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Research ArticleOriginal Article
Open Access

Prevalence of COVID-19 antibodies among operating room and critical care staff at a tertiary teaching hospital

A cross-sectional study

Sara H. Farsi, Thamir A. Alandijany, Mansoor Radwi, Ali Farsi, Wadeeah Bahaaziq, Ibrahim Abushoshah, Sherif A. El-Kafrawy, Salma Alsayed, Esam I. Azhar and Abdulaziz Boker
Saudi Medical Journal July 2021, 42 (7) 742-749; DOI: https://doi.org/10.15537/smj.2021.42.7.20210348
Sara H. Farsi
From the Department of Anesthesia and Critical Care (Farsi, Bahaaziq, Abushoshah, Boker), Faculty of Medicine, King Abdulaziz University; from the Special Infectious Agents Unit (Alandijany, El-Kafrawy, Alsayed, Azhar), King Fahd Medical Research Center, King Abdulaziz University; from the Department of Medical Laboratory Technology (Alandijany, El-Kafrawy, Alsayed, Azhar), Faculty of Applied Medical Sciences, King Abdulaziz University; from the Department of Hematology (Radwi), College of Medicine, University of Jeddah; from the Department of Surgery (Farsi), Faculty of Medicine, King Abdulaziz University Jeddah; from the Clinical Skills and Simulation Center (Boker), King Abdulaziz University, Jeddah; and from the Department of Nursing (Alsayed), Faculty of Al-Qunfudah Health Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia.
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  • For correspondence: [email protected]
Thamir A. Alandijany
From the Department of Anesthesia and Critical Care (Farsi, Bahaaziq, Abushoshah, Boker), Faculty of Medicine, King Abdulaziz University; from the Special Infectious Agents Unit (Alandijany, El-Kafrawy, Alsayed, Azhar), King Fahd Medical Research Center, King Abdulaziz University; from the Department of Medical Laboratory Technology (Alandijany, El-Kafrawy, Alsayed, Azhar), Faculty of Applied Medical Sciences, King Abdulaziz University; from the Department of Hematology (Radwi), College of Medicine, University of Jeddah; from the Department of Surgery (Farsi), Faculty of Medicine, King Abdulaziz University Jeddah; from the Clinical Skills and Simulation Center (Boker), King Abdulaziz University, Jeddah; and from the Department of Nursing (Alsayed), Faculty of Al-Qunfudah Health Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia.
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Mansoor Radwi
From the Department of Anesthesia and Critical Care (Farsi, Bahaaziq, Abushoshah, Boker), Faculty of Medicine, King Abdulaziz University; from the Special Infectious Agents Unit (Alandijany, El-Kafrawy, Alsayed, Azhar), King Fahd Medical Research Center, King Abdulaziz University; from the Department of Medical Laboratory Technology (Alandijany, El-Kafrawy, Alsayed, Azhar), Faculty of Applied Medical Sciences, King Abdulaziz University; from the Department of Hematology (Radwi), College of Medicine, University of Jeddah; from the Department of Surgery (Farsi), Faculty of Medicine, King Abdulaziz University Jeddah; from the Clinical Skills and Simulation Center (Boker), King Abdulaziz University, Jeddah; and from the Department of Nursing (Alsayed), Faculty of Al-Qunfudah Health Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia.
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Ali Farsi
From the Department of Anesthesia and Critical Care (Farsi, Bahaaziq, Abushoshah, Boker), Faculty of Medicine, King Abdulaziz University; from the Special Infectious Agents Unit (Alandijany, El-Kafrawy, Alsayed, Azhar), King Fahd Medical Research Center, King Abdulaziz University; from the Department of Medical Laboratory Technology (Alandijany, El-Kafrawy, Alsayed, Azhar), Faculty of Applied Medical Sciences, King Abdulaziz University; from the Department of Hematology (Radwi), College of Medicine, University of Jeddah; from the Department of Surgery (Farsi), Faculty of Medicine, King Abdulaziz University Jeddah; from the Clinical Skills and Simulation Center (Boker), King Abdulaziz University, Jeddah; and from the Department of Nursing (Alsayed), Faculty of Al-Qunfudah Health Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia.
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Wadeeah Bahaaziq
From the Department of Anesthesia and Critical Care (Farsi, Bahaaziq, Abushoshah, Boker), Faculty of Medicine, King Abdulaziz University; from the Special Infectious Agents Unit (Alandijany, El-Kafrawy, Alsayed, Azhar), King Fahd Medical Research Center, King Abdulaziz University; from the Department of Medical Laboratory Technology (Alandijany, El-Kafrawy, Alsayed, Azhar), Faculty of Applied Medical Sciences, King Abdulaziz University; from the Department of Hematology (Radwi), College of Medicine, University of Jeddah; from the Department of Surgery (Farsi), Faculty of Medicine, King Abdulaziz University Jeddah; from the Clinical Skills and Simulation Center (Boker), King Abdulaziz University, Jeddah; and from the Department of Nursing (Alsayed), Faculty of Al-Qunfudah Health Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia.
