Evidence map›Paper›PMID 34104643›Full record

ArticleERJ open research2021

The protective effect of SARS-CoV-2 antibodies in Scottish healthcare workers.

Hani Abo-Leyah, Stephanie Gallant, Diane Cassidy, Yan Hui Giam, Justin Killick, Beth Marshall, Gordon Hay, Caroline Snowdon, Eleanor J Hothersall, Thomas Pembridge and 6 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
2.1field-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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. COVID-19 incidence and vaccination rates among Canadian dental hygienists.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. SARS-CoV-2 seroprevalence in health care workers from 10 hospitals in Quebec, Canada: a cross-sectional study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  19. SARS-CoV-2 Seroprevalence among Healthcare Workers in General Hospitals and Clinics in Japan.International journal of environmental research and public health · 2021
    Article
  20. Article
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

16 authors at 2 institutions in 1 country.

Hani Abo-LeyahDivision of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, Dundee, UK.
Stephanie GallantDivision of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, Dundee, UK.
Diane CassidyDivision of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, Dundee, UK.
Yan Hui GiamDivision of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, Dundee, UK.
Justin KillickDept of Immunology, NHS Tayside, Ninewells Hospital and Medical School, Dundee, UK.
Beth MarshallDept of Immunology, NHS Tayside, Ninewells Hospital and Medical School, Dundee, UK.
Gordon HayDept of Immunology, NHS Tayside, Ninewells Hospital and Medical School, Dundee, UK.
Caroline SnowdonDept of Public Health, NHS Tayside, Ninewells Hospital and Medical School, Dundee, UK.
Eleanor J HothersallDept of Public Health, NHS Tayside, Ninewells Hospital and Medical School, Dundee, UK.
Thomas PembridgeDivision of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, Dundee, UK.
Rachel StrachanDivision of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, Dundee, UK.
Natalie GallantDivision of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, Dundee, UK.
Benjamin J ParcellDept of Microbiology, NHS Tayside, Ninewells Hospital and Medical School, Dundee, UK.
Jacob GeorgeDivision of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, Dundee, UK.
Elizabeth FurrieDept of Immunology, NHS Tayside, Ninewells Hospital and Medical School, Dundee, UK.
James D ChalmersDivision of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, Dundee, UK.
Ninewells Hospital · GBNHS Tayside · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare workers (HCWs) are believed to be at increased risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. It is not known to what extent the natural production of antibodies to SARS-CoV-2 is protective against re-infection.

methodsA prospective observational study of HCWs in Scotland (UK) from May to September 2020 was performed. The Siemens SARS-CoV-2 total antibody assay was used to establish seroprevalence in this cohort. Controls, matched for age and sex to the general local population, were studied for comparison. New infections (up to 2 December 2020) post antibody testing were recorded to determine whether the presence of SARS-CoV-2 antibodies protects against re-infection.

resultsA total of 2063 health and social care workers were recruited for this study. At enrolment, 300 HCWs had a positive antibody test (14.5%). 11 out of 231 control sera tested positive (4.8%). HCWs therefore had an increased likelihood of a positive test (OR 3.4, 95% CI 1.85-6.16; p<0.0001). Dentists were most likely to test positive. 97.3% of patients who had previously tested positive for SARS-CoV-2 by reverse transcriptase (RT)-PCR had positive antibodies. 18.7% had an asymptomatic infection. There were 38 new infections with SARS-CoV-2 in HCWs who were previously antibody negative, and one symptomatic RT-PCR-positive re-infection. The presence of antibodies was therefore associated with an 85% reduced risk of re-infection with SARS-CoV-2 (hazard ratio 0.15, 95% CI 0.06-0.35; p=0.026).

conclusionHCWs were three times more likely to test positive for SARS-CoV-2 than the general population. Almost all infected individuals developed an antibody response, which was 85% effective in protecting against re-infection with SARS-CoV-2.

Identifiers

PMID34104643
PMCPMC8164012
OpenAlexW3165185292

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.