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Frontiers | Seroprevalence of SARS-CoV-2 Among Pediatric Healthcare Workers in Spain
<!doctype html> <html data-n-head-ssr lang="en" data-n-head="%7B%22lang%22:%7B%22ssr%22:%22en%22%7D%7D"> <head > <link data-n-head="ssr" rel="icon" type="image/png" sizes="16x16" href="https://brand.frontiersin.org/m/ed3f9ce840a03d7/favicon_16-tenantFavicon-Frontiers.png"> <link data-n-head="ssr" rel="icon" type="image/png" sizes="32x32" href="https://brand.frontiersin.org/m/ed3f9ce840a03d7/favicon_32-tenantFavicon-Frontiers.png"> <link data-n-head="ssr" rel="apple-touch-icon" type="image/png" sizes="180x180" href="https://brand.frontiersin.org/m/ed3f9ce840a03d7/favicon_180-tenantFavicon-Frontiers.png"> <title>Frontiers | Seroprevalence of SARS-CoV-2 Among Pediatric Healthcare Workers in Spain</title><meta data-n-head="ssr" charset="utf-8"><meta data-n-head="ssr" name="viewport" content="width=device-width, initial-scale=1"><meta data-n-head="ssr" data-hid="charset" charset="utf-8"><meta data-n-head="ssr" data-hid="mobile-web-app-capable" name="mobile-web-app-capable" content="yes"><meta data-n-head="ssr" data-hid="apple-mobile-web-app-title" name="apple-mobile-web-app-title" content="Frontiers | Articles"><meta data-n-head="ssr" data-hid="theme-color" name="theme-color" content="#0C4DED"><meta data-n-head="ssr" data-hid="description" property="description" name="description" content="Spain is one of the countries most severely affected by the SARS-CoV-2 pandemic, with almost 190,000 cases as of April 18, 2020. As healthcare workers (HCW) ..."><meta data-n-head="ssr" data-hid="og:title" property="og:title" name="title" content="Frontiers | Seroprevalence of SARS-CoV-2 Among Pediatric Healthcare Workers in Spain"><meta data-n-head="ssr" data-hid="og:description" property="og:description" name="description" content="Spain is one of the countries most severely affected by the SARS-CoV-2 pandemic, with almost 190,000 cases as of April 18, 2020. As healthcare workers (HCW) ..."><meta data-n-head="ssr" data-hid="keywords" name="keywords" content="Seroprevalance,COVID - 19,healthcare worker (HCW),SARS-CoV2,Rapid test for covid"><meta data-n-head="ssr" data-hid="og:site_name" property="og:site_name" name="site_name" content="Frontiers"><meta data-n-head="ssr" data-hid="og:image" property="og:image" name="image" content="https://images-provider.frontiersin.org/api/ipx/w=1200&f=png/https://www.frontiersin.org/files/Articles/559520/fped-08-00547-HTML/image_m/fped-08-00547-t001.jpg"><meta data-n-head="ssr" data-hid="og:type" property="og:type" name="type" content="article"><meta data-n-head="ssr" data-hid="og:url" property="og:url" name="url" content="https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2020.00547/full"><meta data-n-head="ssr" data-hid="twitter:card" name="twitter:card" content="summary_large_image"><meta data-n-head="ssr" data-hid="citation_volume" name="citation_volume" content="8"><meta data-n-head="ssr" data-hid="citation_journal_title" name="citation_journal_title" content="Frontiers in Pediatrics"><meta data-n-head="ssr" data-hid="citation_publisher" name="citation_publisher" content="Frontiers"><meta data-n-head="ssr" data-hid="citation_journal_abbrev" name="citation_journal_abbrev" content="Front. Pediatr."><meta data-n-head="ssr" data-hid="citation_issn" name="citation_issn" content="2296-2360"><meta data-n-head="ssr" data-hid="citation_doi" name="citation_doi" content="10.3389/fped.2020.00547"><meta data-n-head="ssr" data-hid="citation_firstpage" name="citation_firstpage" content="559520"><meta data-n-head="ssr" data-hid="citation_language" name="citation_language" content="English"><meta data-n-head="ssr" data-hid="citation_title" name="citation_title" content="Seroprevalence of SARS-CoV-2 Among Pediatric Healthcare Workers in Spain"><meta data-n-head="ssr" data-hid="citation_keywords" name="citation_keywords" content="Seroprevalance; COVID - 19; healthcare worker (HCW); SARS-CoV2; Rapid test for covid"><meta data-n-head="ssr" data-hid="citation_abstract" name="citation_abstract" content="<p>Spain is one of the countries most severely affected by the SARS-CoV-2 pandemic, with almost 190,000 cases as of April 18, 2020. As healthcare workers (HCW) are one of the groups hardest hit by the infection, it is important to know the seroprevalence of antibodies against SARS-CoV-2 in pediatric departments. We performed 175 immunoglobulin (Ig)M and IgG immunochromatographic rapid tests in the personnel working at the Pediatric Department of the Hospital Clínico Universitario of Santiago de Compostela (Spain), including pediatricians, residents, nurses, and other staff, on days 31–33 since the lockdown started. Seven out of the 175 tests were positive, including four for IgM and three for IgG, leading to a seroprevalence of 4.0% (95% CI: 1.1–6.9%). Only one of them had symptoms at the time of testing (sore throat). All seropositive cases yielded negative RT-PCR of the upper and lower respiratory tract. This is the first SARS-CoV-2 serological survey among HCWs reported in Spain. Notwithstanding the test limitations, our results reveal that personal protection policy and lockdown measures have been effective to limit population exposure. The low seroprevalence rate poses a significant challenge for the next strategic steps of pandemic control.</p>"><meta data-n-head="ssr" data-hid="citation_pdf_url" name="citation_pdf_url" content="https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2020.00547/pdf"><meta data-n-head="ssr" data-hid="citation_online_date" name="citation_online_date" content="2020/07/29"><meta data-n-head="ssr" data-hid="citation_publication_date" name="citation_publication_date" content="2020/09/11"><meta data-n-head="ssr" data-hid="citation_author_0" name="citation_author" content="Dacosta-Urbieta, Ana"><meta data-n-head="ssr" data-hid="citation_author_institution_0" name="citation_author_institution" content="Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Spain"><meta data-n-head="ssr" data-hid="citation_author_1" name="citation_author" content="Rivero-Calle, Irene"><meta data-n-head="ssr" data-hid="citation_author_institution_1" name="citation_author_institution" content="Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Spain"><meta data-n-head="ssr" data-hid="citation_author_2" name="citation_author" content="Pardo-Seco, Jacobo"><meta data-n-head="ssr" data-hid="citation_author_institution_2" name="citation_author_institution" content="Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Spain"><meta data-n-head="ssr" data-hid="citation_author_3" name="citation_author" content="Redondo-Collazo, Lorenzo"><meta data-n-head="ssr" data-hid="citation_author_institution_3" name="citation_author_institution" content="Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Spain"><meta data-n-head="ssr" data-hid="citation_author_4" name="citation_author" content="Salas, Antonio"><meta