Seroprevalence of SARS-CoV-2 Binding and Neutralizing Antibodies in Healthcare Workers during the Epidemic Peak in Referral Hospitals and Quarantine Sites: Saudi Arabia

Viruses. 2021 Jul 20;13(7):1413. doi: 10.3390/v13071413.

Abstract

Healthcare workers (HCWs) are at high risk for SARS-CoV-2 infection compared to the general population. Here, we aimed to evaluate and characterize the SARS-CoV-2 seropositivity rate in randomly collected samples among HCWs from the largest referral hospitals and quarantine sites during the peak of the COVID-19 epidemic in the city of Jeddah, the second largest city in Saudi Arabia, using a cross-sectional analytic study design. Out of 693 participants recruited from 29 June to 10 August 2020, 223 (32.2%, 95% CI: 28.8-35.8) were found to be confirmed seropositive for SARS-CoV-2 antibodies, and among those 197 (88.3%) had never been diagnosed with COVID-19. Seropositivity was not significantly associated with participants reporting COVID-19 compatible symptoms as most seropositive HCW participants 140 (62.8%) were asymptomatic. The large proportion of asymptomatic SARS-CoV-2 cases detected in our study demands periodic testing as a general hospital policy.

Keywords: COVID-19 pandemic; HCWs; Jeddah; SARS-CoV-2; anti-S Abs; seroprevalence.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Animals
  • Antibodies, Neutralizing
  • Antibodies, Viral / immunology
  • Asymptomatic Infections
  • COVID-19 / epidemiology*
  • COVID-19 / immunology
  • COVID-19 / virology
  • COVID-19 Serological Testing
  • Chlorocebus aethiops
  • Cross-Sectional Studies
  • Female
  • Health Personnel / statistics & numerical data
  • Humans
  • Infection Control
  • Male
  • Middle Aged
  • Quarantine
  • Referral and Consultation
  • SARS-CoV-2 / immunology*
  • Saudi Arabia / epidemiology
  • Seroepidemiologic Studies
  • Vero Cells

Substances

  • Antibodies, Neutralizing
  • Antibodies, Viral