Evidence map›Paper›PMID 34514761›Full record

Observational studyJournal of epidemiology and global health2021

Serosurvey for Health-Care Workers Provides Supportive Evidence for the Effectiveness of Hydroxychloroquine Prophylaxis against SARS-CoV-2 Infection.

Reetika Malik Yadav, Archana Pate, Aruna Shankarkumar, Shreyasi Athalye, Shweta Shinde, Umair Ahmed Bargir, Mangesh Pate, Makarand Ganpule, Meena Pruthi, Hemant Patil and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of epidemiology and global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Authors' response.The Indian journal of medical research · 2021
    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

11 authors.

Reetika Malik YadavDepartment of Pediatric Immunology and Leukocyte Biology, ICMR-National Institute of Immunohematology, 13th floor, New Multi-storeyed Building, KEM Hospital Complex, Parel, Mumbai 400012, India.ORCID 0000-0002-5030-0437
Archana PateIndian Medical Association Dombivli, IMA Hall, 2nd floor, Deepshikha CHS, Dombivli 421201, India.
Aruna ShankarkumarDepartment of Transfusion Transmitted Diseases, ICMR-National Institute of Immunohematology, 13th floor, New Multi-storeyed Building, KEM Hospital Complex, Parel, Mumbai 400012, India.ORCID 0000-0002-9480-0046
Shreyasi AthalyeDepartment of Transfusion Transmitted Diseases, ICMR-National Institute of Immunohematology, 13th floor, New Multi-storeyed Building, KEM Hospital Complex, Parel, Mumbai 400012, India.ORCID 0000-0002-0014-0009
Shweta ShindeDepartment of Pediatric Immunology and Leukocyte Biology, ICMR-National Institute of Immunohematology, 13th floor, New Multi-storeyed Building, KEM Hospital Complex, Parel, Mumbai 400012, India.
Umair Ahmed BargirDepartment of Pediatric Immunology and Leukocyte Biology, ICMR-National Institute of Immunohematology, 13th floor, New Multi-storeyed Building, KEM Hospital Complex, Parel, Mumbai 400012, India.ORCID 0000-0001-6785-8042
Mangesh PateIndian Medical Association Dombivli, IMA Hall, 2nd floor, Deepshikha CHS, Dombivli 421201, India.
Makarand GanpuleIndian Medical Association Dombivli, IMA Hall, 2nd floor, Deepshikha CHS, Dombivli 421201, India.
Meena PruthiIndian Medical Association Dombivli, IMA Hall, 2nd floor, Deepshikha CHS, Dombivli 421201, India.
Hemant PatilIndian Medical Association Dombivli, IMA Hall, 2nd floor, Deepshikha CHS, Dombivli 421201, India.
Manisha Rajan MadkaikarDepartment of Pediatric Immunology and Leukocyte Biology, ICMR-National Institute of Immunohematology, 13th floor, New Multi-storeyed Building, KEM Hospital Complex, Parel, Mumbai 400012, India.ORCID 0000-0001-6380-3116

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic has resulted in occupational exposure among Healthcare Workers (HCWs) and a high risk of nosocomial transmission. Asymptomatic infection and transmission of infection before the development of symptoms are well-recognized factors contributing to the spread of infection. We conducted a cross-sectional observational study to understand the seroprevalence of SARS-CoV-2 infection among HCWs and to verify the appropriateness of infection control measures, particularly Hydroxychloroquine (HCQ) prophylaxis.

methodsA cross-sectional sero-surveillance study was conducted among 500 HCWs in Dombivli and surrounding Mumbai Metropolitan area (Maharashtra, India) between 21st July and 3rd August 2020. The vulnerability of the study participants to SARS-CoV-2 infection was ascertained through a history of (i) involvement in direct care, (ii) exposure to aerosol-generating procedures, (iii) co-morbidities, (iv) Personal Protective Equipment (PPE) use, and (v) HCQ prophylaxis. SARS-CoV-2 IgG antibodies were tested using COVID KAVACH anti-SARS-CoV-2 IgG antibody detection enzyme-linked immunosorbent assay (ELISA) from Zydus Cadila. A systematic analysis of the correlation between the development of antibodies and factors affecting vulnerability to infection was performed.

resultsThe overall SARS-CoV-2 seroprevalence in the study population was 11%. Providing direct care to COVID-19 patients (Adjusted OR 16.4, 95% CI 3.3-126.9,

conclusionProphylaxis with HCQ may have a role in mitigating the incidence and severity of SARS-CoV-2 infection. Although vaccination is the most robust strategy to safeguard against COVID-19, it will be months before vaccination percolates to the masses. In the face of the second wave of COVID-19, the use of HCQ prophylaxis in combination with use of face-masks regularly may be considered as a cost-effective measure for population dense areas like urban slums where social distancing is not possible.

Indexed as

COVID-19 Drug TreatmentHydroxychloroquineCross-Sectional StudiesHealth PersonnelHumansIndiaSARS-CoV-2Seroepidemiologic StudiesHydroxychloroquinehealthcare workershydroxychloroquineprophylaxisSARS-CoV-2Sero-surveillance

Identifiers

PMID34514761
PMCPMC8435873

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.