data-n-head="ssr" data-hid="citation_author_institution_4" name="citation_author_institution" content="Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Spain"><meta data-n-head="ssr" data-hid="citation_author_5" name="citation_author" content="Gómez-Rial, Jose"><meta data-n-head="ssr" data-hid="citation_author_institution_5" name="citation_author_institution" content="Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Spain"><meta data-n-head="ssr" data-hid="citation_author_6" name="citation_author" content="Martinón-Torres, Federico"><meta data-n-head="ssr" data-hid="citation_author_institution_6" name="citation_author_institution" content="Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Spain"><meta data-n-head="ssr" data-hid="dc.identifier" name="dc.identifier" content="doi:10.3389/fped.2020.00547"><link data-n-head="ssr" rel="manifest" href="/article-pages/_nuxt/manifest.c499fc0a.json" data-hid="manifest"><link data-n-head="ssr" rel="canonical" href="https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2020.00547/full"><script data-n-head="ssr" data-hid="newrelic-browser-script" type="text/javascript">window.NREUM||(NREUM={});NREUM.info = {"agent":"","beacon":"bam.nr-data.net","errorBeacon":"bam.nr-data.net","licenseKey":"598a124f17","applicationID":"588603994","agentToken":null,"applicationTime":2.399497,"transactionName":"MQcDMkECCkNSW0YMWghNIgldDQFTRxd1IGFJTQ==","queueTime":0,"ttGuid":"f21727abd4d5907e"}; (window.NREUM||(NREUM={})).init={privacy:{cookies_enabled:true},ajax:{deny_list:["bam.nr-data.net"]},distributed_tracing:{enabled:true}};(window.NREUM||(NREUM={})).loader_config={agentID:"594400880",accountID:"230385",trustKey:"230385",xpid:"VgUHUl5WGwYIXFdSBAgOUg==",licenseKey:"598a124f17",applicationID:"588603994"};;/*! 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aria-label="Close modal" data-event="actionsDropDown-button-close" class="ActionsDropDown__mobileClose"></button></div></div></div> <!----></div></div></aside> <main class="Layout__main"><!----> <section class="ArticleDetails__main"><div class="ArticleLayoutHeader"><div class="ArticleLayoutHeader__info"><h2 class="ArticleLayoutHeader__info__title">BRIEF RESEARCH REPORT article</h2> <div class="ArticleLayoutHeader__info__journalDate"><span>Front. Pediatr.</span><span>, 11 September 2020</span></div> <div class="ArticleLayoutHeader__info__journalDate"> Sec. Pediatric Infectious Diseases </div> <div class="ArticleLayoutHeader__info__doiVolume"><span> Volume 8 - 2020 | </span> <a href="https://doi.org/10.3389/fped.2020.00547" class="ArticleLayoutHeader__info__doi"> https://doi.org/10.3389/fped.2020.00547 </a></div> <!----></div> <!----> <div class="ArticleLayoutHeader__isPartOfRT"><span class="ArticleLayoutHeader__isPartOfRT__label">This article is part of the Research Topic</span> <span class="ArticleLayoutHeader__isPartOfRT__title">Coronavirus Disease (COVID-19): Pathophysiology, Epidemiology, Clinical Management and Public Health Response</span> <span class="Link__wrapper"><a aria-label="View all 400 articles" href="https://www.frontiersin.org/research-topics/13377/coronavirus-disease-covid-19-pathophysiology-epidemiology-clinical-management-and-public-health-response/magazine" target="_self" data-event="customLink-link-a_viewAll400Articles" class="Link Link--linkType Link--maincolor Link--medium Link--icon Link--chevronRight Link--right"><span>View all 400 articles</span></a></span></div></div> <div class="ArticleDetails__main__content"><div class="ArticleDetails__main__content__main ArticleDetails__main__content__main--fullArticle"><div class="JournalAbstract"><div class="JournalAbstract__titleWrapper"><h1>Seroprevalence of SARS-CoV-2 Among Pediatric Healthcare Workers in Spain</h1> <!----></div> <!----></div> <div class="JournalFullText"><div class="JournalAbstract"> <a id="h1" name="h1"></a> <div class="authors"><span class="author-wrapper"> <img class="pr5" src="https://loop.frontiersin.org/cdn/images/profile/default_32.jpg" alt="\nAna Dacosta-Urbieta," onerror="this.onerror=null;this.src='https://loop.frontiersin.org/cdn/images/profile/default_32.jpg';">Ana Dacosta-Urbieta<sup>1,2</sup></span><span class="author-wrapper"><img class="pr5" src="https://loop.frontiersin.org/cdn/images/profile/default_32.jpg" alt="Irene Rivero-Calle," onerror="this.onerror=null;this.src='https://loop.frontiersin.org/cdn/images/profile/default_32.jpg';">Irene Rivero-Calle<sup>1,2</sup></span><span class="author-wrapper"><a href="https://loop.frontiersin.org/people/1010093" class="user-id-1010093"><img class="pr5" src="https://loop.frontiersin.org/images/profile/1010093/74" onerror="this.onerror=null;this.src='https://loop.frontiersin.org/cdn/images/profile/default_32.jpg';" alt="Jacobo Pardo-Seco,,">Jacobo Pardo-Seco</a><sup>1,2,3</sup></span><span class="author-wrapper"><img class="pr5" src="https://loop.frontiersin.org/cdn/images/profile/default_32.jpg" alt="Lorenzo Redondo-Collazo," onerror="this.onerror=null;this.src='https://loop.frontiersin.org/cdn/images/profile/default_32.jpg';">Lorenzo Redondo-Collazo<sup>1,2</sup></span><span class="author-wrapper"><a href="https://loop.frontiersin.org/people/1021428" class="user-id-1021428"><img class="pr5" src="https://loop.frontiersin.org/images/profile/1021428/74" onerror="this.onerror=null;this.src='https://loop.frontiersin.org/cdn/images/profile/default_32.jpg';" alt="Antonio Salas,">Antonio Salas</a><sup>1,3</sup></span><span class="author-wrapper"><a href="https://loop.frontiersin.org/people/971915" class="user-id-971915"><img class="pr5" src="https://loop.frontiersin.org/images/profile/971915/74" onerror="this.onerror=null;this.src='https://loop.frontiersin.org/cdn/images/profile/default_32.jpg';" alt="Jose Gmez-Rial,">Jose Gómez-Rial</a><sup>1,4</sup></span><span class="author-wrapper"><a href="https://loop.frontiersin.org/people/58621" class="user-id-58621"><img class="pr5" src="https://loop.frontiersin.org/images/profile/58621/74" onerror="this.onerror=null;this.src='https://loop.frontiersin.org/cdn/images/profile/default_32.jpg';" alt="Federico Martinn-Torres,*&#x;">Federico Martinón-Torres</a><sup>1,2</sup><sup>*</sup><sup>†</sup></span></div> <ul class="notes"> <li><span><sup>1</sup></span>Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Galicia, Spain</li> <li><span><sup>2</sup></span>Translational Pediatrics and Infectious Diseases, Department of Pediatrics, Hospital Clínico Universitario de Santiago de Compostela, Galicia, Spain</li> <li><span><sup>3</sup></span>Unidade de Xenética, Instituto de Ciencias Forenses (INCIFOR), Facultade de Medicina, Universidade de Santiago de Compostela, and GenPoB Research Group, Instituto de Investigaciones Sanitarias (IDIS), Hospital Clínico Universitario de Santiago (Servicio Gallego de Salud), Galicia, Spain</li> <li><span><sup>4</sup></span>Laboratorio de Inmunología, Servicio de Análisis Clínicos, Hospital Clínico Universitario Santiago de Compostela (Servicio Gallego de Salud), Galicia, Spain</li> </ul> <p>Spain