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Ibrahim Abushoshah
From the Department of Anesthesia and Critical Care (Farsi, Bahaaziq, Abushoshah, Boker), Faculty of Medicine, King Abdulaziz University; from the Special Infectious Agents Unit (Alandijany, El-Kafrawy, Alsayed, Azhar), King Fahd Medical Research Center, King Abdulaziz University; from the Department of Medical Laboratory Technology (Alandijany, El-Kafrawy, Alsayed, Azhar), Faculty of Applied Medical Sciences, King Abdulaziz University; from the Department of Hematology (Radwi), College of Medicine, University of Jeddah; from the Department of Surgery (Farsi), Faculty of Medicine, King Abdulaziz University Jeddah; from the Clinical Skills and Simulation Center (Boker), King Abdulaziz University, Jeddah; and from the Department of Nursing (Alsayed), Faculty of Al-Qunfudah Health Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia.
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Sherif A. El-Kafrawy
From the Department of Anesthesia and Critical Care (Farsi, Bahaaziq, Abushoshah, Boker), Faculty of Medicine, King Abdulaziz University; from the Special Infectious Agents Unit (Alandijany, El-Kafrawy, Alsayed, Azhar), King Fahd Medical Research Center, King Abdulaziz University; from the Department of Medical Laboratory Technology (Alandijany, El-Kafrawy, Alsayed, Azhar), Faculty of Applied Medical Sciences, King Abdulaziz University; from the Department of Hematology (Radwi), College of Medicine, University of Jeddah; from the Department of Surgery (Farsi), Faculty of Medicine, King Abdulaziz University Jeddah; from the Clinical Skills and Simulation Center (Boker), King Abdulaziz University, Jeddah; and from the Department of Nursing (Alsayed), Faculty of Al-Qunfudah Health Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia.
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Salma Alsayed
From the Department of Anesthesia and Critical Care (Farsi, Bahaaziq, Abushoshah, Boker), Faculty of Medicine, King Abdulaziz University; from the Special Infectious Agents Unit (Alandijany, El-Kafrawy, Alsayed, Azhar), King Fahd Medical Research Center, King Abdulaziz University; from the Department of Medical Laboratory Technology (Alandijany, El-Kafrawy, Alsayed, Azhar), Faculty of Applied Medical Sciences, King Abdulaziz University; from the Department of Hematology (Radwi), College of Medicine, University of Jeddah; from the Department of Surgery (Farsi), Faculty of Medicine, King Abdulaziz University Jeddah; from the Clinical Skills and Simulation Center (Boker), King Abdulaziz University, Jeddah; and from the Department of Nursing (Alsayed), Faculty of Al-Qunfudah Health Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia.
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Esam I. Azhar
From the Department of Anesthesia and Critical Care (Farsi, Bahaaziq, Abushoshah, Boker), Faculty of Medicine, King Abdulaziz University; from the Special Infectious Agents Unit (Alandijany, El-Kafrawy, Alsayed, Azhar), King Fahd Medical Research Center, King Abdulaziz University; from the Department of Medical Laboratory Technology (Alandijany, El-Kafrawy, Alsayed, Azhar), Faculty of Applied Medical Sciences, King Abdulaziz University; from the Department of Hematology (Radwi), College of Medicine, University of Jeddah; from the Department of Surgery (Farsi), Faculty of Medicine, King Abdulaziz University Jeddah; from the Clinical Skills and Simulation Center (Boker), King Abdulaziz University, Jeddah; and from the Department of Nursing (Alsayed), Faculty of Al-Qunfudah Health Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia.
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Abdulaziz Boker
From the Department of Anesthesia and Critical Care (Farsi, Bahaaziq, Abushoshah, Boker), Faculty of Medicine, King Abdulaziz University; from the Special Infectious Agents Unit (Alandijany, El-Kafrawy, Alsayed, Azhar), King Fahd Medical Research Center, King Abdulaziz University; from the Department of Medical Laboratory Technology (Alandijany, El-Kafrawy, Alsayed, Azhar), Faculty of Applied Medical Sciences, King Abdulaziz University; from the Department of Hematology (Radwi), College of Medicine, University of Jeddah; from the Department of Surgery (Farsi), Faculty of Medicine, King Abdulaziz University Jeddah; from the Clinical Skills and Simulation Center (Boker), King Abdulaziz University, Jeddah; and from the Department of Nursing (Alsayed), Faculty of Al-Qunfudah Health Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia.
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Article Figures & Data

