The stress of the SARS-CoV-2 virus pandemic and pro-health behaviors among medical personnel - preliminary report. / Stres okresu pandemii wirusa SARS-CoV-2 a zachowania prozdrowotne wsród personelu medycznego - doniesienie wstepne.

OBJECTIVES: The aim of the study was to evaluate pro-health behaviors as protective measures against symptoms of anxiety and depression in a group of health care workers during the first wave of the SARS-CoV-2 virus pandemic. METHODS: The group of 114 people participated in the study, including 46 medical doctors aged 41.10 ± 11.89 and 68 nurses aged 48.16 ± 8.54 years.The following scales were used for the research: the Health Behavior Inventory (HBI), the Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI). RESULTS: Taking into consideration health behaviors, an average score of 79.61 ± 13.08 points in HBI was obtained. In the BDI questionnaire, the respondents obtained an average of 3.7 ± 4.65 points. In the STAI questionnaire, in the part related to state anxiety, the mean result in the study group was 38.08 ± 9.46 points, and for trait anxiety 38.35 ± 8.44 points. Taking into account the components of HBI, only the results obtained in the subscales: positive mental attitude (PMA) and pro-health activities (PhA) correlated negatively with the results obtained in the STAI and BDI scales. Moreover, the pro-health effect of PMA on the symptoms of anxiety and depression was observed. CONCLUSIONS: No significant intensification of anxiety and depression symptoms was observed among medical personnel during the first wave of the pandemic. Health-promoting behaviors, and especially positive mental attitudes, may play a protective role in relation to the symptoms of anxiety and depression in a stressful situations.

SARS-CoV-2 Antibody Screening in Healthcare Workers in Non-Infectious Hospitals in Two Different Regions of Southern Poland (Upper Silesia and Opole Voivodeships): A Prospective Cohort Study.

(1) Background: Detection of asymptomatic or subclinical human coronavirus SARS-CoV-2 infection in healthcare workers (HCWs) is crucial for understanding the overall prevalence of the new coronavirus and its infection potential in public (non-infectious) healthcare units with emergency wards. (2) Methods: We evaluated the host serologic responses, measured with semi-quantitative ELISA tests (IgA, IgG, IgM abs) in sera of 90 individuals in Hospital no. 4 in Bytom, 84 HCWs in the University Hospital in Opole and 25 in a Miasteczko Slaskie local surgery. All volunteers had negative RT-PCR test results or had not had the RT-PCR test performed within 30 days before sampling. The ELISA test was made at two different time points (July/August 2020) with a 2-weeks gap between blood collections to avoid the "serological window" period. (3) Results: The IgG seropositivity of asymptomatic HCWs varied between 1.2% to 10% (Opole vs. Bytom, p < 0.05; all without any symptoms). IgA seropositivity in HCWs was 8.8% in Opole and 7.14% in Bytom. IgM positive levels in HCWs in Opole and Bytom was 1.11% vs. 2.38%, respectively. Individuals with IgA and IgM seropositivity results were observed only in Opole (1.19%). More studies are needed to determine whether these results are generalizable to other populations and geographic as well as socio-demographic locations. (4) Conclusions: 100% of IgG(+) volunteers were free from any symptoms of infection in the 30 days before first or second blood collection and they had no awareness of SARS-CoV-2 infection. Asymptomatic HCWs could spread SARS-CoV-2 infection to other employees and patients. Only regular HCWs RT-PCR testing can reduce the risk of SARS-CoV-2 spreading in a hospital environment. The benefit of combining the detection of specific IgA with that of combined specific IgM/IgG is still uncertain.