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High seroprevalence of antibodies against Sars-CoV-2 among healthcare workers 8 months after the first wave in Aden, Yemen

Bibliographic Data

ID19591978
AuthorsRami Malaeb (0000-0002-4512-9751, corresponding author), Nagwan Yousef (0000-0003-3822-8505, University of Aden), Omar Al-Nagdah (0000-0002-9764-9687, University of Aden), Qassem Hussein Ali (University of Aden), Mohammed Ali Saleh Saeed (University of Aden), Amna Haider (0000-0002-1815-8485), Evgenia Zelikova (Médecins Sans Frontières), Nada Malou (Médecins Sans Frontières), Sonia Guiramand (Médecins Sans Frontières), Clair Mills (Médecins Sans Frontières), Francisco J Luquero (0000-0003-0885-8418), Francisco Luquero, Klaudia Porten
EditorsJulia Robinson (0000-0003-0719-3995)
Year2022
Volume2
Issue11
Pagese0000767
Publication date2022-11-09
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0000767
PMID36962647
OpenAlexW4308623209
LanguageEN
Citations received1
References cited14

The true burden of COVID-19 in Yemen is underestimated. The healthcare system is dysfunctional and there is a high shortage of health care workers in the country. Testing for SARS-CoV-2 remains limited and official surveillance data is restricted to those who are severe or highly suspected. In this study, Médecins Sans Frontières (MSF) aimed to conduct serological screening using rapid tests for asymptomatic staff at the MSF Aden Trauma Center to determine the SARS-CoV-2 antibody seropositivity. Four months after the peak of the first wave, we offered all the staff at the MSF Aden Trauma Center PCR if symptomatic, and a baseline SARS-CoV-2 serology screening followed by follow-up screenings. A final round was scheduled four months after the baseline. A rapid serology lateral flow test, NG-Test IgM-IgG was used in all rounds and in the final round, an electrochemiluminescence immunoassay (ECLIA) (Elecsys Anti-SARS-CoV-2 assay). Univariate and multivariate analyses were used to identify risk factors for seropositivity. The level of agreement between the different serology assays used was investigated. Overall 69 out of 356 participants (19.4%, 95% CI 17.9–20.8) tested positive by NG-Test between September and November 2020. A sub-sample of 161 staff members were retested in January 2021. Of these, the NG-Test detected only 13 positive cases, whereas the ECLIA detected 109 positive cases. The adjusted seroprevalence by ECLIA was 59% (95%CI 52.2–65.9). The non-medical staff had significantly lower odds of seropositivity compared to the medical staff (AOR 0.43, 95% CI 0.15–0.7, p

Antibody · Asymptomatic · Health care · Serology · Seroprevalence · COVID-19 Clinical Research Studies · Medicine · SARS-CoV-2 and COVID-19 Research · SARS-CoV-2 detection and testing · Emergency Medicine · Immunology · Internal Medicine

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Unique citing works1
Citations per year0,33
Citation span2023 - 2023 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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