The protective effect of SARS-CoV-2 antibodies in Scottish healthcare workers

The protective effect of SARS-CoV-2 antibodies in Scottish healthcare workers
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DOI:
10.1183/23120541.00080-2021
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发表时间:
2021-04-01
期刊:
影响因子:
4.6
通讯作者:
Chalmers, James D.
Chalmers, James D.
中科院分区:
医学4区
文献类型:
--
作者:
Abo-Leyah, Hani;Gallant, Stephanie;Chalmers, James D.

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背景:卫生保健工作者(HCWs)被认为是严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)感染的高危人群。目前尚不清楚自然产生的SARS-CoV-2抗体在多大程度上可以防止再次感染。方法:对2020年5月至9月在苏格兰(英国)的HCWs进行前瞻性观察研究。采用Siemens SARS-CoV-2总抗体测定法确定该队列的血清阳性率。研究人员对年龄和性别与当地一般人口相匹配的对照组进行了比较。记录抗体检测后的新感染(截至2020年12月2日),以确定SARS-CoV-2抗体的存在是否可以防止再次感染。结果:本研究共招募了2063名卫生和社会护理工作者。入组时,300名医护人员抗体检测呈阳性(14.5%)。231份对照血清中有11份检测呈阳性(4.8%)。因此,HCWs检测阳性的可能性增加(OR 3.4, 95% CI 1.85-6.16; p
Background: Healthcare workers (HCWs) are believed to be at increased risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. It is not known to what extent the natural production of antibodies to SARS-CoV-2 is protective against re-infection.Methods: A prospective observational study of HCWs in Scotland (UK) from May to September 2020 was performed. The Siemens SARS-CoV-2 total antibody assay was used to establish seroprevalence in this cohort. Controls, matched for age and sex to the general local population, were studied for comparison. New infections (up to 2 December 2020) post antibody testing were recorded to determine whether the presence of SARS-CoV-2 antibodies protects against re-infection.Results: A total of 2063 health and social care workers were recruited for this study. At enrolment, 300 HCWs had a positive antibody test (14.5%). 11 out of 231 control sera tested positive (4.8%). HCWs therefore had an increased likelihood of a positive test (OR 3.4, 95% CI 1.85-6.16; p