Seroprevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antibodies among healthcare personnel in the Midwestern United States, September 2020–April 2021

Abstract Objective: To determine the prevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) IgG nucleocapsid (N) antibodies among healthcare personnel (HCP) with no prior history of COVID-19 and to identify factors associated with seropositivity. Design: Prospective cohort study...

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Main Authors: Rachel E. Bosserman, Christopher W. Farnsworth, Caroline A. O’Neil, Candice Cass, Daniel Park, Claire Ballman, Meghan A. Wallace, Emily Struttmann, Henry Stewart, Olivia Arter, Kate Peacock, Victoria J. Fraser, Philip J. Budge, Margaret A. Olsen, Carey-Ann D. Burnham, Hilary M. Babcock, Jennie H. Kwon, for the CDC Prevention Epicenters
Format: Article
Language:English
Published: Cambridge University Press 2023-01-01
Series:Antimicrobial Stewardship & Healthcare Epidemiology
Online Access:https://www.cambridge.org/core/product/identifier/S2732494X22003758/type/journal_article
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author Rachel E. Bosserman
Christopher W. Farnsworth
Caroline A. O’Neil
Candice Cass
Daniel Park
Claire Ballman
Meghan A. Wallace
Emily Struttmann
Henry Stewart
Olivia Arter
Kate Peacock
Victoria J. Fraser
Philip J. Budge
Margaret A. Olsen
Carey-Ann D. Burnham
Hilary M. Babcock
Jennie H. Kwon
for the CDC Prevention Epicenters
author_facet Rachel E. Bosserman
Christopher W. Farnsworth
Caroline A. O’Neil
Candice Cass
Daniel Park
Claire Ballman
Meghan A. Wallace
Emily Struttmann
Henry Stewart
Olivia Arter
Kate Peacock
Victoria J. Fraser
Philip J. Budge
Margaret A. Olsen
Carey-Ann D. Burnham
Hilary M. Babcock
Jennie H. Kwon
for the CDC Prevention Epicenters
author_sort Rachel E. Bosserman
collection DOAJ
description Abstract Objective: To determine the prevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) IgG nucleocapsid (N) antibodies among healthcare personnel (HCP) with no prior history of COVID-19 and to identify factors associated with seropositivity. Design: Prospective cohort study. Setting: An academic, tertiary-care hospital in St. Louis, Missouri. Participants: The study included 400 HCP aged ≥18 years who potentially worked with coronavirus disease 2019 (COVID-19) patients and had no known history of COVID-19; 309 of these HCP also completed a follow-up visit 70–160 days after enrollment. Enrollment visits took place between September and December 2020. Follow-up visits took place between December 2020 and April 2021. Methods: At each study visit, participants underwent SARS-CoV-2 IgG N-antibody testing using the Abbott SARS-CoV-2 IgG assay and completed a survey providing information about demographics, job characteristics, comorbidities, symptoms, and potential SARS-CoV-2 exposures. Results: Participants were predominately women (64%) and white (79%), with median age of 34.5 years (interquartile range [IQR], 30–45). Among the 400 HCP, 18 (4.5%) were seropositive for IgG N-antibodies at enrollment. Also, 34 (11.0%) of 309 were seropositive at follow-up. HCP who reported having a household contact with COVID-19 had greater likelihood of seropositivity at both enrollment and at follow-up. Conclusions: In this cohort of HCP during the first wave of the COVID-19 pandemic, ∼1 in 20 had serological evidence of prior, undocumented SARS-CoV-2 infection at enrollment. Having a household contact with COVID-19 was associated with seropositivity.
