Evidence map›Paper›PMID 35296242›Full record

ArticleBMC infectious diseases2022

Seroprevalence of SARS-CoV-2 antibodies, associated factors, experiences and attitudes of nursing home and home healthcare employees in Switzerland.

Erin A West, Olivia J Kotoun, Larissa J Schori, Julia Kopp, Marco Kaufmann, Manuela Rasi, Jan Fehr, Milo A Puhan, Anja Frei, Corona Immunitas Research Group

Abstract read
In one paragraph

Article in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Seroprevalence Survey of Anti-SARS-CoV-2 Antibodies in a Population of Emilia-Romagna Region, Northern Italy.International journal of environmental research and public health · 2022
    Article
  8. Swiss Cohort & Biobank - The White Paper.Public health reviews · 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

10 authors.

Erin A WestEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland. erinashley.west@uzh.ch.
Olivia J KotounEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Larissa J SchoriEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Julia KoppEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Marco KaufmannEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Manuela RasiEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Jan FehrEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Milo A PuhanEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Anja FreiEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-7134-1000
Corona Immunitas Research Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany studies in hospital settings exist and have shown healthcare employees to be particularly exposed to SARS-CoV-2. While research focused on hospital staff, little evidence exists for employees in nursing homes and home care. The aims of this study were to assess the seroprevalence in nursing homes and home care employees in the Canton of Zurich, compare it to the general population, assess factors associated with seropositivity and explore the perspective of the employees regarding how the pandemic changed their daily work.

methodsThis cross-sectional study is part of the national Corona Immunitas research program of coordinated, seroprevalence studies in Switzerland. Six nursing homes and six home healthcare organizations providing at home care services in Zurich were selected and 296 and 131 employees were recruited, respectively. Assessments included standardized questionnaires, blood sampling for antibodies, and additional work-specific questions. All participants were recruited between 21st September and 23rd October 2020, before the second wave of the pandemic hit Switzerland, and were possibly exposed to SARS-CoV-2 at their work during the first wave in spring 2020.

resultsSeroprevalence of SARS-CoV-2 was 14.9% (95% CI 11.1%-19.6%; range 3.8% to 24.4%) for nursing home employees and 3.8% (95% CI 1.4-9.1%; range 0% to 10%) for home healthcare employees, compared to the general population of Zurich at 3.5% in September 2020 for those aged 20-64. Nurses were 2.6 times more likely to have SARS-CoV-2 antibodies than those employees who were not nurses (95% CI 1.1-6.2). The employees (nursing homes vs. home healthcare) perceived the implementation of general safety measures (44.9% vs. 57.3%) and wearing masks during work (36.8% vs. 43.5%), especially due to the limited communication with residents/clients, as the most crucial changes.

conclusionsNursing home employees who worked through SARS-CoV-2 outbreaks at their work were substantially more affected by SARS-CoV-2 infection compared to the general population and to home healthcare employees who similarly worked through outbreaks in their communities. Employees reported that important resources to cope with the burdensome changes they perceived in their daily work were personal resources and team support.

trial registrationCurrent Controlled Trials ISRCTN18181860 dated 09/07/2020. Retrospectively registered.

Indexed as

COVID-19Home Care ServicesAdultAttitudeCross-Sectional StudiesDelivery of Health CareHumansMiddle AgedNursing HomesPersonnel, HospitalSARS-CoV-2Seroepidemiologic StudiesSurveys and QuestionnairesSwitzerlandYoung AdultAt home careBehaviouralHealthcare employeesNursing homesOutbreakPandemicSARS-CoV-2Seroprevalence

Identifiers

PMID35296242
PMCPMC8924739

What OpenQuestion holds

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LicenceCC BY
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.