Evidence map›Paper›PMID 32615198›Full record

ArticleThe Journal of infection2020

Snapshot PCR surveillance for SARS-CoV-2 in hospital staff in England.

Colin S Brown, Kathryn Clare, Meera Chand, Julie Andrews, Cressida Auckland, Sarah Beshir, Saher Choudhry, Kerrie Davies, Jane Freeman, Andrew Gallini and 13 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The Journal of infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
0.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Systematic review of productivity loss among healthcare workers due to Covid-19.The International journal of health planning and management · 2022
    Pooled it
  4. Pooled it
  5. The effect of ivermectin on the viral load and culture viability in early treatment of nonhospitalized patients with mild COVID-19 - a double-blind, randomized placebo-controlled trial.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Trial
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 8 institutions in 1 country.

Colin S BrownNational Infection Service, Public Health England, London, United Kingdom. Electronic address: colin.brown@phe.gov.uk.
Kathryn ClareNational Infection Service, Public Health England, London, United Kingdom.
Meera ChandNational Infection Service, Public Health England, London, United Kingdom.
Julie AndrewsDepartment of Microbiology, Whittington Health NHS Trust, London, United Kingdom.
Cressida AucklandRoyal Devon & Exeter NHS Foundation Trust, Exeter, United Kingdom.
Sarah BeshirThe Hospital of St John & St Elizabeth, London, United Kingdom.
Saher ChoudhryLeeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
Kerrie DaviesLeeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
Jane FreemanLeeds Teaching Hospitals NHS Trust, Leeds, United Kingdom; University of Leeds, Leeds, United Kingdom.
Andrew GalliniThe Hospital of St John & St Elizabeth, London, United Kingdom.
Rachel MooresThe Royal Free London NHS Foundation Trust, London, United Kingdom.
Trupti PatelDepartment of Microbiology, Whittington Health NHS Trust, London, United Kingdom.
Gosia PoznalskaRoyal Devon & Exeter NHS Foundation Trust, Exeter, United Kingdom.
Alison RodgerThe Royal Free London NHS Foundation Trust, London, United Kingdom; Institute for Global Health, UCL London, United Kingdom.
Stella RobertsRoyal Devon & Exeter NHS Foundation Trust, Exeter, United Kingdom.
Christopher RooneyLeeds Teaching Hospitals NHS Trust, Leeds, United Kingdom; University of Leeds, Leeds, United Kingdom.
Mark WilcoxLeeds Teaching Hospitals NHS Trust, Leeds, United Kingdom; University of Leeds, Leeds, United Kingdom.
Simon WarrenThe Royal Free London NHS Foundation Trust, London, United Kingdom; The Royal National Orthopaedic Hospital, Stanmore, United Kingdom.
Joanna EllisNational Infection Service, Public Health England, London, United Kingdom.
Robin GopalNational Infection Service, Public Health England, London, United Kingdom.
Jake DunningNational Infection Service, Public Health England, London, United Kingdom; The Royal Free London NHS Foundation Trust, London, United Kingdom.
Maria ZambonNational Infection Service, Public Health England, London, United Kingdom.
Susan HopkinsNational Infection Service, Public Health England, London, United Kingdom.
Public Health England · GBLeeds Teaching Hospitals NHS Trust · GBRoyal Devon & Exeter NHS Foundation Trust · GBHospital of St John & St Elizabeth · GBUniversity College London · GBUniversity of Leeds · GBWhittington Health NHS Trust · GBRoyal Free London NHS Foundation Trust · GB

Funding

Versus Arthritis 22294
6 · The paper itself

Abstract

backgroundSignificant nosocomial transmission of SARS-CoV-2 has been demonstrated. Understanding the prevalence of SARS-CoV-2 carriage amongst HCWs at work is necessary to inform the development of HCW screening programmes to control nosocomial spread.

methodsCross-sectional 'snapshot' survey from April-May 2020; HCWs recruited from six UK hospitals. Participants self-completed a health questionnaire and underwent a combined viral nose and throat swab, tested by Polymerase Chain Reaction (PCR) for SARS-CoV-2 with viral culture on majority of positive samples.

findingsPoint prevalence of SARS-CoV-2 carriage across the sites was 2.0% (23/1152 participants), median cycle threshold value 35.70 (IQR:32.42-37.57). 17 were previously symptomatic, two currently symptomatic (isolated anosmia and sore throat); the remainder declared no prior or current symptoms. Symptoms in the past month were associated with threefold increased odds of testing positive (aOR 3.46, 95%CI 1.38-8.67; p = 0.008). SARS-CoV-2 virus was isolated from only one (5%) of nineteen cultured samples. A large proportion (39%) of participants reported symptoms in the past month.

interpretationThe point-prevalence is similar to previous estimates for HCWs in April 2020, though a magnitude higher than in the general population. Based upon interpretation of symptom history and testing results including viral culture, the majority of those testing positive were unlikely to be infectious at time of sampling. Development of screening programmes must balance the potential to identify additional cases based upon likely prevalence, expanding the symptoms list to encourage HCW testing, with resource implications and risks of excluding those unlikely to be infectious with positive tests.

fundingPublic Health England.

Indexed as

BetacoronavirusAdultAgedCoronavirus InfectionsCOVID-19Cross-Sectional StudiesDisease Transmission, InfectiousEnglandFemaleHealth PersonnelHumansMaleMedical Staff, HospitalMiddle AgedPandemicsPneumonia, ViralRNA, Viral

Identifiers

PMID32615198
PMCPMC7324345
OpenAlexW3040252386

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.