is one of the countries most severely affected by the SARS-CoV-2 pandemic, with almost 190,000 cases as of April 18, 2020. As healthcare workers (HCW) are one of the groups hardest hit by the infection, it is important to know the seroprevalence of antibodies against SARS-CoV-2 in pediatric departments. We performed 175 immunoglobulin (Ig)M and IgG immunochromatographic rapid tests in the personnel working at the Pediatric Department of the Hospital Clínico Universitario of Santiago de Compostela (Spain), including pediatricians, residents, nurses, and other staff, on days 31–33 since the lockdown started. Seven out of the 175 tests were positive, including four for IgM and three for IgG, leading to a seroprevalence of 4.0% (95% CI: 1.1–6.9%). Only one of them had symptoms at the time of testing (sore throat). All seropositive cases yielded negative RT-PCR of the upper and lower respiratory tract. This is the first SARS-CoV-2 serological survey among HCWs reported in Spain. Notwithstanding the test limitations, our results reveal that personal protection policy and lockdown measures have been effective to limit population exposure. The low seroprevalence rate poses a significant challenge for the next strategic steps of pandemic control.</p> <div class="clear"></div> </div> <div class="JournalFullText"> <a id="h2" name="h2"></a><h2>Introduction</h2> <p class="mb0">Spain is one of the countries with the highest number of cases of SARS-CoV-2 reported worldwide, with almost 190,000 cases confirmed as of April 18, 2020 (<a href="#B1">1</a>). The first case in Spain was recorded on January 31, and the Spanish government started the lockdown on March 14, when the country had 7,753 active cases. In Galicia (northwest Spain), the first case was recorded on the March 4, and at the moment of the lockdown, there were 195 confirmed cases. In the last 2 weeks, the cumulative incidence of SARS-CoV-2 is 149.61 cases/100,000 inhabitants in Spain, and 103.5 cases/100,000 inhabitants (<a href="#B1">1</a>) in Galicia. To date, we have identified 19 pediatric cases in our hospital, and only one of them was admitted to hospital for reasons unrelated to the infection. We aimed to assess the seroprevalence rate of SARS-CoV-2 among healthcare workers (HCWs) of the Pediatric Department of the Hospital Clínico Universitario de Santiago de Compostela, the reference hospital in Galicia.</p> <a id="h3" name="h3"></a><h2>Methods</h2> <p class="mb15">We performed a sero-epidemiological survey on days +31, +32, and +33 after lockdown started, including all HCWs of the Pediatric Department of the Hospital Clínico Universitario de Santiago de Compostela, namely, pediatricians, resident doctors, nurses, and administrative staff. Emergency Department and the Pediatric Intensive Care Unit were considered the most exposed areas.</p> <p class="mb0">We tested immunoglobulin (Ig)M and IgG against SARS-CoV-2 by an immunochromatographic rapid method (Virusee® by Genobio Pharmaceutical, Shanghai, China) using 10-μl finger-prick/capillary blood. Sensitivity and specificity rates specified by the manufacturer were 96.0% and 96.8% for IgG and 94.6% and 96.8% for IgM detection, respectively. The rapid test used provides the result in 10 min. Epidemiological, clinical, and laboratory data were collected in all cases.</p> <a id="h4" name="h4"></a><h2>Results</h2> <p class="mb15">The test was performed on 175 HCWs. Most of them were pediatric consultants (32.6%; <i>n</i> = 57), followed by nurses and nurses' aides (47.4%; <i>n</i> = 83), pediatrics residents (13.1%; <i>n</i> = 23), and others (6.9; <i>n</i> = 12). In addition, 18.3% (<i>n</i> = 32) of the workers were ≥55 years old, and 12.6% (<i>n</i> = 22) had preexisting comorbid conditions such as asthma (4.0%; <i>n</i> = 7), high blood pressure (1.7%; <i>n</i> = 3), or obesity (1.7%; <i>n</i> = 3). Moreover, 22.5% of the workers had a known exposure to SARS-CoV-2-positive patients. When asked if they recalled any symptoms suggestive of SARS-CoV-2 in the last 2 months, 53% of the workers declared none.</p> <p class="mb0">Seven workers yielded positive test results, three of them were IgG positive and four of them were IgM positive, representing a total seroprevalence of 4.0% of the cohort (95% CI: 1.1–6.9%) (<a href="#T1">Table 1</a>). The subjects who tested positive for IgM worked in the most exposed areas were: two medical residents and one consultant, two nurses, and two nurse aides. None of the workers who tested positive for IgM presented symptoms at the time of the test. Of the subjects who tested positive for IgG, only one of them recalled symptoms suggestive of coronavirus infection (cough and sore throat), and these persisted at the time of testing. In the positive cases, RT-PCR was performed on the lower (oropharyngeal swab) and upper respiratory tracts (nasal swab), all with negative results.</p> <div class="DottedLine"></div> <div class="Imageheaders">TABLE 1</div> <div class="FigureDesc"> <a href="https://www.frontiersin.org/files/Articles/559520/fped-08-00547-HTML/image_m/fped-08-00547-t001.jpg" name="Table1" target="_blank"> <picture> <source type="image/webp" srcset="https://images-provider.frontiersin.org/api/ipx/w=480&f=webp/https://www.frontiersin.org/files/Articles/559520/fped-08-00547-HTML/image_m/fped-08-00547-t001.jpg" media="(max-width: 563px)"><source type="image/webp" srcset="https://images-provider.frontiersin.org/api/ipx/w=370&f=webp/https://www.frontiersin.org/files/Articles/559520/fped-08-00547-HTML/image_m/fped-08-00547-t001.jpg" media="(max-width: 1024px)"><source type="image/webp" srcset="https://images-provider.frontiersin.org/api/ipx/w=290&f=webp/https://www.frontiersin.org/files/Articles/559520/fped-08-00547-HTML/image_m/fped-08-00547-t001.jpg" media="(max-width: 1441px)"><source type="image/webp" srcset="https://images-provider.frontiersin.org/api/ipx/w=410&f=webp/https://www.frontiersin.org/files/Articles/559520/fped-08-00547-HTML/image_m/fped-08-00547-t001.jpg" media=""><source type="image/jpg" srcset="https://www.frontiersin.org/files/Articles/559520/fped-08-00547-HTML/image_m/fped-08-00547-t001.jpg" media=""> <img src="https://www.frontiersin.org/files/Articles/559520/fped-08-00547-HTML/image_m/fped-08-00547-t001.jpg" alt="www.frontiersin.org" id="T1" loading="lazy"> </picture> </a> <p><strong>Table 1</strong>. Characteristics of the seropositive subjects.