Seroprevalence of COVID-19 IgG Antibody in Resident and Fellow Physicians in Milwaukee, Wisconsin: Analysis of a Cross-Sectional Survey.

Autor:	Baumgardner DJ; Aurora UW Medical Group, Advocate Aurora Health, Milwaukee, WI.; Center for Urban Population Health, Milwaukee, WI.; Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, WI., Schwank A; Aurora UW Medical Group, Advocate Aurora Health, Milwaukee, WI.; Center for Urban Population Health, Milwaukee, WI., Kram JJF; Aurora UW Medical Group, Advocate Aurora Health, Milwaukee, WI.; Center for Urban Population Health, Milwaukee, WI.; Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, WI., Lehmann W; Aurora UW Medical Group, Advocate Aurora Health, Milwaukee, WI.; Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, WI., Bidwell JL; Aurora UW Medical Group, Advocate Aurora Health, Milwaukee, WI.; Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, WI., La Fratta T; Aurora UW Medical Group, Advocate Aurora Health, Milwaukee, WI., Copeland K; ACL Laboratories, Advocate Aurora Health, Milwaukee, WI.
Jazyk:	angličtina
Zdroj:	Journal of patient-centered research and reviews [J Patient Cent Res Rev] 2022 Jan 17; Vol. 9 (1), pp. 75-82. Date of Electronic Publication: 2022 Jan 17 (Print Publication: 2022).
DOI:	10.17294/2330-0698.1846
Abstrakt:	Purpose: Medical trainees are likely at differential risk of exposure to COVID-19 per respective clinical activity. We sought to determine the seroprevalence of COVID-19 antibody (Ab) among resident and fellow physicians with varying degrees of exposure to COVID-19. Methods: A cross-sectional study of Milwaukee-based resident and fellow physicians, encompassing December 2019-June 2020, was conducted. Relevant variables of interest were ascertained by survey and payroll data, and Abbott ARCHITECT Ab test (index cut-off of ≥1.4) was performed. Descriptive statistics were generated, with 95% CI calculated for the study's primary outcome of seroprevalence. Results: Among survey respondents (92 of 148, 62%), 61% were male, 44% were non-White, mean age was 31 years, 94% had no underlying conditions, and 52% were either family or internal medicine residents. During the study period, ≥32% reported cough, headache, or sore throat and 62% traveled outside of Wisconsin. Overall, 83% thought they had a COVID-19 exposure at work and 33% outside of work; 100% expressed any exposure. Of those exposed at work, 56% received COVID-19 pay, variously receiving 69 mean hours (range: 0-452). Ultimately, 82% (75 of 92) had an Ab test completed; 1 individual (1.3%; 95% CI: 0.0-3.9) tested seropositive, was not previously diagnosed, and had received COVID-19 pay. Conclusions: The low Ab seroprevalence found in resident and fellow physicians was similar to the concurrently reported 3.7% Ab-positive rate among 2456 Milwaukee-based staff in the same integrated health system. Ultimately, COVID-19 seroconversion may be nominal in properly protected resident and fellow physicians despite known potential exposures. Competing Interests: Conflicts of Interest None. (© 2022 Aurora Health Care, Inc.)
Databáze:	MEDLINE
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