SARS-CoV-2 infection in mortuary and cemetery workers.

Autor:	Alishaq M; Hamad Medical Corporation, Doha, Qatar., Jeremijenko A; Hamad Medical Corporation, Doha, Qatar., Nafady-Hego H; Hamad Medical Corporation, Doha, Qatar; Microbiology and Immunology Department, Faculty of Medicine, Assiut University, Assiut, Egypt., Al Ajmi JA; Hamad Medical Corporation, Doha, Qatar., Elgendy M; Faculty of Medicine, Universiti Sains of Malaysia, Kelantan, Malaysia., Fadel RAA; Hamad Medical Corporation, Doha, Qatar., Thomas AG; Hamad Medical Corporation, Doha, Qatar., Alahmed MAA; Hamad Medical Corporation, Doha, Qatar., Ammar A; Hamad Medical Corporation, Doha, Qatar., Bensaad M; Weill Cornell Medicine-Qatar, Doha, Qatar., Al-Barghouthi B; Weill Cornell Medicine-Qatar, Doha, Qatar., Coyle P; Hamad Medical Corporation, Doha, Qatar., Elgendy H; Hamad Medical Corporation, Doha, Qatar; Weill Cornell Medicine-Qatar, Doha, Qatar; Anesthesia Department, Faculty of Medicine, Assiut University, Assiut, Egypt., Abou-Samra AB; Hamad Medical Corporation, Doha, Qatar; Weill Cornell Medicine-Qatar, Doha, Qatar., Butt AA; Hamad Medical Corporation, Doha, Qatar; Weill Cornell Medicine-Qatar, Doha, Qatar. Electronic address: aabutt@hamad.qa.
Jazyk:	angličtina
Zdroj:	International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases [Int J Infect Dis] 2021 Apr; Vol. 105, pp. 621-625. Date of Electronic Publication: 2021 Mar 09.
DOI:	10.1016/j.ijid.2021.03.012
Abstrakt:	Background: Mortuary and cemetery workers may be exposed to the bodies of people with SARS-CoV-2 infection; however, prevalence of infection among these groups is unknown. Methods: Nasopharyngeal swabs (NPS) for RT-PCR and serologic testing for SARS-CoV-2 were performed on mortuary and cemetery workers in Qatar. Data on specific job duties, living conditions, contact history, and clinical course were gathered. Environmental sampling was carried out to explore any association with infection. Logistic regression analysis was used to determine the factors associated with infection. Results: Forty-seven mortuary workers provided an NPS and seven (14.9%) were PCR positive; 32 provided a blood sample and eight (25%) were antibody positive, six (75%) who were seropositive were also PCR positive. Among the 81 cemetery workers, 76 provided an NPS and five (6.6%) were PCR positive; 64 provided a blood sample and 22 (34.4%) were antibody positive, three (13.6%) who were seropositive were also PCR positive. Three (22.2%) and 20 (83.3%) of the infected mortuary and cemetery workers were asymptomatic, respectively. Age <30 years (OR 4.9, 95% CI 1.7-14.6), community exposure with a known case (OR 4.7, 95% CI 1.7-13.3), and presence of symptoms in the preceding 2 weeks (OR 9.0, 95% CI 1.9-42.0) were independently associated with an increased risk of infection (PCR or antibody positive). Of the 46 environmental and surface samples, all were negative or had a Ct value of >35. Conclusion: A substantial proportion of mortuary and cemetery workers had evidence of SARS-CoV-2 infection, which was incidentally detected upon serologic testing. These data are most consistent with community acquisition rather than occupational acquisition. (Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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