Tables

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    Table 1

    - Baseline characteristics for the 319 participants.

    Variablen(%)
    Age in years [mean ± SD] (n=282)37.3 ± 8.6NA
    Female (n=298)162(54)
    Division (n=317)
    Nursing130(40.8)
    Anesthesia71(22.3)
    Surgery54(16.9)
    Critical care31(9.7)
    Respiratory therapy13(4.1)
    Others20(6.3)
    Occupation312(41.7)
    Nurse133(17.2)
    Consultant55(12.5)
    Registrar40(11.3)
    Resident36(6.5)
    Technician21(4.4)
    Respiratory therapist14(6.3)
    Others20
    Chronic disease (n=294)104(32.6)
    Hypertension†34(32.6)
    Asthma†25(24.0)
    Diabetes†17(16.3)
    Others25(24.0)
    Smoker35(10.9)
    Blood group300(42.9)
    O137(24.8)
    A79(20.7)
    B66(5.3)
    AB17(0.3)
    Don’t know1
    Number of participants with history of COVID-19 infection (n=311)25(7.8)
    Recovered at home
    Admitted to hospital but did not require21(84.6)
    oxygen4(13.4)
    Number of participants with symptoms of COVID-19 infection226(70.8)
    • ↵† Some participants had more than one chronic disease. COVID-19, coronavirus disease; RT-PCR: reverse transcription polymerase chain reaction, NA: not applicable

    • View popup
    Table 2

    - Risk factors for acquiring COVID-19 infection.

    Variablesn(%)
    Contact with patient(s) diagnosed with COVID-19 (n=310)246(77.1)
    Contact with household member diagnosed with COVID-19 (n=313)38(11.9)
    Contact with non-household member diagnosed with COVID-19 (n=309)125(39.2)
    Working in ICU (n=314)119(37.3)
    Part of airway team (n=312)101(31.7)
    Lack of PPE material (n=315)118(37.0)
    Have intubated patient(s) diagnosed with COVID-19 (n=313)98(30.7)
    • ICU: intensive care unit, PPE: personal protective equipment

    • View popup
    Table 3

    - Results related to COVID-19 testing.

    Variablesn(%)
    Antibodies positive for COVID-19*39(12.2)
    Participants previously diagnosed with COVID-19 using RT-PCR19(48.7)
    Participants had symptoms of COVID-1934(87.1)
    Number of participants who suspected they had COVID-19 infection103(32.2)
    Participants previously diagnosed with COVID-19 using RT-PCR24(23.3)
    Participants had symptoms of COVID-1995(92.2)
    Participants who were antibody-positive but had no prior diagnosis of COVID-1910(9.7)
    • ↵* One sample was equivocal and was considered negative in the final analysis. RT-PCR: reverse transcription polymerase chain reaction

    • View popup
    Table 4

    - Association between risk factors for COVID-19 and developing COVID-19 infection or antibodies.

    Variable (yes/no)Blood TestOdds ratio95% CIP-value
    NegativePositive
    Contract with family member who has COVID-1923/24315/305.32.5-11.2<0.001
    Contract with non-family member who has COVID-19103/16321/221.40.7-2.60.314
    History of chronic disease†107/15921/271.30.6-2.40.417
    Presence of COVID-19 symptoms181/8539/63.11.2-7.50.011
    Lack of PPE177/9524/211.50.8-3.00.160
    Contact with patient(s) with COVID-19203/6338/71.60.7-4.00.227
    Working In ICU94/17222/231.80.9-3.30.082
    Part of Airway team85/18116/291.20.6-2.30.633
    Participants have intubated patient with COVID-1979/18718/271.60.8-3.00.168
    Participants had previously tested for COVID-19119/14735/104.32.1-9.0<0.001
    Participants have suspected they had COVID-19 infection67/19934/118.13.8-17.4<0.001
    Participants have a blood group O (vs. other type)122/12814/310.50.2-0.90.028
    Participants are female (versus male)108/14124/211.50.8-2.80.216
    • PPE: personal protective equipment, ICU: intensive care unit

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Saudi Medical Journal: 42 (7)
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Prevalence of COVID-19 antibodies among operating room and critical care staff at a tertiary teaching hospital
Sara H. Farsi, Thamir A. Alandijany, Mansoor Radwi, Ali Farsi, Wadeeah Bahaaziq, Ibrahim Abushoshah, Sherif A. El-Kafrawy, Salma Alsayed, Esam I. Azhar, Abdulaziz Boker
Saudi Medical Journal Jul 2021, 42 (7) 742-749; DOI: 10.15537/smj.2021.42.7.20210348

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Prevalence of COVID-19 antibodies among operating room and critical care staff at a tertiary teaching hospital
Sara H. Farsi, Thamir A. Alandijany, Mansoor Radwi, Ali Farsi, Wadeeah Bahaaziq, Ibrahim Abushoshah, Sherif A. El-Kafrawy, Salma Alsayed, Esam I. Azhar, Abdulaziz Boker
Saudi Medical Journal Jul 2021, 42 (7) 742-749; DOI: 10.15537/smj.2021.42.7.20210348
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Keywords

  • infection control
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  • COVID-19
  • SARS-CoV-2
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