Evidence map›Paper›PMID 34039287›Full record

ArticleBMC infectious diseases2021

Longitudinal assessment of SARS-CoV-2 IgG seroconversionamong front-line healthcare workers during the first wave of the Covid-19 pandemic at a tertiary-care hospital in Chile.

Mirentxu Iruretagoyena, Macarena R Vial, Maria Spencer-Sandino, Pablo Gaete, Anne Peters, Iris Delgado, Inia Perez, Claudia Calderon, Lorena Porte, Paulette Legarraga and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Analysis of the prevalence of anti-SARS-CoV-2 antibodies in groups of medical and non-medical professions.International journal of occupational medicine and environmental health · 2023
    Article
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  7. SARS-CoV-2 detection methods: A comprehensive review.Saudi journal of biological sciences · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Mirentxu IruretagoyenaLaboratorio Clínico, Clínica Alemana de Santiago, Santiago, Chile.
Macarena R VialFacultad de Medicina Clínica Alemana, Universidad del Desarrollo (CAS-UDD), Santiago, Chile.
Maria Spencer-SandinoInstituto de Ciencias e Innovación en Medicina (ICIM), Facultad de Medicina CAS-UDD, Santiago, Chile.
Pablo GaeteFacultad de Medicina Clínica Alemana, Universidad del Desarrollo (CAS-UDD), Santiago, Chile.
Anne PetersInstituto de Ciencias e Innovación en Medicina (ICIM), Facultad de Medicina CAS-UDD, Santiago, Chile.
Iris DelgadoFacultad de Medicina Clínica Alemana, Universidad del Desarrollo (CAS-UDD), Santiago, Chile.
Inia PerezFacultad de Medicina Clínica Alemana, Universidad del Desarrollo (CAS-UDD), Santiago, Chile.
Claudia CalderonFacultad de Medicina Clínica Alemana, Universidad del Desarrollo (CAS-UDD), Santiago, Chile.
Lorena PorteLaboratorio Clínico, Clínica Alemana de Santiago, Santiago, Chile.
Paulette LegarragaLaboratorio Clínico, Clínica Alemana de Santiago, Santiago, Chile.
Alicia AndersonLaboratorio Clínico, Clínica Alemana de Santiago, Santiago, Chile.
Ximena AguileraFacultad de Medicina Clínica Alemana, Universidad del Desarrollo (CAS-UDD), Santiago, Chile.
Pablo VialFacultad de Medicina Clínica Alemana, Universidad del Desarrollo (CAS-UDD), Santiago, Chile.
Thomas WeitzelLaboratorio Clínico, Clínica Alemana de Santiago, Santiago, Chile.
Jose M MunitaFacultad de Medicina Clínica Alemana, Universidad del Desarrollo (CAS-UDD), Santiago, Chile. Josemunita@udd.cl.
Clínica Alemana · CLUniversidad del Desarrollo · CLMillennium Initiative for Collaborative Research on Bacterial Resistance · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare workers (HCWs) are at high risk of exposure to SARS-CoV-2. Cross-sectional studies have provided variable rates of seroprevalence in HCWs. Longitudinal assessments of the serological response to Covid-19 among HCWs are crucial to understanding the risk of infection and changes in antibody titers over time. We aimed to investigate seroprevalence and risk factors associated with seroconversion in a prospective cohort of HCWs during the peak of the first wave of the Covid-19 pandemic.

methodsWe conducted a longitudinal study among 446 front-line HCWsin a tertiary-care hospital in Chile from April to July 2020. IgG was determined monthly using two different ELISAs in serum samples of HCWs, during the three-month period. In each visit, demographic data, symptoms, risk factors, and exposure risks were also assessed.

resultsThe overall seroprevalence at the end of the study period was 24% (95% CI20.2-28.3), with 43% of seropositive HCWs reporting no prior symptoms. Seroconversion rates significantly differed over the study period, from 2.1% to as high as 8.8% at the peak of the epidemic. There were no statistically significant differences observed between HCWs in direct clinical care of patients with Covid-19 and those working in low risk areas. Antibody titers appeared to wane over time.

conclusionsHCWs were severely affected with a high rate of seroconversion that appeared to mirror the local epidemiological situation. A significant amount of participants underwent an asymptomatic infection, highlighting the need for improved surveillance policies. Antibody titers appear to wane over time; further studies to understand this finding's impact on the risk of reinfection are warranted.

Indexed as

COVID-19 Serological TestingSeroconversionAdultAgedAntibodies, ViralChileCohort StudiesCOVID-19Enzyme-Linked Immunosorbent AssayFemaleHealth PersonnelHumansImmunoglobulin GLongitudinal StudiesMaleMiddle AgedAntibodies, ViralImmunoglobulin GCovid-19Healthcare workersSARS-CoV-2SeroconversionSeroprevalence

Identifiers

PMID34039287
PMCPMC8149923
OpenAlexW3164568330

What OpenQuestion holds

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LicenceCC BY
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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.