</p> </div> <div class="clear"></div> <div class="DottedLine"></div> <a id="h5" name="h5"></a><h2>Discussion</h2> <p class="mb15">To date, there are few data regarding serological responses to SARS-CoV-2 in infected patients (<a href="#B2">2</a>) and virtually no data on serological responses to SARS-CoV-2 in asymptomatic exposure. Rapid tests using serology have the advantage of delivering quick results and allowing the testing of asymptomatic people reliably (<a href="#B3">3</a>); the technique is easier and quicker than RT-PCR in respiratory samples. True sensitivity and specificity can vary depending on the commercial test, and this fact warrants the need for further studies. Despite the limitations of the rapid test applied, the limited number of subjects analyzed, and the lack of confirmatory alternative serological assays, the present study indicates a low exposure to SARS-CoV-2 among pediatric HCWs in Spain. There is only one other serologic study published in Spain (<a href="#B4">4</a>) where the total number of participants with evidence of past or current infection (by PCR and/or serology) was 11.2% (65/578); however, these results come from a large referral hospital in Barcelona, Spain, one of the regions with the highest burden of disease of coronavirus disease 2019 (COVID-19) in Spain.</p> <p class="mb0">Although our results must be interpreted with caution since it is possible that some of the HCWs with IgG positivity could have acquired the infection outside the hospital, the low seroprevalence against SARS-CoV-2 among pediatric HCWs points to the success of personal protection and lockdown policies together with a low nosocomial risk of infection, while highlighting the challenge for the next stages of SARS-CoV-2 pandemic management.</p> <a id="h6" name="h6"></a><h2>Data Availability Statement</h2> <p class="mb0">The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author/s.</p> <a id="h7" name="h7"></a><h2>Ethics Statement</h2> <p class="mb0">The studies involving human participants were reviewed and approved by Comité de Ética de la investigación con medicamentos de Galicia (CEIm-G). Written informed consent for participation was not required for this study in accordance with the national legislation and the institutional requirements.</p> <a id="h8" name="h8"></a><h2>Author Contributions</h2> <p class="mb0">All authors listed have made a substantial, direct and intellectual contribution to the work, and approved it for publication.</p> <a id="h9" name="h9"></a><h2>Funding</h2> <p class="mb0">This study received support from the Instituto de Salud Carlos III: project GePEM (Instituto de Salud Carlos III(ISCIII)/PI16/01478/Cofinanciado FEDER), DIAVIR (Instituto de Salud Carlos III(ISCIII)/DTS19/00049/Cofinanciado FEDER; Proyecto de Desarrollo Tecnológico en Salud) and Resvi-Omics (Instituto de Salud Carlos III(ISCIII)/PI19/01039/Cofinanciado FEDER) and project BI-BACVIR (PRIS-3; Agencia de Conocimiento en Salud (ACIS)-Servicio Gallego de Salud (SERGAS)-Xunta de Galicia; Spain) given to AS and project ReSVinext (Instituto de Salud Carlos III(ISCIII)/PI16/01569/Cofinanciado FEDER), and Enterogen (Instituto de Salud Carlos III(ISCIII)/ PI19/01090/Cofinanciado FEDER) given to FM-T.</p> <a id="h10" name="h10"></a><h2>Conflict of Interest</h2> <p class="mb0">The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p> <a id="h11" name="h11"></a><h2>References</h2> <div class="References" style="margin-bottom:0.5em; margin-left:2em;"> <p class="ReferencesCopy1" style="margin-left:0.7em; text-indent:-1.1em;"><a name="B1" id="B1"></a> 1. 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García-Basteiro AL, Moncunill G, Tortajada M, Vidal M, Guinovart C, Jiménez A, et al. Seroprevalence of antibodies against SARS-CoV-2 among health care workers in a large Spanish reference hospital. <i>Nat Commun</i>. (2020). 11:3500. doi: 10.1101/2020.04.27.20082289</p> <p style="margin-left:1em;" class="ReferencesCopy2"><a href="https://pubmed.ncbi.nlm.nih.gov/32641730" target="_blank">PubMed Abstract</a> | <a href="https://doi.org/10.1101/2020.04.27.20082289" target="_blank">CrossRef Full Text</a> | <a href="http://scholar.google.com/scholar_lookup?author=AL+García-Basteiro&author=G+Moncunill&author=M+Tortajada&author=M+Vidal&author=C+Guinovart&author=A+Jiménez+&publication_year=2020&title=Seroprevalence+of+antibodies+against+SARS-CoV-2+among+health+care+workers+in+a+large+Spanish+reference+hospital&journal=Nat+Commun&volume=11&pages=3500" target="_blank">Google Scholar</a></p> </div> </div> <div class="thinLineM20"></div> <div class="AbstractSummary"> <p><span>Keywords:</span> seroprevalance, COVID-19, healthcare worker (HCW), SARS-CoV-2, rapid test for COVID-19</p> <p><span>Citation:</span> Dacosta-Urbieta A, Rivero-Calle I, Pardo-Seco J, Redondo-Collazo L, Salas A, Gómez-Rial J and Martinón-Torres F (2020) Seroprevalence of SARS-CoV-2 Among Pediatric Healthcare Workers in Spain. <i>Front. Pediatr.</i> 8:547. doi: 10.3389/fped.2020.00547</p> <p id="timestamps"><span>Received:</span> 13 May 2020; <span>Accepted:</span> 29 July 2020;<br> <span>Published:</span> 11 September 2020.</p> <div><p>Edited by:</p> <a href="http://loop.frontiersin.org/people/525142/overview">Valeriane Leroy</a>, Institut National de la Santé et de la Recherche Médicale (INSERM), France</div> <div><p>Reviewed by:</p> <a href="http://loop.frontiersin.org/people/736410/overview">Tatjana Vilibic-Cavlek</a>, Croatian Institute of Public Health, Croatia<br> <a href="http://loop.frontiersin.org/people/435709/overview">Guillermo Soza</a>, University of La Frontera, Chile</div> <p><span>Copyright</span> © 2020 Dacosta-Urbieta, Rivero-Calle, Pardo-Seco, Redondo-Collazo, Salas, Gómez-Rial and Martinón-Torres. This is an open-access article distributed under the terms of the <a rel="license" href="http://creativecommons.org/licenses/by/4.0/" target="_blank">Creative Commons Attribution License (CC BY)</a>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p> <p><span>*Correspondence:</span> Federico Martinón-Torres, <a href="mailto:federico.martinon.torres@sergas.es">federico.martinon.torres@sergas.es</a></p> <p><span><sup>†</sup>ORCID:</span> Federico Martinón-Torres <a href="http://orcid.org/0000-0002-9023-581X">orcid.org/0000-0002-9023-581X</a></p> <div class="clear"></div> </div></div></div> <p class="AbstractSummary__disclaimer"><span>Disclaimer: </span> All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. 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Day (University of Otago, New Zealand), Frontiers in Pediatrics is indexed in PubMed Central (PMC), Web of Science (SCIE), and the DOAJ, among others, and publishes both basic and clinical research related to all aspects of pediatrics.