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High seroprevalence of SARS-CoV-2 in elderly care employees in Sweden.

Authors
  • Lindahl, Johanna F1, 2, 3
  • Hoffman, Tove1
  • Esmaeilzadeh, Mouna1
  • Olsen, Björn4
  • Winter, Reidar5
  • Amer, Stefan6
  • Molnár, Christian6
  • Svalberg, Ann6
  • Lundkvist, Åke1
  • 1 Department of Medical Biochemistry and Microbiology, Zoonosis Science Center, Uppsala University, Uppsala, Sweden. , (Sweden)
  • 2 Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden. , (Sweden)
  • 3 Department of Biosciences, International Livestock Research Institute, Hanoi, Vietnam.
  • 4 Department of Medical Sciences, Zoonosis Science Center, Uppsala University, Uppsala, Sweden. , (Sweden)
  • 5 Department of Cardiology and Clinical Physiology, eHeart AB, Stockholm, Sweden. , (Sweden)
  • 6 Saltsjöbaden, Sweden. , (Sweden)
Type
Published Article
Journal
Infection ecology & epidemiology
Publication Date
Aug 05, 2020
Volume
10
Issue
1
Pages
1789036–1789036
Identifiers
DOI: 10.1080/20008686.2020.1789036
PMID: 32939231
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The COVID-19 pandemic is growing and spread in the Swedish elderly care system during April 2020. The increasing number of employees on sick-leave due to COVID-19 created severe logistic problems. Some elderly care homes therefore started to screen their personnel to secure the safety of the elderly and to avoid unnecessary quarantine of potentially immune employees. Secondary data from a screening with a COVID-19 rapid test for detection of SARS-CoV-2-specific IgM and IgG of 1,005 employees in 22 elderly care homes in Stockholm, Sweden, were analyzed. Seropositive employees were found in 21 out of the 22 care homes. In total, 23% (231/1,005) of the employees tested positive for antibodies against SARS-CoV-2, and 14.3% (144/1,005) were found positive for IgM (either alone or combined with IgG), indicating recent or present infection. Of those that tested seropositive, 46.5% did not report any clinical symptoms, indicating pre- or asymptomatic infections. Reported symptoms with the highest correlation with seropositivity were fever and loss of smell and taste. These results suggest that antibody testing of employees in elderly care homes is valuable for surveillance of disease development and a crucial screening tool in the effort to decrease the death toll in this pandemic. © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

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