Korean J healthc assoc Infect Control Prev.  2021 Jun;26(1):24-30. 10.14192/kjicp.2021.26.1.24.

Severe Acute Respiratory Syndrome Coronavirus-2 Antibody Seropositivity among Healthcare Workers Working in Coronavirus Disease Wards

Affiliations
  • 1Division of Infectious Disease, Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea
  • 2Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
  • 3Masan Medical Center, Changwon, Korea
  • 4Department of Laboratory Medicine, Pusan National University of Yangsan Hospital, Yangsan, Korea
  • 5Division of Pulmonology, Allergy and Critical Care Medicine, Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea

Abstract

Background
Healthcare workers (HCWs) involved in the care of patients with coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) are at risk of being infected. This study aimed to investigate the seropositivity of SARS-CoV-2 among the HCWs.
Methods
From June to July 2020, 151 serum samples of HCWs involved in the care of COVID-19 patients from two hospitals in South Gyeongsang Province, South Korea, were collected to test for the presence of SARS-CoV-2 immunoglobulin G (IgG) antibodies. Epidemiologic data were collected using a questionnaire.
Results
Among the 151 HCWs, 3 (2.0%) had detectable SARS-CoV-2 IgG. Two of them were nurses working in the COVID-19 ward of the first hospital and had no direct contact with confirmed COVID-19 patients without personal protective equipment (PPE). The other HCW worked at the infection prevention office and was 6 weeks pregnant at the time of the study. In this study, 19 participants self-reported 33 episodes of contamination during PPE removal, but none of them tested positive.
Conclusion
This study reported a seropositivity rate of 2.0% for SARS-CoV-2 IgG among HCWs. Following the exclusion of an HCW with a suspected false-positive result, the adjusted rate was 1.3%, which was higher than that reported at approximately the same time in the community (0.07%). However, there was no evidence of viral transmission among the colleagues of that HCW in this study. Standard precautions, proper monitoring, and PPE use could help prevent the spread of COVID-19 in hospital settings.

Keyword

COVID-19; HCWs; SARS-CoV-2; Seropositivity

Reference

1. Zou L, Ruan F, Huang M, Liang L, Huang H, Hong Z, et al. 2020; SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med. 382:1177–9. DOI: 10.1056/NEJMc2001737. PMID: 32074444. PMCID: PMC7121626.
Article
2. Noh JY, Seo YB, Yoon JG, Seong H, Hyun H, Lee J, et al. 2020; Seroprevalence of anti-SARS-CoV-2 antibodies among outpatients in southwestern Seoul, Korea. J Korean Med Sci. 35:e311. DOI: 10.3346/jkms.2020.35.e311. PMID: 32830472. PMCID: PMC7445312.
Article
3. Center for Infection Prevention and Control (CIPAC). 2020; Number of confirmed COVID-19 cases million people. Commun Dis Wkly Update. 5:234.
4. Emmerich P, Murawski C, Ehmen C, von Possel R, Pekarek N, Oestereich L, et al. 2021; Limited specificity of commercially available SARS-CoV-2 IgG ELISAs in serum samples of African origin. Trop Med Int Health. 26:621–31. DOI: 10.1111/tmi.13569. PMID: 33666297. PMCID: PMC8014856.
Article
5. Dörschug A, Schwanbeck J, Hahn A, Hillebrecht A, Blaschke S, Mese K, et al. 2021; Comparison of five serological assays for the detection of SARS-CoV-2 antibodies. Diagnostics (Basel). 11:78. DOI: 10.3390/diagnostics11010078. PMID: 33418886. PMCID: PMC7825051.
Article
6. Song SK, Lee DH, Nam JH, Kim KT, Do JS, Kang DW, et al. 2020; IgG seroprevalence of COVID-19 among individuals without a history of the coronavirus disease infection in Daegu, Korea. J Korean Med Sci. 35:e269. DOI: 10.3346/jkms.2020.35.e269. PMID: 32715672. PMCID: PMC7384903.
Article
7. Nicol T, Lefeuvre C, Serri O, Pivert A, Joubaud F, Dubée V, et al. 2020; Assessment of SARS-CoV-2 serological tests for the diagnosis of COVID-19 through the evaluation of three immunoassays: two automated immunoassays (Euroimmun and Abbott) and one rapid lateral flow immunoassay (NG Biotech). J Clin Virol. 129:104511. DOI: 10.1016/j.jcv.2020.104511. PMID: 32593133. PMCID: PMC7295485.
Article
8. Hanssen DAT, Slaats M, Mulder M, Savelkoul PHM, van Loo IHM. Evaluation of 18 commercial serological assays for the detection of antibodies against SARS-CoV-2 in paired serum samples. Eur J Clin Microbiol Infect Dis. in press 2021. DOI: 10.1007/s10096-021-04220-7. PMID: 33733395. PMCID: PMC7968571.
Article
9. Walsh KA, Jordan K, Clyne B, Rohde D, Drummond L, Byrne P, et al. 2020; SARS-CoV-2 detection, viral load and infectivity over the course of an infection. J Infect. 81:357–71. DOI: 10.1016/j.jinf.2020.06.067. PMID: 32615199. PMCID: PMC7323671.
Article
10. Heinzerling A, Stuckey MJ, Scheuer T, Xu K, Perkins KM, Resseger H, et al. 2020; Transmission of COVID-19 to health care personnel during exposures to a hospitalized patient - Solano County, California, February 2020. MMWR Morb Mortal Wkly Rep. 69:472–6. DOI: 10.15585/mmwr.mm6915e5. PMID: 32298249. PMCID: PMC7755059.
Article
11. Korth J, Wilde B, Dolff S, Anastasiou OE, Krawczyk A, Jahn M, et al. 2020; SARS-CoV-2-specific antibody detection in healthcare workers in Germany with direct contact to COVID-19 patients. J Clin Virol. 128:104437. DOI: 10.1016/j.jcv.2020.104437. PMID: 32434708. PMCID: PMC7219425.
Article
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