\u003C\u002Fp\u003E\n\n\u003Cp\u003ETopics include, but are not limited to:\u003C\u002Fp\u003E\n\u003Cul\u003E\n \u003Cli\u003Echildren and health\u003C\u002Fli\u003E\n \u003Cli\u003Egeneral pediatrics and pediatric emergency care\u003C\u002Fli\u003E\n \u003Cli\u003Egenetics of common and rare diseases\u003C\u002Fli\u003E\n \u003Cli\u003Eneonatology\u003C\u002Fli\u003E\n \u003Cli\u003Eobstetric and pediatric pharmacology\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric cardiology\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric critical care\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric endocrinology\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric gastroenterology, hepatology and nutrition\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric hematology and hematological malignancies\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric immunology\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric infectious diseases\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric neurology\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric obesity\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric oncology\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric orthopedics\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric otolaryngology\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric occupational therapy\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric pulmonology\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric rheumatology\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric surgery\u003C\u002Fli\u003E\n \u003Cli\u003Epediatric urology.\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E\n\n\u003Cp\u003EIn particular, the journal welcomes submissions which support and advance the UN’s Sustainable Development Goals (SDGs), notably SDG 3: ensure healthy lives and promote well-being for all at all ages.\u003C\u002Fp\u003E\n\n\u003Cp\u003EManuscripts that focus on adult medicine, public health, or non-pediatric surgical procedures are not suitable for publication in this journal. Studies that do not directly relate to the health and well-being of children and adolescents, including those focusing on parental education or socio-economic factors without a fundamental basis in pediatric health outcomes, will not be considered.\u003C\u002Fp\u003E\n\n\u003Cp\u003EFrontiers in Pediatrics is committed to advancing developments in the field of pediatrics by allowing unrestricted access to articles, and communicating scientific knowledge to researchers and the public alike, to enable the scientific breakthroughs of the future.\u003C\u002Fp\u003E",palette:"red",impactFactor:"2.6",citeScore:"3.3",citations:"70000",showTagline:f,twitter:"@FrontPediatrics",__typename:"Journal"},currentFrontiersJournal:{id:w,name:t,slug:x,printISSN:f,shortName:J,electronicISSN:K,abbreviation:W,specialtyId:f,publicationDate:f,isOnline:h,isOpenForSubmissions:h,spaceId:c,field:{id:X,domainId:o,__typename:"journal_field"},__typename:a},articleHubSlug:e,articleHubPage:L,currentArticle:{id:559520,doi:Y,title:Z,acceptanceDate:new Date(1596036288000),receptionDate:new Date(1589369262000),publicationDate:new Date(1599782400000),isPublished:h,abstract:_,researchTopic:{id:13377,title:"Coronavirus Disease (COVID-19): Pathophysiology, Epidemiology, Clinical Management and Public Health Response",articlesCount:400,isMagazinePage:h,slug:"coronavirus-disease-covid-19-pathophysiology-epidemiology-clinical-management-and-public-health-response",isOpenForSubmission:l},articleType:{id:139,name:"Brief Research Report"},stage:{id:M,name:e},keywords:["Seroprevalance","COVID - 19","healthcare worker (HCW)","SARS-CoV2","Rapid test for covid"],authors:[{id:n,firstName:$,lastName:"Dacosta-Urbieta",givenNames:$,isCorresponding:l,isProfilePublic:l,userId:n,affiliations:[{organizationName:p,countryName:m,cityName:e,stateName:e,zipCode:e},{organizationName:y,countryName:m,cityName:e,stateName:e,zipCode:e}]},{id:n,firstName:aa,lastName:"Rivero-Calle",givenNames:aa,isCorresponding:l,isProfilePublic:l,userId:n,affiliations:[{organizationName:p,countryName:m,cityName:e,stateName:e,zipCode:e},{organizationName:y,countryName:m,cityName:e,stateName:e,zipCode:e}]},{id:ab,firstName:ac,lastName:"Pardo-Seco",givenNames:ac,isCorresponding:l,isProfilePublic:h,userId:ab,affiliations:[{organizationName:p,countryName:m,cityName:e,stateName:e,zipCode:e},{organizationName:y,countryName:m,cityName:e,stateName:e,zipCode:e},{organizationName:ad,countryName:m,cityName:e,stateName:e,zipCode:e}]},{id:n,firstName:ae,lastName:"Redondo-Collazo",givenNames:ae,isCorresponding:l,isProfilePublic:l,userId:n,affiliations:[{organizationName:p,countryName:m,cityName:e,stateName:e,zipCode:e},{organizationName:y,countryName:m,cityName:e,stateName:e,zipCode:e}]},{id:af,firstName:ag,lastName:"Salas",givenNames:ag,isCorresponding:l,isProfilePublic:h,userId:af,affiliations:[{organizationName:p,countryName:m,cityName:e,stateName:e,zipCode:e},{organizationName:ad,countryName:m,cityName:e,stateName:e,zipCode:e}]},{id:ah,firstName:ai,lastName:"Gómez-Rial",givenNames:ai,isCorresponding:l,isProfilePublic:h,userId:ah,affiliations:[{organizationName:p,countryName:m,cityName:e,stateName:e,zipCode:e},{organizationName:"Laboratorio de Inmunología, Servicio de Análisis Clínicos, Hospital Clínico Universitario Santiago de Compostela (Servicio Gallego de Salud)",countryName:m,cityName:e,stateName:e,zipCode:e}]},{id:aj,firstName:ak,lastName:"Martinón-Torres",givenNames:ak,isCorresponding:l,isProfilePublic:h,userId:aj,affiliations:[{organizationName:p,countryName:m,cityName:e,stateName:e,zipCode:e},{organizationName:y,countryName:m,cityName:e,stateName:e,zipCode:e}]}],editors:[{id:al,firstName:am,lastName:"Leroy",givenNames:am,isCorresponding:l,isProfilePublic:h,userId:al,affiliations:[{organizationName:"Institut National de la Santé et de la Recherche Médicale (INSERM)",countryName:"France",cityName:e,stateName:e,zipCode:e}]}],reviewers:[{id:an,firstName:ao,lastName:"Soza",givenNames:ao,isCorresponding:l,isProfilePublic:h,userId:an,affiliations:[{organizationName:"University of La Frontera",countryName:"Chile",cityName:e,stateName:e,zipCode:e}]},{id:ap,firstName:aq,lastName:"Vilibic-Cavlek",givenNames:aq,isCorresponding:l,isProfilePublic:h,userId:ap,affiliations:[{organizationName:"Croatian Institute of Public Health",countryName:"Croatia",cityName:e,stateName:e,zipCode:e}]}],journal:{id:w,slug:x,name:t,shortName:J,electronicISSN:K,field:{id:X,domainId:o},specialtyId:f,journalSectionPaths:[{section:ar}]},section:ar,impactMetrics:{views:2339,downloads:891,citations:av},volume:aw,articleVolume:"Volume 8 - 2020",relatedArticles:[],isPublishedV2:l,contents:{fullTextHtml:"\u003Cdiv class=\"JournalAbstract\"\u003E\n\u003Ca id=\"h1\" name=\"h1\"\u003E\u003C\u002Fa\u003E\u003Ch1\u003ESeroprevalence of SARS-CoV-2 Among Pediatric Healthcare Workers in Spain\u003C\u002Fh1\u003E\n\u003Cdiv class=\"authors\"\u003E\n\u003Cimg class=\"pr5\" src=\"http:\u002F\u002F3b76aaf63d1816bb57bf-a34624e694c43cdf8b40aa048a644ca4.r96.cf2.rackcdn.com\u002FDesign\u002FImages\u002Fnewprofile_default_profileimage_new.jpg\" \u002F\u003EAna Dacosta-Urbieta\u003Csup\u003E1,2\u003C\u002Fsup\u003E, \u003Cimg class=\"pr5\" src=\"http:\u002F\u002F3b76aaf63d1816bb57bf-a34624e694c43cdf8b40aa048a644ca4.r96.cf2.rackcdn.com\u002FDesign\u002FImages\u002Fnewprofile_default_profileimage_new.jpg\" \u002F\u003EIrene Rivero-Calle\u003Csup\u003E1,2\u003C\u002Fsup\u003E, \u003Ca href=\"https:\u002F\u002Fwww.frontiersin.org\u002Fpeople\u002Fu\u002F1010093\" class=\"user-id-1010093\"\u003E\u003Cimg