Risk for SARS-CoV-2 infection in healthcare workers outside hospitals: A real-life immuno-virological study during the first wave of the COVID-19 epidemic.

<h4>Objectives</h4>Most COVID-19 related infections and deaths may occur in healthcare outside hospitals. Here we explored SARS-CoV-2 infections among healthcare workers (HCWs) in this setting.<h4>Design</h4>All healthcare providers in Stockholm, Sweden were asked to recruit...

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Main Authors: Maria Fröberg, Sadaf Sakina Hassan, Ville N Pimenoff, Susanne Akterin, Kalle Conneryd Lundgren, K Miriam Elfström, Joakim Dillner
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0257854
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author Maria Fröberg
Sadaf Sakina Hassan
Ville N Pimenoff
Susanne Akterin
Kalle Conneryd Lundgren
K Miriam Elfström
Joakim Dillner
author_facet Maria Fröberg
Sadaf Sakina Hassan
Ville N Pimenoff
Susanne Akterin
Kalle Conneryd Lundgren
K Miriam Elfström
Joakim Dillner
author_sort Maria Fröberg
collection DOAJ
description <h4>Objectives</h4>Most COVID-19 related infections and deaths may occur in healthcare outside hospitals. Here we explored SARS-CoV-2 infections among healthcare workers (HCWs) in this setting.<h4>Design</h4>All healthcare providers in Stockholm, Sweden were asked to recruit HCWs at work for a study of past or present SARS-CoV-2 infections among HCWs. Study participants This study reports the results from 839 HCWs, mostly employees of primary care centers, sampled in June 2020.<h4>Results</h4>SARS-CoV-2 seropositivity was found among 12% (100/839) of HCWs, ranging from 0% to 29% between care units. Seropositivity decreased by age and was highest among HCWs <40 years of age. Within this age group there was 19% (23/120) seropositivity among women and 11% (15/138) among men (p<0.02). Current infection, as measured using PCR, was found in only 1% and the typical testing pattern of pre-symptomatic potential "superspreaders" found in only 2/839 subjects.<h4>Conclusions</h4>Previous SARS-CoV-2 infections were common among younger HCWs in this setting. Pre-symptomatic infection was uncommon, in line with the strong variability in SARS-CoV-2 exposure between units. Prioritizing infection prevention and control including sufficient and adequate personal protective equipment, and vaccination for all HCWs are important to prevent nosocomial infections and infections as occupational injuries during an ongoing pandemic.
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spelling doaj.art-3e625ec18c81407595a4c3341c05d3702022-12-21T19:44:43ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01169e025785410.1371/journal.pone.0257854Risk for SARS-CoV-2 infection in healthcare workers outside hospitals: A real-life immuno-virological study during the first wave of the COVID-19 epidemic.Maria FröbergSadaf Sakina HassanVille N PimenoffSusanne AkterinKalle Conneryd LundgrenK Miriam ElfströmJoakim Dillner<h4>Objectives</h4>Most COVID-19 related infections and deaths may occur in healthcare outside hospitals. Here we explored SARS-CoV-2 infections among healthcare workers (HCWs) in this setting.<h4>Design</h4>All healthcare providers in Stockholm, Sweden were asked to recruit HCWs at work for a study of past or present SARS-CoV-2 infections among HCWs. Study participants This study reports the results from 839 HCWs, mostly employees of primary care centers, sampled in June 2020.<h4>Results</h4>SARS-CoV-2 seropositivity was found among 12% (100/839) of HCWs, ranging from 0% to 29% between care units. Seropositivity decreased by age and was highest among HCWs <40 years of age. Within this age group there was 19% (23/120) seropositivity among women and 11% (15/138) among men (p<0.02). Current infection, as measured using PCR, was found in only 1% and the typical testing pattern of pre-symptomatic potential "superspreaders" found in only 2/839 subjects.<h4>Conclusions</h4>Previous SARS-CoV-2 infections were common among younger HCWs in this setting. Pre-symptomatic infection was uncommon, in line with the strong variability in SARS-CoV-2 exposure between units. Prioritizing infection prevention and control including sufficient and adequate personal protective equipment, and vaccination for all HCWs are important to prevent nosocomial infections and infections as occupational injuries during an ongoing pandemic.https://doi.org/10.1371/journal.pone.0257854
spellingShingle Maria Fröberg
Sadaf Sakina Hassan
Ville N Pimenoff
Susanne Akterin
Kalle Conneryd Lundgren
K Miriam Elfström
Joakim Dillner
Risk for SARS-CoV-2 infection in healthcare workers outside hospitals: A real-life immuno-virological study during the first wave of the COVID-19 epidemic.
PLoS ONE
title Risk for SARS-CoV-2 infection in healthcare workers outside hospitals: A real-life immuno-virological study during the first wave of the COVID-19 epidemic.
title_full Risk for SARS-CoV-2 infection in healthcare workers outside hospitals: A real-life immuno-virological study during the first wave of the COVID-19 epidemic.
title_fullStr Risk for SARS-CoV-2 infection in healthcare workers outside hospitals: A real-life immuno-virological study during the first wave of the COVID-19 epidemic.
title_full_unstemmed Risk for SARS-CoV-2 infection in healthcare workers outside hospitals: A real-life immuno-virological study during the first wave of the COVID-19 epidemic.
title_short Risk for SARS-CoV-2 infection in healthcare workers outside hospitals: A real-life immuno-virological study during the first wave of the COVID-19 epidemic.
title_sort risk for sars cov 2 infection in healthcare workers outside hospitals a real life immuno virological study during the first wave of the covid 19 epidemic
url https://doi.org/10.1371/journal.pone.0257854
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