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spelling doaj.art-002815063179414c9efb6253f98afc472023-08-04T01:46:13ZengCambridge University PressAntimicrobial Stewardship & Healthcare Epidemiology2732-494X2023-01-01310.1017/ash.2022.375Seroprevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antibodies among healthcare personnel in the Midwestern United States, September 2020–April 2021Rachel E. Bosserman0https://orcid.org/0000-0002-4844-4212Christopher W. Farnsworth1Caroline A. O’Neil2https://orcid.org/0000-0003-2966-0750Candice Cass3Daniel Park4Claire Ballman5Meghan A. Wallace6Emily Struttmann7Henry Stewart8https://orcid.org/0000-0003-0767-5361Olivia Arter9Kate Peacock10Victoria J. Fraser11Philip J. Budge12https://orcid.org/0000-0002-0069-2372Margaret A. Olsen13https://orcid.org/0000-0001-7070-9320Carey-Ann D. Burnham14Hilary M. Babcock15https://orcid.org/0000-0001-9015-8378Jennie H. Kwon16for the CDC Prevention EpicentersDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MissouriDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MissouriDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MissouriDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MissouriDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MissouriDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MissouriDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MissouriDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MissouriDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MissouriDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MissouriDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MissouriDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MissouriDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MissouriDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MissouriDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MissouriDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MissouriDivision of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri Abstract Objective: To determine the prevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) IgG nucleocapsid (N) antibodies among healthcare personnel (HCP) with no prior history of COVID-19 and to identify factors associated with seropositivity. Design: Prospective cohort study. Setting: An academic, tertiary-care hospital in St. Louis, Missouri. Participants: The study included 400 HCP aged ≥18 years who potentially worked with coronavirus disease 2019 (COVID-19) patients and had no known history of COVID-19; 309 of these HCP also completed a follow-up visit 70–160 days after enrollment. Enrollment visits took place between September and December 2020. Follow-up visits took place between December 2020 and April 2021. Methods: At each study visit, participants underwent SARS-CoV-2 IgG N-antibody testing using the Abbott SARS-CoV-2 IgG assay and completed a survey providing information about demographics, job characteristics, comorbidities, symptoms, and potential SARS-CoV-2 exposures. Results: Participants were predominately women (64%) and white (79%), with median age of 34.5 years (interquartile range [IQR], 30–45). Among the 400 HCP, 18 (4.5%) were seropositive for IgG N-antibodies at enrollment. Also, 34 (11.0%) of 309 were seropositive at follow-up. HCP who reported having a household contact with COVID-19 had greater likelihood of seropositivity at both enrollment and at follow-up. Conclusions: In this cohort of HCP during the first wave of the COVID-19 pandemic, ∼1 in 20 had serological evidence of prior, undocumented SARS-CoV-2 infection at enrollment. Having a household contact with COVID-19 was associated with seropositivity. https://www.cambridge.org/core/product/identifier/S2732494X22003758/type/journal_article
spellingShingle Rachel E. Bosserman
Christopher W. Farnsworth
Caroline A. O’Neil
Candice Cass
Daniel Park
Claire Ballman
Meghan A. Wallace
Emily Struttmann
Henry Stewart
Olivia Arter
Kate Peacock
Victoria J. Fraser
Philip J. Budge
Margaret A. Olsen
Carey-Ann D. Burnham
Hilary M. Babcock
Jennie H. Kwon
for the CDC Prevention Epicenters
Seroprevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antibodies among healthcare personnel in the Midwestern United States, September 2020–April 2021
Antimicrobial Stewardship & Healthcare Epidemiology
title Seroprevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antibodies among healthcare personnel in the Midwestern United States, September 2020–April 2021
title_full Seroprevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antibodies among healthcare personnel in the Midwestern United States, September 2020–April 2021
title_fullStr Seroprevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antibodies among healthcare personnel in the Midwestern United States, September 2020–April 2021
title_full_unstemmed Seroprevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antibodies among healthcare personnel in the Midwestern United States, September 2020–April 2021
title_short Seroprevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antibodies among healthcare personnel in the Midwestern United States, September 2020–April 2021
title_sort seroprevalence of severe acute respiratory coronavirus virus 2 sars cov 2 antibodies among healthcare personnel in the midwestern united states september 2020 april 2021
url https://www.cambridge.org/core/product/identifier/S2732494X22003758/type/journal_article
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