class=\"pr5\" src=\"https:\u002F\u002Floop.frontiersin.org\u002Fimages\u002Fprofile\u002F1010093\u002F24\" onerror=\"this.src='http:\u002F\u002F3b76aaf63d1816bb57bf-a34624e694c43cdf8b40aa048a644ca4.r96.cf2.rackcdn.com\u002FDesign\u002FImages\u002Fnewprofile_default_profileimage_new.jpg'\" \u002F\u003EJacobo Pardo-Seco\u003C\u002Fa\u003E\u003Csup\u003E1,2,3\u003C\u002Fsup\u003E, \u003Cimg class=\"pr5\" src=\"http:\u002F\u002F3b76aaf63d1816bb57bf-a34624e694c43cdf8b40aa048a644ca4.r96.cf2.rackcdn.com\u002FDesign\u002FImages\u002Fnewprofile_default_profileimage_new.jpg\" \u002F\u003ELorenzo Redondo-Collazo\u003Csup\u003E1,2\u003C\u002Fsup\u003E, \u003Ca href=\"https:\u002F\u002Fwww.frontiersin.org\u002Fpeople\u002Fu\u002F1021428\" class=\"user-id-1021428\"\u003E\u003Cimg class=\"pr5\" src=\"https:\u002F\u002Floop.frontiersin.org\u002Fimages\u002Fprofile\u002F1021428\u002F24\" onerror=\"this.src='http:\u002F\u002F3b76aaf63d1816bb57bf-a34624e694c43cdf8b40aa048a644ca4.r96.cf2.rackcdn.com\u002FDesign\u002FImages\u002Fnewprofile_default_profileimage_new.jpg'\" \u002F\u003EAntonio Salas\u003C\u002Fa\u003E\u003Csup\u003E1,3\u003C\u002Fsup\u003E, \u003Ca href=\"https:\u002F\u002Fwww.frontiersin.org\u002Fpeople\u002Fu\u002F971915\" class=\"user-id-971915\"\u003E\u003Cimg class=\"pr5\" src=\"https:\u002F\u002Floop.frontiersin.org\u002Fimages\u002Fprofile\u002F971915\u002F24\" onerror=\"this.src='http:\u002F\u002F3b76aaf63d1816bb57bf-a34624e694c43cdf8b40aa048a644ca4.r96.cf2.rackcdn.com\u002FDesign\u002FImages\u002Fnewprofile_default_profileimage_new.jpg'\" \u002F\u003EJose Gómez-Rial\u003C\u002Fa\u003E\u003Csup\u003E1,4\u003C\u002Fsup\u003E and \u003Ca href=\"https:\u002F\u002Fwww.frontiersin.org\u002Fpeople\u002Fu\u002F58621\" class=\"user-id-58621\"\u003E\u003Cimg class=\"pr5\" src=\"https:\u002F\u002Floop.frontiersin.org\u002Fimages\u002Fprofile\u002F58621\u002F24\" onerror=\"this.src='http:\u002F\u002F3b76aaf63d1816bb57bf-a34624e694c43cdf8b40aa048a644ca4.r96.cf2.rackcdn.com\u002FDesign\u002FImages\u002Fnewprofile_default_profileimage_new.jpg'\" \u002F\u003EFederico Martinón-Torres\u003C\u002Fa\u003E\u003Csup\u003E1,2\u003C\u002Fsup\u003E\u003Csup\u003E*\u003C\u002Fsup\u003E\u003Csup\u003E†\u003C\u002Fsup\u003E\u003C\u002Fdiv\u003E\n\u003Cul class=\"notes\"\u003E\n\u003Cli\u003E\u003Cspan\u003E\u003Csup\u003E1\u003C\u002Fsup\u003E\u003C\u002Fspan\u003EGrupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Galicia, Spain\u003C\u002Fli\u003E\n\u003Cli\u003E\u003Cspan\u003E\u003Csup\u003E2\u003C\u002Fsup\u003E\u003C\u002Fspan\u003ETranslational Pediatrics and Infectious Diseases, Department of Pediatrics, Hospital Clínico Universitario de Santiago de Compostela, Galicia, Spain\u003C\u002Fli\u003E\n\u003Cli\u003E\u003Cspan\u003E\u003Csup\u003E3\u003C\u002Fsup\u003E\u003C\u002Fspan\u003EUnidade de Xenética, Instituto de Ciencias Forenses (INCIFOR), Facultade de Medicina, Universidade de Santiago de Compostela, and GenPoB Research Group, Instituto de Investigaciones Sanitarias (IDIS), Hospital Clínico Universitario de Santiago (Servicio Gallego de Salud), Galicia, Spain\u003C\u002Fli\u003E\n\u003Cli\u003E\u003Cspan\u003E\u003Csup\u003E4\u003C\u002Fsup\u003E\u003C\u002Fspan\u003ELaboratorio de Inmunología, Servicio de Análisis Clínicos, Hospital Clínico Universitario Santiago de Compostela (Servicio Gallego de Salud), Galicia, Spain\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E\n\u003Cp\u003ESpain is one of the countries most severely affected by the SARS-CoV-2 pandemic, with almost 190,000 cases as of April 18, 2020. As healthcare workers (HCW) are one of the groups hardest hit by the infection, it is important to know the seroprevalence of antibodies against SARS-CoV-2 in pediatric departments. We performed 175 immunoglobulin (Ig)M and IgG immunochromatographic rapid tests in the personnel working at the Pediatric Department of the Hospital Clínico Universitario of Santiago de Compostela (Spain), including pediatricians, residents, nurses, and other staff, on days 31–33 since the lockdown started. Seven out of the 175 tests were positive, including four for IgM and three for IgG, leading to a seroprevalence of 4.0% (95% CI: 1.1–6.9%). Only one of them had symptoms at the time of testing (sore throat). All seropositive cases yielded negative RT-PCR of the upper and lower respiratory tract. This is the first SARS-CoV-2 serological survey among HCWs reported in Spain. Notwithstanding the test limitations, our results reveal that personal protection policy and lockdown measures have been effective to limit population exposure. The low seroprevalence rate poses a significant challenge for the next strategic steps of pandemic control.\u003C\u002Fp\u003E\n\u003Cdiv class=\"clear\"\u003E\u003C\u002Fdiv\u003E\n\u003C\u002Fdiv\u003E\n\u003Cdiv class=\"JournalFullText\"\u003E\n\u003Ca id=\"h2\" name=\"h2\"\u003E\u003C\u002Fa\u003E\u003Ch2\u003EIntroduction\u003C\u002Fh2\u003E\n\u003Cp class=\"mb0\"\u003ESpain is one of the countries with the highest number of cases of SARS-CoV-2 reported worldwide, with almost 190,000 cases confirmed as of April 18, 2020 (\u003Ca href=\"#B1\"\u003E1\u003C\u002Fa\u003E). The first case in Spain was recorded on January 31, and the Spanish government started the lockdown on March 14, when the country had 7,753 active cases. In Galicia (northwest Spain), the first case was recorded on the March 4, and at the moment of the lockdown, there were 195 confirmed cases. In the last 2 weeks, the cumulative incidence of SARS-CoV-2 is 149.61 cases\u002F100,000 inhabitants in Spain, and 103.5 cases\u002F100,000 inhabitants (\u003Ca href=\"#B1\"\u003E1\u003C\u002Fa\u003E) in Galicia. To date, we have identified 19 pediatric cases in our hospital, and only one of them was admitted to hospital for reasons unrelated to the infection. We aimed to assess the seroprevalence rate of SARS-CoV-2 among healthcare workers (HCWs) of the Pediatric Department of the Hospital Clínico Universitario de Santiago de Compostela, the reference hospital in Galicia.\u003C\u002Fp\u003E\n\u003Ca id=\"h3\" name=\"h3\"\u003E\u003C\u002Fa\u003E\u003Ch2\u003EMethods\u003C\u002Fh2\u003E\n\u003Cp class=\"mb15\"\u003EWe performed a sero-epidemiological survey on days +31, +32, and +33 after lockdown started, including all HCWs of the Pediatric Department of the Hospital Clínico Universitario de Santiago de Compostela, namely, pediatricians, resident doctors, nurses, and administrative staff. Emergency Department and the Pediatric Intensive Care Unit were considered the most exposed areas.\u003C\u002Fp\u003E\n\u003Cp class=\"mb0\"\u003EWe tested immunoglobulin (Ig)M and IgG against SARS-CoV-2 by an immunochromatographic rapid method (Virusee® by Genobio Pharmaceutical, Shanghai, China) using 10-μl finger-prick\u002Fcapillary blood. Sensitivity and specificity rates specified by the manufacturer were 96.0% and 96.8% for IgG and 94.6% and 96.8% for IgM detection, respectively. The rapid test used provides the result in 10 min. Epidemiological, clinical, and laboratory data were collected in all cases.