Serological Testing Reveals the Hidden COVID-19 Burden among Health Care Workers Experiencing a SARS-CoV-2 Nosocomial Outbreak

Author:

Nakagama Yu12ORCID,Komase Yuko3,Candray Katherine12,Nakagama Sachie12,Sano Fumiaki4,Tsuchida Tomoya5,Kunishima Hiroyuki6,Imai Takumi7,Shintani Ayumi7,Nitahara Yuko12ORCID,Kaku Natsuko12,Kido Yasutoshi12ORCID

Affiliation:

1. Department of Parasitology, Graduate School of Medicine, Osaka City University, Osaka, Japan

2. Research Center for Infectious Disease Sciences, Graduate School of Medicine, Osaka City University, Osaka, Japan

3. Department of Respiratory Internal Medicine, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Yokohama, Japan

4. Department of Hematology and Oncology, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Yokohama, Japan

5. Division of General Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan

6. Department of Infectious Diseases, St. Marianna University School of Medicine, Kawasaki, Japan

7. Department of Medical Statistics, Graduate School of Medicine, Osaka City University, Osaka, Japan

Abstract

We describe the results of testing frontline health care workers, from a hospital in Japan that had experienced a COVID-19 outbreak, for SARS-CoV-2-specific antibodies. Antibody testing revealed that a surprising 42% of overlooked COVID-19 diagnoses occurred when case detection relied solely on PCR-based viral detection.

Funder

Japan Agency for Medical Research and Development

Special Reserves Fund for COVID-19, Osaka City University

COVID-19 Private Fund, Shinya Yamanaka Laboratory

BIKEN Taniguchi Scholarship

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Cell Biology,Microbiology (medical),Genetics,General Immunology and Microbiology,Ecology,Physiology

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