Seropositivity of COVID-19 among asymptomatic healthcare workers: A multi-site prospective cohort study from Northern Virginia, United States.

CIA, Chemiluminescent immunoassay COVID-19 COVID-19, Coronavirus disease 2019 HCW, Healthcare worker Immunity PPE, Personal protective equipment SARS-CoV-2, severe acute respiratory syndrome coronavirus 2 Serologic test ZIP, Zone Improvement Plan

Journal

Lancet regional health. Americas
ISSN: 2667-193X
Titre abrégé: Lancet Reg Health Am
Pays: England
ID NLM: 9918232503006676

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 19 04 2021
revised: 30 06 2021
accepted: 13 07 2021
pubmed: 14 8 2021
medline: 14 8 2021
entrez: 13 8 2021
Statut: ppublish

Résumé

Because of their direct patient contact, healthcare workers (HCW) face an unprecedented risk of exposure to COVID-19. The aim of this study was to examine incidence of COVID-19 disease among asymptomatic HCW and community participants in Northern Virginia during 6 months of follow-up. This is a prospective cohort study that enrolled healthy HCW and residents who never had a symptomatic COVID-19 infection prior to enrolment from the community in Northern Virginia from April to November 2020. All participants were invited to enrol in study, and they were followed at 2-, and 6-months intervals. Participants were evaluated by commercial chemiluminescence SARS-CoV-2 serology assays as part of regional health system and public health surveillance program to monitor the spread of COVID-19 disease. Of a total of 1,819 asymptomatic HCW enrolled, 1,473 (96%) had data at two-months interval, and 1,323 (73%) participants had data at 6-months interval. At baseline, 21 (1.15%) were found to have prior COVID-19 exposure. At two-months interval, COVID-19 rate was 2.8% and at six months follow-up, the overall incidence rate increased to 4.8%, but was as high as 7.9% among those who belong to the youngest age group (20-29 years). Seroconversion rates in HCW were comparable to the seropositive rates in the Northern Virginia community. The overall incidence of COVID-19 in the community was 4.5%, but the estimate was higher among Hispanic ethnicity (incidence rate = 15.3%) potentially reflecting different socio-economic factors among the community participants and the HCW group. Using cross-sectional logistic regression and spatio-temporal mixed effects models, significant factors that influence the transmission rate among HCW include age, race/ethnicity, resident ZIP-code, and household exposure, but not direct patient contact. In Northern Virginia, the seropositive rate of COVID-19 disease among HCW was comparable to that in the community.

Sections du résumé

BACKGROUND BACKGROUND
Because of their direct patient contact, healthcare workers (HCW) face an unprecedented risk of exposure to COVID-19. The aim of this study was to examine incidence of COVID-19 disease among asymptomatic HCW and community participants in Northern Virginia during 6 months of follow-up.
METHODS METHODS
This is a prospective cohort study that enrolled healthy HCW and residents who never had a symptomatic COVID-19 infection prior to enrolment from the community in Northern Virginia from April to November 2020. All participants were invited to enrol in study, and they were followed at 2-, and 6-months intervals. Participants were evaluated by commercial chemiluminescence SARS-CoV-2 serology assays as part of regional health system and public health surveillance program to monitor the spread of COVID-19 disease.
FINDINGS RESULTS
Of a total of 1,819 asymptomatic HCW enrolled, 1,473 (96%) had data at two-months interval, and 1,323 (73%) participants had data at 6-months interval. At baseline, 21 (1.15%) were found to have prior COVID-19 exposure. At two-months interval, COVID-19 rate was 2.8% and at six months follow-up, the overall incidence rate increased to 4.8%, but was as high as 7.9% among those who belong to the youngest age group (20-29 years). Seroconversion rates in HCW were comparable to the seropositive rates in the Northern Virginia community. The overall incidence of COVID-19 in the community was 4.5%, but the estimate was higher among Hispanic ethnicity (incidence rate = 15.3%) potentially reflecting different socio-economic factors among the community participants and the HCW group. Using cross-sectional logistic regression and spatio-temporal mixed effects models, significant factors that influence the transmission rate among HCW include age, race/ethnicity, resident ZIP-code, and household exposure, but not direct patient contact.
INTERPRETATION CONCLUSIONS
In Northern Virginia, the seropositive rate of COVID-19 disease among HCW was comparable to that in the community.

Identifiants

pubmed: 34386793
doi: 10.1016/j.lana.2021.100030
pii: S2667-193X(21)00022-3
pmc: PMC8319689
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100030

Informations de copyright

© 2021 The Author(s). Published by Elsevier Ltd.

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Auteurs

Abdulla A Damluji (AA)

The Inova Center of Outcomes Research, Inova Heart and Vascular Institute, 3300 Gallows Road, I-465, Falls Church, VA 22042, United States.
Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.

Siqi Wei (S)

Department of Statistics, George Mason University, Fairfax, VA, United States.

Scott A Bruce (SA)

Department of Statistics, Texas A&M University, College Station, TX, United States.

Amanda Haymond (A)

Center for Applied Proteomics and Molecular Medicine, George Mason University, Manassas, VA, United States.

Emanuel F Petricoin (EF)

Center for Applied Proteomics and Molecular Medicine, George Mason University, Manassas, VA, United States.

Lance Liotta (L)

Center for Applied Proteomics and Molecular Medicine, George Mason University, Manassas, VA, United States.

G Larry Maxwell (GL)

The Inova Center of Outcomes Research, Inova Heart and Vascular Institute, 3300 Gallows Road, I-465, Falls Church, VA 22042, United States.

Brian C Moore (BC)

The Inova Center of Outcomes Research, Inova Heart and Vascular Institute, 3300 Gallows Road, I-465, Falls Church, VA 22042, United States.

Rachel Bell (R)

The Inova Center of Outcomes Research, Inova Heart and Vascular Institute, 3300 Gallows Road, I-465, Falls Church, VA 22042, United States.

Stephanie Garofalo (S)

The Inova Center of Outcomes Research, Inova Heart and Vascular Institute, 3300 Gallows Road, I-465, Falls Church, VA 22042, United States.

Eric R Houpt (ER)

Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA, United States.

David Trump (D)

Virginia Department of Health, Richmond, VA, United States.

Christopher R deFilippi (CR)

The Inova Center of Outcomes Research, Inova Heart and Vascular Institute, 3300 Gallows Road, I-465, Falls Church, VA 22042, United States.

Classifications MeSH