\u003C\u002Fp\u003E\n\u003Ca id=\"h4\" name=\"h4\"\u003E\u003C\u002Fa\u003E\u003Ch2\u003EResults\u003C\u002Fh2\u003E\n\u003Cp class=\"mb15\"\u003EThe test was performed on 175 HCWs. Most of them were pediatric consultants (32.6%; \u003Ci\u003En\u003C\u002Fi\u003E = 57), followed by nurses and nurses' aides (47.4%; \u003Ci\u003En\u003C\u002Fi\u003E = 83), pediatrics residents (13.1%; \u003Ci\u003En\u003C\u002Fi\u003E = 23), and others (6.9; \u003Ci\u003En\u003C\u002Fi\u003E = 12). In addition, 18.3% (\u003Ci\u003En\u003C\u002Fi\u003E = 32) of the workers were ≥55 years old, and 12.6% (\u003Ci\u003En\u003C\u002Fi\u003E = 22) had preexisting comorbid conditions such as asthma (4.0%; \u003Ci\u003En\u003C\u002Fi\u003E = 7), high blood pressure (1.7%; \u003Ci\u003En\u003C\u002Fi\u003E = 3), or obesity (1.7%; \u003Ci\u003En\u003C\u002Fi\u003E = 3). Moreover, 22.5% of the workers had a known exposure to SARS-CoV-2-positive patients. When asked if they recalled any symptoms suggestive of SARS-CoV-2 in the last 2 months, 53% of the workers declared none.\u003C\u002Fp\u003E\n\u003Cp class=\"mb0\"\u003ESeven workers yielded positive test results, three of them were IgG positive and four of them were IgM positive, representing a total seroprevalence of 4.0% of the cohort (95% CI: 1.1–6.9%) (\u003Ca href=\"#T1\"\u003ETable 1\u003C\u002Fa\u003E). The subjects who tested positive for IgM worked in the most exposed areas were: two medical residents and one consultant, two nurses, and two nurse aides. None of the workers who tested positive for IgM presented symptoms at the time of the test. Of the subjects who tested positive for IgG, only one of them recalled symptoms suggestive of coronavirus infection (cough and sore throat), and these persisted at the time of testing. In the positive cases, RT-PCR was performed on the lower (oropharyngeal swab) and upper respiratory tracts (nasal swab), all with negative results.\u003C\u002Fp\u003E\n\u003Cdiv class=\"DottedLine\"\u003E\u003C\u002Fdiv\u003E\n\u003Cdiv class=\"Imageheaders\"\u003ETABLE 1\u003C\u002Fdiv\u003E\n\u003Cdiv class=\"FigureDesc\"\u003E\n\u003Ca href=\"https:\u002F\u002Fwww.frontiersin.org\u002Ffiles\u002FArticles\u002F559520\u002Ffped-08-00547-HTML\u002Fimage_m\u002Ffped-08-00547-t001.jpg\" name=\"Table1\" target=\"_blank\"\u003E\n\u003Cimg src=\"https:\u002F\u002Fwww.frontiersin.org\u002Ffiles\u002FArticles\u002F559520\u002Ffped-08-00547-HTML\u002Fimage_t\u002Ffped-08-00547-t001.gif\" id=\"T1\" alt=\"www.frontiersin.org\" \u002F\u003E\n\u003C\u002Fa\u003E\n\u003Cp\u003E\u003Cstrong\u003ETable 1\u003C\u002Fstrong\u003E. Characteristics of the seropositive subjects.\u003C\u002Fp\u003E\n\u003C\u002Fdiv\u003E\n\u003Cdiv class=\"clear\"\u003E\u003C\u002Fdiv\u003E\n\u003Cdiv class=\"DottedLine\"\u003E\u003C\u002Fdiv\u003E\n\u003Ca id=\"h5\" name=\"h5\"\u003E\u003C\u002Fa\u003E\u003Ch2\u003EDiscussion\u003C\u002Fh2\u003E\n\u003Cp class=\"mb15\"\u003ETo date, there are few data regarding serological responses to SARS-CoV-2 in infected patients (\u003Ca href=\"#B2\"\u003E2\u003C\u002Fa\u003E) and virtually no data on serological responses to SARS-CoV-2 in asymptomatic exposure. Rapid tests using serology have the advantage of delivering quick results and allowing the testing of asymptomatic people reliably (\u003Ca href=\"#B3\"\u003E3\u003C\u002Fa\u003E); the technique is easier and quicker than RT-PCR in respiratory samples. True sensitivity and specificity can vary depending on the commercial test, and this fact warrants the need for further studies. Despite the limitations of the rapid test applied, the limited number of subjects analyzed, and the lack of confirmatory alternative serological assays, the present study indicates a low exposure to SARS-CoV-2 among pediatric HCWs in Spain. There is only one other serologic study published in Spain (\u003Ca href=\"#B4\"\u003E4\u003C\u002Fa\u003E) where the total number of participants with evidence of past or current infection (by PCR and\u002For serology) was 11.2% (65\u002F578); however, these results come from a large referral hospital in Barcelona, Spain, one of the regions with the highest burden of disease of coronavirus disease 2019 (COVID-19) in Spain.\u003C\u002Fp\u003E\n\u003Cp class=\"mb0\"\u003EAlthough our results must be interpreted with caution since it is possible that some of the HCWs with IgG positivity could have acquired the infection outside the hospital, the low seroprevalence against SARS-CoV-2 among pediatric HCWs points to the success of personal protection and lockdown policies together with a low nosocomial risk of infection, while highlighting the challenge for the next stages of SARS-CoV-2 pandemic management.\u003C\u002Fp\u003E\n\u003Ca id=\"h6\" name=\"h6\"\u003E\u003C\u002Fa\u003E\u003Ch2\u003EData Availability Statement\u003C\u002Fh2\u003E\n\u003Cp class=\"mb0\"\u003EThe original contributions presented in the study are included in the article\u002Fsupplementary material, further inquiries can be directed to the corresponding author\u002Fs.\u003C\u002Fp\u003E\n\u003Ca id=\"h7\" name=\"h7\"\u003E\u003C\u002Fa\u003E\u003Ch2\u003EEthics Statement\u003C\u002Fh2\u003E\n\u003Cp class=\"mb0\"\u003EThe studies involving human participants were reviewed and approved by Comité de Ética de la investigación con medicamentos de Galicia (CEIm-G). Written informed consent for participation was not required for this study in accordance with the national legislation and the institutional requirements.\u003C\u002Fp\u003E\n\u003Ca id=\"h8\" name=\"h8\"\u003E\u003C\u002Fa\u003E\u003Ch2\u003EAuthor Contributions\u003C\u002Fh2\u003E\n\u003Cp class=\"mb0\"\u003EAll authors listed have made a substantial, direct and intellectual contribution to the work, and approved it for publication.\u003C\u002Fp\u003E\n\u003Ca id=\"h9\" name=\"h9\"\u003E\u003C\u002Fa\u003E\u003Ch2\u003EFunding\u003C\u002Fh2\u003E\n\u003Cp class=\"mb0\"\u003EThis study received support from the Instituto de Salud Carlos III: project GePEM (Instituto de Salud Carlos III(ISCIII)\u002FPI16\u002F01478\u002FCofinanciado FEDER), DIAVIR (Instituto de Salud Carlos III(ISCIII)\u002FDTS19\u002F00049\u002FCofinanciado FEDER; Proyecto de Desarrollo Tecnológico en Salud) and Resvi-Omics (Instituto de Salud Carlos III(ISCIII)\u002FPI19\u002F01039\u002FCofinanciado FEDER) and project BI-BACVIR (PRIS-3; Agencia de Conocimiento en Salud (ACIS)-Servicio Gallego de Salud (SERGAS)-Xunta de Galicia; Spain) given to AS and project ReSVinext (Instituto de Salud Carlos III(ISCIII)\u002FPI16\u002F01569\u002FCofinanciado FEDER), and Enterogen (Instituto de Salud Carlos III(ISCIII)\u002F PI19\u002F01090\u002FCofinanciado FEDER) given to FM-T.\u003C\u002Fp\u003E\n\u003Ca id=\"h10\" name=\"h10\"\u003E\u003C\u002Fa\u003E\u003Ch2\u003EConflict of Interest\u003C\u002Fh2\u003E\n\u003Cp class=\"mb0\"\u003EThe authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.