Positive rate of serum SARS-CoV immunoglobulin G antibody among healthcare workers

被引:8
作者
Wang, Fu-Der
Chen, Yin-Yin
Lee, Yuan-Ming
Chan, Yu-Jiun
Chen, Te-Li
Lue, Jia-Fong
Liu, Cheng-Yi
Lee, Chen-Hsen
机构
[1] Taipei Vet Gen Hosp, Dept Emergency Serv, Taipei, Taiwan
[2] Taipei Vet Gen Hosp, Sect Infect Dis, Dept Med, Taipei, Taiwan
[3] Natl Yang Ming Univ, Taipei 112, Taiwan
[4] Taipei Vet Gen Hosp, Div Clin Virol, Taipei, Taiwan
[5] Municipal Chung Hsing Hosp, Dept Internal Med, Sect Infect Dis, Taipei, Taiwan
[6] Taipei Vet Gen Hosp, Dept Emergency Serv, Taipei, Taiwan
关键词
D O I
10.1080/00365540600951226
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
We evaluated the positive rate for severe acute respiratory syndrome (SARS) -CoV IgG antibody among Taiwanese healthcare workers (HCWs). A retrospective cohort research was performed in 2 teaching hospitals and 2 non-teaching hospitals. SARS-CoV IgG antibodies were checked and a structured questionnaire was prepared. A total of 2512 sets of questionnaires was distributed with a return rate of 87.5% (2197 sets). 882 of the respondents had contact with SARS patients. Among 2197 subjects studied, a total of 9 subjects (0.4%) displayed positive findings for SARS-CoV IgG antibody. The relative risk (RR) of contracting SARS for HCWs in the emergency room (ER) was estimated to be 25.94 times greater than the corresponding risk for those HCWs who worked in the ordinary ward (95% CI 7.07-95.14, p < 0.001). If we estimated the HCWs who came into contact with SARS patients, the RR for positive serum IgG antibody titer among HCWs from the ER was significantly greater than it was for those working in the ordinary ward (RR 9.45, 95% CI 2.58-34.64, p =0.001). In conclusion, HCWs from the ER faced a relatively high risk for potential infection by the SARS virus when caring for patients who had not been diagnosed with SARS.
引用
收藏
页码:152 / 156
页数:5
相关论文
共 19 条
[1]   Clinical features and short-term outcomes of 144 patients with SARS in the greater Toronto area [J].
Booth, CM ;
Matukas, LM ;
Tomlinson, GA ;
Rachlis, AR ;
Rose, DB ;
Dwosh, HA ;
Walmsley, SL ;
Mazzulli, T ;
Avendano, M ;
Derkach, P ;
Ephtimios, IE ;
Kitai, I ;
Mederski, BD ;
Shadowitz, SB ;
Gold, WL ;
Hawryluck, LA ;
Rea, E ;
Chenkin, JS ;
Cescon, DW ;
Poutanen, SM ;
Detsky, AS .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (21) :2801-2809
[2]  
Centers for Disease Control and Prevention (CDC), 2003, MMWR Morb Mortal Wkly Rep, V52, P461
[3]   Antibody detection of SARS-CoV spike and nucleocapsid protein [J].
Chang, MS ;
Lu, YT ;
Ho, ST ;
Wu, CC ;
Wei, TY ;
Chen, CJ ;
Hsu, YT ;
Chu, PC ;
Chen, CH ;
Chu, JM ;
Jan, YL ;
Hung, CC ;
Fan, CC ;
Yang, YC .
BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, 2004, 314 (04) :931-936
[4]  
El-Masri Maher M, 2004, AACN Clin Issues, V15, P150, DOI 10.1097/00044067-200401000-00013
[5]   An outbreak of severe acute respiratory syndrome among hospital workers in a community hospital in Hong Kong [J].
Ho, AS ;
Sung, JJY ;
Chan-Yeung, M .
ANNALS OF INTERNAL MEDICINE, 2003, 139 (07) :564-567
[6]  
Hsu LY, 2003, EMERG INFECT DIS, V9, P713
[7]   SARS antibody test for serosurveillance [J].
Hsueh, PR ;
Kao, CL ;
Lee, CN ;
Chen, LK ;
Ho, MS ;
Sia, C ;
De Fang, X ;
Lynn, S ;
Chang, TY ;
Liu, SK ;
Walfield, AM ;
Wang, CY .
EMERGING INFECTIOUS DISEASES, 2004, 10 (09) :1558-1562
[8]   A major outbreak of severe acute respiratory syndrome in Hong Kong [J].
Lee, N ;
Hui, D ;
Wu, A ;
Chan, P ;
Cameron, P ;
Joynt, GM ;
Ahuja, A ;
Yung, MY ;
Leung, CB ;
To, KF ;
Lui, SF ;
Szeto, CC ;
Chung, S ;
Sung, JJY .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (20) :1986-1994
[9]   SARS-CoV antibody prevalence in all Hong Kong patient contacts [J].
Leung, GM ;
Chung, PH ;
Tsang, T ;
Lim, W ;
Chan, SKK ;
Chau, P ;
Donnelly, CA ;
Ghani, AC ;
Fraser, C ;
Riley, S ;
Ferguson, NM ;
Anderson, RM ;
Law, YI ;
Mok, T ;
Ng, T ;
Fu, A ;
Leung, PY ;
Peiris, JSM ;
Lam, TH ;
Hedley, AJ .
EMERGING INFECTIOUS DISEASES, 2004, 10 (09) :1653-1656
[10]   Angiotensin-converting enzyme 2 is a functional receptor for the SARS coronavirus [J].
Li, WH ;
Moore, MJ ;
Vasilieva, N ;
Sui, JH ;
Wong, SK ;
Berne, MA ;
Somasundaran, M ;
Sullivan, JL ;
Luzuriaga, K ;
Greenough, TC ;
Choe, H ;
Farzan, M .
NATURE, 2003, 426 (6965) :450-454