Evidence map›Paper›PMID 34732489›Full record

SynthesisBMJ open2021

Risk of infection and contribution to transmission of SARS-CoV-2 in school staff: a systematic review.

Sudip Jung Karki, Alexandar Joachim, Torben Heinsohn, Berit Lange

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. 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

4 authors.

Sudip Jung KarkiDepartment of Epidemiology, Helmholtz Centre for Infection Research, Braunschweig, Germany SudipJung.Karki@helmholtz-hzi.de.ORCID 0000-0002-9643-9987
Alexandar JoachimDepartment of Paediatrics, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany.
Torben HeinsohnDepartment of Epidemiology, Helmholtz Centre for Infection Research, Braunschweig, Germany.ORCID 0000-0002-1175-2633
Berit LangeDepartment of Epidemiology, Helmholtz Centre for Infection Research, Braunschweig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo summarise the comparative risk of infection in school staff and their contribution to SARS-CoV-2 transmission.

designSystematic review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline. DATA SOURCES: MEDLINE, WHO COVID-19 database and preView were searched on 29 January 2021. ELIGIBILITY CRITERIA: We included studies that reported risk of SARS-CoV-2 infection in school staff or transmission of SARS-CoV-2 in school settings. DATA EXTRACTION AND SYNTHESIS: Data extraction was done in duplicates. Data synthesis was qualitative. We report attack rates and infection risk in school settings for staff and students stratified by control measures taken and infection dynamics at the point of data collection.

resultsEighteen studies were included. Three studies in low incidence settings showed low attack rates similar for teachers and students. Five studies in medium incidence settings and two studies in high incidence settings showed secondary attack rates up to 16% in school staff.Seroprevalence studies, two in each low and high incidence settings showed an infection risk of 0%-0.2% and 1.7%-28% for teachers.The risk of infection for teachers compared with students were similar in one study in low incidence setting, higher in three studies (RR 1.2-4.4) and lower in three studies in medium to high incidence settings. The risk of infection for teachers in a high infection environment is higher in face-to-face than in distance classes when compared with general population groups. The risk of infections as well as risk of hospitalisation both increased for teachers during school openings compared with school closure.

conclusionWhile in low incidence settings there is little evidence for school staff to be at high risk of SARS-CoV-2 infection, in high incidence settings there is an increased risk of SARS-CoV-2 infection in school staff teaching face-to-face compared to staff teaching digitally and general population. PROSPERO REGISTRATION NUMBER: CRD42021239225.

Indexed as

COVID-19SARS-CoV-2HumansSchoolsSeroepidemiologic StudiesStudentsCOVID-19epidemiologyinfectious diseases

Identifiers

PMID34732489
PMCPMC8572358

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.