\u003C\u002Fp\u003E\n\u003Ca id=\"h11\" name=\"h11\"\u003E\u003C\u002Fa\u003E\u003Ch2\u003EReferences\u003C\u002Fh2\u003E\n\u003Cdiv class=\"References\" style=\"margin-bottom:0.5em; margin-left:2em;\"\u003E\n\u003Cp class=\"ReferencesCopy1\" style=\"margin-left:0.7em; text-indent:-1.1em;\"\u003E\u003Ca name=\"B1\" id=\"B1\"\u003E\u003C\u002Fa\u003E 1. 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García-Basteiro AL, Moncunill G, Tortajada M, Vidal M, Guinovart C, Jiménez A, et al. Seroprevalence of antibodies against SARS-CoV-2 among health care workers in a large Spanish reference hospital. \u003Ci\u003ENat Commun\u003C\u002Fi\u003E. (2020). 11:3500. doi: 10.1101\u002F2020.04.27.20082289\u003C\u002Fp\u003E\n\u003Cp style=\"margin-left:1em;\" class=\"ReferencesCopy2\"\u003E\u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F32641730\" target=\"_blank\"\u003EPubMed Abstract\u003C\u002Fa\u003E | \u003Ca href=\"https:\u002F\u002Fdoi.org\u002F10.1101\u002F2020.04.27.20082289\" target=\"_blank\"\u003ECrossRef Full Text\u003C\u002Fa\u003E | \u003Ca href=\"http:\u002F\u002Fscholar.google.com\u002Fscholar_lookup?author=AL+García-Basteiro&author=G+Moncunill&author=M+Tortajada&author=M+Vidal&author=C+Guinovart&author=A+Jiménez+&publication_year=2020&title=Seroprevalence+of+antibodies+against+SARS-CoV-2+among+health+care+workers+in+a+large+Spanish+reference+hospital&journal=Nat+Commun&volume=11&pages=3500\" target=\"_blank\"\u003EGoogle Scholar\u003C\u002Fa\u003E\u003C\u002Fp\u003E\n\u003C\u002Fdiv\u003E\n\u003C\u002Fdiv\u003E\n\u003Cdiv class=\"thinLineM20\"\u003E\u003C\u002Fdiv\u003E\n\u003Cdiv class=\"AbstractSummary\"\u003E\n\u003Cp\u003E\u003Cspan\u003EKeywords:\u003C\u002Fspan\u003E seroprevalance, COVID-19, healthcare worker (HCW), SARS-CoV-2, rapid test for COVID-19\u003C\u002Fp\u003E\n\u003Cp\u003E\u003Cspan\u003ECitation:\u003C\u002Fspan\u003E Dacosta-Urbieta A, Rivero-Calle I, Pardo-Seco J, Redondo-Collazo L, Salas A, Gómez-Rial J and Martinón-Torres F (2020) Seroprevalence of SARS-CoV-2 Among Pediatric Healthcare Workers in Spain. \u003Ci\u003EFront. Pediatr.\u003C\u002Fi\u003E 8:547. doi: 10.3389\u002Ffped.2020.00547\u003C\u002Fp\u003E\n\u003Cp id=\"timestamps\"\u003E\u003Cspan\u003EReceived:\u003C\u002Fspan\u003E 13 May 2020; \u003Cspan\u003EAccepted:\u003C\u002Fspan\u003E 29 July 2020;\u003Cbr\u002F\u003E \u003Cspan\u003EPublished:\u003C\u002Fspan\u003E 11 September 2020.\u003C\u002Fp\u003E\n\u003Cdiv\u003E\u003Cp\u003EEdited by:\u003C\u002Fp\u003E \u003Ca href=\"http:\u002F\u002Floop.frontiersin.org\u002Fpeople\u002F525142\u002Foverview\"\u003EValeriane Leroy\u003C\u002Fa\u003E, Institut National de la Santé et de la Recherche Médicale (INSERM), France\u003C\u002Fdiv\u003E\n\u003Cdiv\u003E\u003Cp\u003EReviewed by:\u003C\u002Fp\u003E \u003Ca href=\"http:\u002F\u002Floop.frontiersin.org\u002Fpeople\u002F736410\u002Foverview\"\u003ETatjana Vilibic-Cavlek\u003C\u002Fa\u003E, Croatian Institute of Public Health, Croatia\u003Cbr\u002F\u003E \u003Ca href=\"http:\u002F\u002Floop.frontiersin.org\u002Fpeople\u002F435709\u002Foverview\"\u003EGuillermo Soza\u003C\u002Fa\u003E, University of La Frontera, Chile\u003C\u002Fdiv\u003E\n\u003Cp\u003E\u003Cspan\u003ECopyright\u003C\u002Fspan\u003E © 2020 Dacosta-Urbieta, Rivero-Calle, Pardo-Seco, Redondo-Collazo, Salas, Gómez-Rial and Martinón-Torres. This is an open-access article distributed under the terms of the \u003Ca rel=\"license\" href=\"http:\u002F\u002Fcreativecommons.org\u002Flicenses\u002Fby\u002F4.0\u002F\" target=\"_blank\"\u003ECreative Commons Attribution License (CC BY)\u003C\u002Fa\u003E. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.\u003C\u002Fp\u003E\n\u003Cp\u003E\u003Cspan\u003E*Correspondence:\u003C\u002Fspan\u003E Federico Martinón-Torres, \u003Ca href=\"mailto:federico.martinon.torres@sergas.es\"\u003Efederico.martinon.torres@sergas.es\u003C\u002Fa\u003E\u003C\u002Fp\u003E\n\u003Cp\u003E\u003Cspan\u003E\u003Csup\u003E†\u003C\u002Fsup\u003EORCID:\u003C\u002Fspan\u003E Federico Martinón-Torres \u003Ca href=\"http:\u002F\u002Forcid.org\u002F0000-0002-9023-581X\"\u003Eorcid.org\u002F0000-0002-9023-581X\u003C\u002Fa\u003E\u003C\u002Fp\u003E\n\u003Cdiv class=\"clear\"\u003E\u003C\u002Fdiv\u003E\n\u003C\u002Fdiv\u003E",menuHtml:"\u003Cul class=\"flyoutJournal\"\u003E\n\u003Cli\u003E\u003Ca href=\"#h1\"\u003EAbstract\u003C\u002Fa\u003E\u003C\u002Fli\u003E\n\u003Cli\u003E\u003Ca href=\"#h2\"\u003EIntroduction\u003C\u002Fa\u003E\u003C\u002Fli\u003E\n\u003Cli\u003E\u003Ca href=\"#h3\"\u003EMethods\u003C\u002Fa\u003E\u003C\u002Fli\u003E\n\u003Cli\u003E\u003Ca href=\"#h4\"\u003EResults\u003C\u002Fa\u003E\u003C\u002Fli\u003E\n\u003Cli\u003E\u003Ca href=\"#h5\"\u003EDiscussion\u003C\u002Fa\u003E\u003C\u002Fli\u003E\n\u003Cli\u003E\u003Ca href=\"#h6\"\u003EData Availability Statement\u003C\u002Fa\u003E\u003C\u002Fli\u003E\n\u003Cli\u003E\u003Ca href=\"#h7\"\u003EEthics Statement\u003C\u002Fa\u003E\u003C\u002Fli\u003E\n\u003Cli\u003E\u003Ca href=\"#h8\"\u003EAuthor Contributions\u003C\u002Fa\u003E\u003C\u002Fli\u003E\n\u003Cli\u003E\u003Ca href=\"#h9\"\u003EFunding\u003C\u002Fa\u003E\u003C\u002Fli\u003E\n\u003Cli\u003E\u003Ca href=\"#h10\"\u003EConflict of Interest\u003C\u002Fa\u003E\u003C\u002Fli\u003E\n\u003Cli\u003E\u003Ca href=\"#h11\"\u003EReferences\u003C\u002Fa\u003E\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E"},files:[{name:"EPUB.epub",fileServerPackageEntryId:e,type:{code:ax,name:ax}},{name:ay,fileServerPackageEntryId:"fped-08-00547\u002Ffped-08-00547.pdf",type:{code:u,name:u}},{name:ay,fileServerPackageEntryId:e,type:{code:u,name:u}},{name:"fped-08-00547.xml",fileServerPackageEntryId:"fped-08-00547\u002Ffped-08-00547.xml",type:{code:"NLM_XML",name:"XML"}},{name:"Provisional PDF.pdf",fileServerPackageEntryId:e,type:{code:u,name:u}}]},currentArticlePageMetaInfo:{title:az,link:[{rel:"canonical",href:aA}],meta:[{hid:B,property:B,name:B,content:aB},{hid:aC,property:aC,name:"title",content:az},{hid:aD,property:aD,name:B,content:aB},{hid:aE,name:aE,content:"Seroprevalance,COVID - 19,healthcare worker (HCW),SARS-CoV2,Rapid test for 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We performed 175 immunoglobulin (Ig)M and IgG immunochromatographic rapid tests in the personnel working at the Pediatric Department of the Hospital Clínico Universitario of Santiago de Compostela (Spain), including pediatricians, residents, nurses, and other staff, on days 31–33 since the lockdown started. Seven out of the 175 tests were positive, including four for IgM and three for IgG, leading to a seroprevalence of 4.0% (95% CI: 1.1–6.9%). Only one of them had symptoms at the time of testing (sore throat). All seropositive cases yielded negative RT-PCR of the upper and lower respiratory tract. This is the first SARS-CoV-2 serological survey among HCWs reported in Spain. Notwithstanding the test limitations, our results reveal that personal protection policy and lockdown measures have been effective to limit population exposure. 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