Evidence map›Paper›PMID 34316587›Full record

ArticleInfection prevention in practice2021

Association between SARS-CoV-2 exposure and antibody status among healthcare workers in two London hospitals: a cross-sectional study.

Admire S Murongazvombo, Rachael S Jones, Michael Rayment, Nabeela Mughal, Berge Azadian, Hugo Donaldson, Gary W Davies, Luke Sp Moore, Alexander M Aiken

Open access · goldAbstract read
In one paragraph

Article in Infection prevention in practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. SARS-CoV-2 herd immunity of the Kyrgyz population in 2021.Medical microbiology and immunology · 2022
    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

9 authors at 5 institutions in 1 country.

Admire S MurongazvomboLondon School of Hygiene and Tropical Medicine, Keppel Street, London, UK.
Rachael S JonesChelsea and Westminster NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK.
Michael RaymentChelsea and Westminster NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK.
Nabeela MughalChelsea and Westminster NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK.
Berge AzadianChelsea and Westminster NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK.
Hugo DonaldsonChelsea and Westminster NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK.
Gary W DaviesChelsea and Westminster NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK.
Luke Sp MooreChelsea and Westminster NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK.
Alexander M AikenLondon School of Hygiene and Tropical Medicine, Keppel Street, London, UK.
Chelsea and Westminster Hospital NHS Foundation Trust · GBImperial College Healthcare NHS Trust · GBLondon School of Hygiene & Tropical Medicine · GBNational Institute for Health Research · GBUniversity of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient-facing (frontline) health-care workers (HCWs) are at high risk of repeated exposure to SARS-CoV-2.

aimWe sought to determine the association between levels of frontline exposure and likelihood of SARS-CoV-2 seropositivity amongst HCW.

methodsA cross-sectional study was undertaken using purposefully collected data from HCWs at two hospitals in London, United Kingdom (UK) over eight weeks in May-June 2020. Information on sociodemographic, clinical and occupational characteristics was collected using an anonymised questionnaire. Serology was performed using split SARS-CoV-2 IgM/IgG lateral flow immunoassays. Exposure risk was categorised into five pre-defined ordered grades. Multivariable logistic regression was used to examine the association between being frontline and SARS-CoV-2 seropositivity after controlling for other risks of infection.

findings615 HCWs participated in the study. 250/615 (40.7%) were SARS-CoV-2 IgM and/or IgG positive. After controlling for other exposures, there was non-significant evidence of a modest association between being a frontline HCW (any level) and SARS-CoV-2 seropositivity compared to non-frontline status (OR 1.39, 95% CI 0.84-2.30,

conclusionWe found a high SARS-CoV-2 IgM/IgG seropositivity with modest evidence for a dose-response association between increasing levels of frontline exposure risk and seropositivity. Even in well-resourced hospital settings, appropriate use of personal protective equipment, in addition to other transmission-based precautions for inpatient care of SARS-CoV-2 patients could reduce the risk of hospital-acquired SARS-CoV-2 infection among frontline HCW.

Indexed as

CoronavirusCovid-19Health-care workersRiskSars-cov-2Serology

Identifiers

PMID34316587
PMCPMC8217738
OpenAlexW3173223952

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.