Occupational Exposure in the Lombardy Region (Italy) to SARS-CoV-2 Infection: Results from the MUSTANG-OCCUPATION-COVID-19 Study.

Occupational Exposure in the Lombardy Region (Italy) to SARS-CoV-2 Infection: Results from the MUSTANG-OCCUPATION-COVID-19 Study.
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DOI:
10.3390/ijerph18052567
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发表时间:
2021-03-04
影响因子:
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通讯作者:
The Mustang-Occupation-Covid-Study Group
The Mustang-Occupation-Covid-Study Group
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Della Valle P;Fabbri M;Madotto F;Ferrara P;Cozzolino P;Calabretto E;D'Orso MI;Longhi E;Polosa R;Riva MA;Mazzaglia G;Sommese C;Mantovani LG;The Mustang-Occupation-Covid-Study Group

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血清流行病学调查是估计SARS-CoV-2在一般人群或选定人群中传播的宝贵尝试。在此背景下,通过检测血清样本中的病毒特异性免疫球蛋白G和M (IgG/IgM),开展了一项前瞻性观察性研究,以估计不同类别工人中SARS-CoV-2抗体的患病率和持久性以及与阳性相关的因素。参与者根据他们的工作活动被分为低暴露组和中高暴露组。3个月后再次联系抗体应答者进行随访。在2255名抽样工人中,4.8%检测出SARS-CoV-2 IgG/IgM抗体阳性,其中81.7%仅检测出IgG抗体。继续上班的工人、医护人员或至少经历过一种covid -19相关症状的工人更有可能检测出SARS-CoV-2抗体阳性。中高危组的SARS-CoV-2抗体患病率明显高于低危组(7.2% vs 3.0%, p < 0.0001)。随访3个月,81.3%的受试者仍有抗体应答。这项研究提供了意大利北部工人中SARS-CoV-2感染流行情况的重要信息,那里的COVID-19影响特别严重。提出的监测数据有助于完善目前对SARS-CoV-2预计造成的疾病负担的估计。
Sero-epidemiological surveys are valuable attempts to estimate the circulation of SARS-CoV-2 in general or selected populations. Within this context, a prospective observational study was conducted to estimate the prevalence and persistence of SARS-CoV-2 antibodies in different categories of workers and factors associated with positivity, through the detection of virus-specific immunoglobulin G and M (IgG/IgM) in serum samples. Enrollees were divided in low exposure and medium-high groups on the basis of their work activity. Antibody responders were re-contacted after 3 months for the follow-up. Of 2255 sampled workers, 4.8% tested positive for SARS-CoV-2 IgG/IgM antibodies, with 81.7% to IgG only. Workers who continued to go to their place of work, were healthcare workers, or experienced at least one COVID-19-related symptom were more likely to test positive for SARS-CoV-2 antibodies. SARS-CoV-2 antibodies prevalence was significantly higher in the medium-high risk vs. low-risk group (7.2% vs. 3.0%, p < 0.0001). At 3-month follow-up, 81.3% of subjects still had antibody response. This study provided important information of SARS-CoV-2 infection prevalence among workers in northern Italy, where the impact of COVID-19 was particularly intense. The presented surveillance data give a contribution to refine current estimates of the disease burden expected from the SARS-CoV-2.
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