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The role of supporting services in driving SARS-CoV-2 transmission within healthcare settings: A multicenter seroprevalence study.


ABSTRACT:

Objective

To determine the seroprevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in healthcare workers (HCWs) based on risk of exposure to COVID-19 patients.

Method

This was a SARS-CoV-2 seroprevalence cross-sectional study in risk-stratified HCWs randomly selected from three main district hospitals in Oman.

Results

1078 HCWs were included, with an overall SARS-CoV-2 seroprevalence of 21%. The seropositivity rates in low-, variable-, and high-risk groups were 29%, 18%, and 17%, respectively (p-value < 0.001). The study found higher positivity in males (crude odds ratio [COR] 1.71, 95% confidence interval [CI] 1.28-2.3), and workers residing in high-prevalence areas (COR 2.09, 95% CI 1.42-3.07). Compared with doctors, workers from supporting services, administration staff, and nurses were more likely to test positive for SARS-CoV-2 antibodies (COR 9.81, 95% CI 5.26-18.27; 2.37, 95% CI 1.23-4.58; 2.08 95% CI 1.14-3.81). The overall rate of previously undetected infection was 12%, with higher values in low-risk HCWs. High district prevalence was a driving factor for seropositivity in the low-risk group (adjusted odds ratio [AOR] 2.36, 95% CI 1.0-5.59).

Conclusion

Low-risk supporting services workers can drive SARS-CoV-2 transmission in hospitals. More attention and innovation within this area will enhance the safety of health care during epidemics/pandemics.

SUBMITTER: Al-Maani A 

PROVIDER: S-EPMC8078034 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature

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Publications

The role of supporting services in driving SARS-CoV-2 transmission within healthcare settings: A multicenter seroprevalence study.

Al-Maani Amal A   Al Wahaibi Adil A   Al-Sooti Jabir J   Al Abri Bader B   Al Shukri Intisar I   AlRisi Elham E   Al Abri Laila L   AlDaghari Khalid K   Al Subhi Mahmood M   AlMaqbali Salima S   AlBurtamani Salim S   AlAbri Asma A   Al Salami Ahmed A   Al-Beloushi Iman I   Al-Zadjali Najla N   Alqayoudhi Abdullah A   Al-Kindi Hanan H   Al Shaqsi Khalifa K   Al-Jardani Amina A   Al-Abri Seif S  

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases 20210427


<h4>Objective</h4>To determine the seroprevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in healthcare workers (HCWs) based on risk of exposure to COVID-19 patients.<h4>Method</h4>This was a SARS-CoV-2 seroprevalence cross-sectional study in risk-stratified HCWs randomly selected from three main district hospitals in Oman.<h4>Results</h4>1078 HCWs were included, with an overall SARS-CoV-2 seroprevalence of 21%. The seropositivity rates in low-, variable-, and high-risk g  ...[more]

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