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Predictors of seropositivity to SARS-CoV-2 among employees at a large urban medical center

Authors
  • Kupferwasser, Deborah
  • Flores, Evelyn A
  • Merino, Prudencio
  • Tran, Donna Phan
  • Liu, Honghu
  • Huang, Yilan
  • Bolaris, Michael
  • Nguyen, Megan H
  • Gonzales, Mildred
  • Da Silva, Wellington
  • Astorga-Cook, Leslie
  • Abueg, Angel
  • Mason, Holli
  • Miller, Loren G
Publication Date
Oct 01, 2024
Source
eScholarship - University of California
Keywords
License
Unknown
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Abstract

BackgroundBefore SARS-CoV-2 vaccination availability, medical center employees were at high risk of COVID-19. However, risk factors for SARS-CoV-2 infection in medical center employees, both healthcare and non-healthcare workers, are poorly understood.MethodsFrom September-December 2020, free IgG antibody testing was offered to all employees at a large urban medical center. Participants were asked to complete a questionnaire on work and non-work related risk factors for COVID-19 infection.ResultsSARS-CoV-2 seropositivity was found in 4.7%. Seropositivity was associated with close contact with COVID-19 cases with or without the use of adequate personal protective equipment (PPE), (OR 3.1 [95% CI 1.4-6.9] and OR 4.7 [95% CI 2.0-11.0] respectively), never wearing a mask outside of work (OR 10.1 [95% CI 1.9-57]), and Native Hawaiian/Pacific Islander race (OR 6.3 95% CI (1.6-25)].ConclusionsAmong workers in a large urban medical center, SARS-CoV-2 seropositivity was associated with work-related COVID-19 close contacts and low mask use outside of work, suggesting that non-workplace close contacts are also relevant routes of COVID-19 spread among healthcare workers.

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