SARS-CoV-2 Seroprevalence among Healthcare Workers after the First and Second Pandemic Waves

<b>Background:</b> The Grand Hôpital de Charleroi is a large non-academic Belgian hospital that treated a large number of COVID-19 inpatients. In the context of this pandemic, all professions-combined healthcare workers (HCWs), and not only direct caregivers, are a frontline workforce in...

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Main Authors: Nathalie de Visscher, Xavier Holemans, Aline Gillain, Anne Kornreich, Raphael Lagasse, Philippe Piette, Manfredi Ventura, Frédéric Thys
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/14/7/1535
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author Nathalie de Visscher
Xavier Holemans
Aline Gillain
Anne Kornreich
Raphael Lagasse
Philippe Piette
Manfredi Ventura
Frédéric Thys
author_facet Nathalie de Visscher
Xavier Holemans
Aline Gillain
Anne Kornreich
Raphael Lagasse
Philippe Piette
Manfredi Ventura
Frédéric Thys
author_sort Nathalie de Visscher
collection DOAJ
description <b>Background:</b> The Grand Hôpital de Charleroi is a large non-academic Belgian hospital that treated a large number of COVID-19 inpatients. In the context of this pandemic, all professions-combined healthcare workers (HCWs), and not only direct caregivers, are a frontline workforce in contact with suspected and confirmed COVID-19 cases and seem to be a high-risk group for exposure. The aim of our study was to estimate the prevalence of anti-SARS-CoV-2 antibodies in HCWs in our hospital after the first and second pandemic waves and to characterize the distribution of this seroprevalence in relation to various criteria. <b>Methods:</b> At the end of the two recruitment periods, a total of 4008 serological tests were performed in this single-center cross-sectional study. After completing a questionnaire including demographic and personal data, possible previous COVID-19 diagnostic test results and/or the presence of symptoms potentially related to COVID-19, the study participants underwent blood sampling and serological testing using DiaSorin’s LIAISON<sup>®</sup> SARS-CoV-2 S1/S2 IgG test for the first phase and LIAISON<sup>®</sup> SARS-CoV-2 TrimericS IgG test for the second phase of this study. <b>Results:</b> In total, 302 study participants (10.72%) in the first round of the study and 404 (33.92%) in the second round were positive for SARS-CoV-2-IgG antibodies. The prevalence of seropositivity observed after the second wave was 3.16 times higher than after the first wave. We confirmed that direct, prolonged, and repeated contact with patients or their environment was a predominant seroconversion factor, but more unexpectedly, that this was the case for all HCWs and not only caregivers. Finally, the notion of high-risk contact seemed more readily identifiable in one’s workplace than in one’s private life. <b>Conclusions:</b> Our study confirmed that HCWs are at a significantly higher risk of contracting COVID-19 than the general population, and suggests that repeated contacts with at-risk patients, regardless of the HCWs’ professions, represents the most important risk factor for seroconversion (Clinicaltrials.gov number, NCT04723290).
