Radiology, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shah</LastName><ForeName>Bhavik Bharat</ForeName><Initials>BB</Initials><AffiliationInfo><Affiliation>Consultant, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Patil</LastName><ForeName>Vikram Uttam</ForeName><Initials>VU</Initials><AffiliationInfo><Affiliation>Registrar, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodge</LastName><ForeName>Gajanan</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Registrar, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>Ujjwayini</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Consultant, Department of Microbiology, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bandyopadhyay</LastName><ForeName>Syamasis</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Senior Consultant, Department of Internal Medicine, Apollo Gleneagles Hospitals, Kolkata, West Bengal.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>J Assoc Physicians India</MedlineTA><NlmUniqueID>7505585</NlmUniqueID><ISSNLinking>0004-5772</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="N">Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007194" MajorTopicYN="N" Type="Geographic">India</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016036" MajorTopicYN="N">Seroepidemiologic Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D062606" MajorTopicYN="N">Tertiary Care Centers</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>11</Month><Day>13</Day><Hour>21</Hour><Minute>55</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>11</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>11</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId 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