Prevalence of SARS-CoV-2 infection among oral health care workers worldwide: a meta-analysis

dc.creatorFernando Valentim Bitencourt
dc.creatorErica Negrini Lia
dc.creatorPatrícia Pauletto
dc.creatorCarolina de Castro Martins
dc.creatorCristine Miron Stefani
dc.creatorCarla Massignan
dc.creatorGraziela de Luca Canto
dc.date.accessioned2024-05-06T18:19:42Z
dc.date.accessioned2025-09-08T23:25:01Z
dc.date.available2024-05-06T18:19:42Z
dc.date.issued2023-10
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1111/cdoe.12827
dc.identifier.issn1600-0528
dc.identifier.urihttps://hdl.handle.net/1843/68086
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofCommunity Dentistry and Oral Epidemiology
dc.rightsAcesso Aberto
dc.subjectCoronavirus infections
dc.subjectCOVID-19
dc.subjectHealth workforce
dc.subjectPrevalence
dc.subjectSARS-CoV-2
dc.subjectSeroepidemiologic studies
dc.subject.otherCoronavirus infections
dc.subject.otherCOVID-19
dc.subject.otherHealth workforce
dc.subject.otherPrevalence
dc.subject.otherSARS-CoV-2
dc.subject.otherSeroepidemiologic studies
dc.titlePrevalence of SARS-CoV-2 infection among oral health care workers worldwide: a meta-analysis
dc.typeArtigo de periódico
local.citation.epage1055
local.citation.issue5
local.citation.spage697
local.citation.volume51
local.description.resumoObjectives: This systematic review aimed to answer the following question ‘What are the worldwide prevalence of SARS-CoV-2 infection and associated factors among oral health-care workers (OHCWs) before vaccination?’ Methods: Seven databases and registers as well as three grey databases were searched for observational studies in the field. Paired reviewers independently screened studies, extracted data and assessed the methodological quality. Overall seroprevalence for SARS-CoV-2 infection was analysed using a random-effect model subgrouped by professional category. Meta-regression was used to explore whether the Human Development Index (HDI) influenced the heterogeneity of results. The associated factors were narratively evaluated, and the certainty of the evidence was assessed using the GRADE approach. Results: Seventeen studies were included (five cohorts and twelve cross-sectional studies), summing 73 935 participants (54 585 dentists and 19 350 dental assistants/technicians) from 14 countries. The overall estimated pooled prevalence of SARS-CoV-2 infection among OHCWs was 9.3% (95% CI, 5.0%–14.7%; I2 = 100%, p < .01), being 9.5% for dentists (95% CI, 5.1%–15.0%; I2 = 100%, p < .01) and 11.6% for dental assistants/technicians (95% CI, 1.6%–27.4%; I2 = 99.0%, p < .01). In the meta-regression, countries with lower HDI showed higher prevalence of SARS-CoV-2 infection (p = .002). Age, comorbidities, gender, ethnicity, occupation, smoking, living in areas of greater deprivation, job role and location/municipalities, income and protective measures in dental settings were associated with positive serological SARS-CoV-2 test, with very low certainty of evidence. Conclusions: The SARS-CoV-2 virus infected 9.3% of the OHCWs evaluated worldwide before vaccination. OHCWs should be included in policy considerations, continued research, monitoring and surveillance (PROSPERO CRD42021246520).
local.identifier.orcidhttps://orcid.org/0000-0002-7310-2767
local.identifier.orcidhttps://orcid.org/0000-0001-5691-415X
local.identifier.orcidhttps://orcid.org/0000-0002-1762-7059
local.identifier.orcidhttps://orcid.org/0000-0001-9072-3226
local.identifier.orcidhttps://orcid.org/0000-0003-4712-9779
local.identifier.orcidhttps://orcid.org/0000-0001-8033-055X
local.identifier.orcidhttps://orcid.org/0000-0002-7986-8317
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
local.publisher.initialsUFMG
local.url.externahttps://onlinelibrary.wiley.com/doi/10.1111/cdoe.12827

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