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spelling doaj.art-b52cd458d3ca4b508c002081effa45832023-12-01T22:47:25ZengMDPI AGViruses1999-49152022-07-01147153510.3390/v14071535SARS-CoV-2 Seroprevalence among Healthcare Workers after the First and Second Pandemic WavesNathalie de Visscher0Xavier Holemans1Aline Gillain2Anne Kornreich3Raphael Lagasse4Philippe Piette5Manfredi Ventura6Frédéric Thys7Department of Infectiology and Internal Medicine, Grand Hôpital de Charleroi (GHdC), B-6000 Charleroi, BelgiumDepartment of Infectiology and Internal Medicine, Grand Hôpital de Charleroi (GHdC), B-6000 Charleroi, BelgiumClinical Research and Translational Unit, Grand Hôpital de Charleroi (GHdC), B-6000 Charleroi, BelgiumDepartment of Laboratory Medicine, Grand Hôpital de Charleroi (GHdC), B-6000 Charleroi, BelgiumDepartment of Medico-Economic Information, Grand Hôpital de Charleroi (GHdC), B-6000 Charleroi, BelgiumDepartment of Medico-Economic Information, Grand Hôpital de Charleroi (GHdC), B-6000 Charleroi, BelgiumDepartment of Medical Management Team, Grand Hôpital de Charleroi (GHdC), B-6000 Charleroi, BelgiumClinical Research and Translational Unit, Grand Hôpital de Charleroi (GHdC), B-6000 Charleroi, Belgium<b>Background:</b> The Grand Hôpital de Charleroi is a large non-academic Belgian hospital that treated a large number of COVID-19 inpatients. In the context of this pandemic, all professions-combined healthcare workers (HCWs), and not only direct caregivers, are a frontline workforce in contact with suspected and confirmed COVID-19 cases and seem to be a high-risk group for exposure. The aim of our study was to estimate the prevalence of anti-SARS-CoV-2 antibodies in HCWs in our hospital after the first and second pandemic waves and to characterize the distribution of this seroprevalence in relation to various criteria. <b>Methods:</b> At the end of the two recruitment periods, a total of 4008 serological tests were performed in this single-center cross-sectional study. After completing a questionnaire including demographic and personal data, possible previous COVID-19 diagnostic test results and/or the presence of symptoms potentially related to COVID-19, the study participants underwent blood sampling and serological testing using DiaSorin’s LIAISON<sup>®</sup> SARS-CoV-2 S1/S2 IgG test for the first phase and LIAISON<sup>®</sup> SARS-CoV-2 TrimericS IgG test for the second phase of this study. <b>Results:</b> In total, 302 study participants (10.72%) in the first round of the study and 404 (33.92%) in the second round were positive for SARS-CoV-2-IgG antibodies. The prevalence of seropositivity observed after the second wave was 3.16 times higher than after the first wave. We confirmed that direct, prolonged, and repeated contact with patients or their environment was a predominant seroconversion factor, but more unexpectedly, that this was the case for all HCWs and not only caregivers. Finally, the notion of high-risk contact seemed more readily identifiable in one’s workplace than in one’s private life. <b>Conclusions:</b> Our study confirmed that HCWs are at a significantly higher risk of contracting COVID-19 than the general population, and suggests that repeated contacts with at-risk patients, regardless of the HCWs’ professions, represents the most important risk factor for seroconversion (Clinicaltrials.gov number, NCT04723290).https://www.mdpi.com/1999-4915/14/7/1535healthcare workersSARS-CoV-2seroprevalencepandemic wavesBelgium
spellingShingle Nathalie de Visscher
Xavier Holemans
Aline Gillain
Anne Kornreich
Raphael Lagasse
Philippe Piette
Manfredi Ventura
Frédéric Thys
SARS-CoV-2 Seroprevalence among Healthcare Workers after the First and Second Pandemic Waves
Viruses
healthcare workers
SARS-CoV-2
seroprevalence
pandemic waves
Belgium
title SARS-CoV-2 Seroprevalence among Healthcare Workers after the First and Second Pandemic Waves
title_full SARS-CoV-2 Seroprevalence among Healthcare Workers after the First and Second Pandemic Waves
title_fullStr SARS-CoV-2 Seroprevalence among Healthcare Workers after the First and Second Pandemic Waves
title_full_unstemmed SARS-CoV-2 Seroprevalence among Healthcare Workers after the First and Second Pandemic Waves
title_short SARS-CoV-2 Seroprevalence among Healthcare Workers after the First and Second Pandemic Waves
title_sort sars cov 2 seroprevalence among healthcare workers after the first and second pandemic waves
topic healthcare workers
SARS-CoV-2
seroprevalence
pandemic waves
Belgium
url https://www.mdpi.com/1999-4915/14/7/1535
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