COVID-19 among staff and their family members of a healthcare research institution in Bangladesh between March 2020 and April 2021: a test-negative case–control study

Objective To identify factors associated with COVID-19 positivity among staff and their family members of icddr,b, a health research institute located in Bangladesh.Setting Dhaka, Bangladesh.Participants A total of 4295 symptomatic people were tested for SARS-CoV-2 by reverse-transcription PCR betwe...

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Main Authors: Subhasish Das, Mustafa Mahfuz, Shah Mohammad Fahim, Tahmeed Ahmed, Shams E Arifeen, Md Ashraful Alam, Mustafizur Rahman, John D Clemens, S M Tafsir Hasan, Ishita Mostafa, Monira Sarmin, Shahana Parveen
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e058074.full
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author Subhasish Das
Mustafa Mahfuz
Shah Mohammad Fahim
Tahmeed Ahmed
Shams E Arifeen
Md Ashraful Alam
Mustafizur Rahman
John D Clemens
S M Tafsir Hasan
Ishita Mostafa
Monira Sarmin
Shahana Parveen
author_facet Subhasish Das
Mustafa Mahfuz
Shah Mohammad Fahim
Tahmeed Ahmed
Shams E Arifeen
Md Ashraful Alam
Mustafizur Rahman
John D Clemens
S M Tafsir Hasan
Ishita Mostafa
Monira Sarmin
Shahana Parveen
author_sort Subhasish Das
collection DOAJ
description Objective To identify factors associated with COVID-19 positivity among staff and their family members of icddr,b, a health research institute located in Bangladesh.Setting Dhaka, Bangladesh.Participants A total of 4295 symptomatic people were tested for SARS-CoV-2 by reverse-transcription PCR between 19 March 2020 and 15 April 2021. Multivariable logistic regression was done to identify the factors associated with COVID-19 positivity by contrasting test positives with test negatives.Result Forty-three per cent of the participants were tested positive for SARS-CoV-2. The median age was high in positive cases (37 years vs 34 years). Among the positive cases, 97% were recovered, 2.1% had reinfections, 24 died and 41 were active cases as of 15 April 2021. Multivariable regression analysis showed that age more than 60 years (adjusted OR (aOR)=2.1, 95% CI 1.3 to 3.3; p<0.05), blood group AB (aOR=1.5, 95% CI 1.1 to 2; p<0.05), fever (aOR=3.1, 95% CI 2.6 to 3.7; p<0.05), cough (aOR=1.3, 95% CI 1.1 to 1.6; p<0.05) and anosmia (aOR=2.7, 95% CI 1.3 to 5.7; p<0.05) were significantly associated with higher odds of being COVID-19 positive when compared with participants who were tested negative.Conclusions The study findings suggest that older age, fever, cough and anosmia were associated with COVID-19 among the study participants.
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spelling doaj-art-7956081136f74f7791e9284e9f414c312025-01-28T01:05:14ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-058074COVID-19 among staff and their family members of a healthcare research institution in Bangladesh between March 2020 and April 2021: a test-negative case–control studySubhasish Das0Mustafa Mahfuz1Shah Mohammad Fahim2Tahmeed Ahmed3Shams E Arifeen4Md Ashraful Alam5Mustafizur Rahman6John D Clemens7S M Tafsir Hasan8Ishita Mostafa9Monira Sarmin10Shahana Parveen11Liggins Institute, University of Auckland, Auckland, New ZealandNutrition and Clinical Services Division (NCSD), International Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, BangladeshNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshNutrition Research Division, International Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, BangladeshMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshThe University of Queensland Poche Centre for Indigenous Health, Saint Lucia, Queensland, AustraliaInfectious Disease Division, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, Dhaka, BangladeshNutrition Research Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research,Bangladesh (icddr,b), Dhaka, BangladeshStaff Clinic, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, BangladeshObjective To identify factors associated with COVID-19 positivity among staff and their family members of icddr,b, a health research institute located in Bangladesh.Setting Dhaka, Bangladesh.Participants A total of 4295 symptomatic people were tested for SARS-CoV-2 by reverse-transcription PCR between 19 March 2020 and 15 April 2021. Multivariable logistic regression was done to identify the factors associated with COVID-19 positivity by contrasting test positives with test negatives.Result Forty-three per cent of the participants were tested positive for SARS-CoV-2. The median age was high in positive cases (37 years vs 34 years). Among the positive cases, 97% were recovered, 2.1% had reinfections, 24 died and 41 were active cases as of 15 April 2021. Multivariable regression analysis showed that age more than 60 years (adjusted OR (aOR)=2.1, 95% CI 1.3 to 3.3; p<0.05), blood group AB (aOR=1.5, 95% CI 1.1 to 2; p<0.05), fever (aOR=3.1, 95% CI 2.6 to 3.7; p<0.05), cough (aOR=1.3, 95% CI 1.1 to 1.6; p<0.05) and anosmia (aOR=2.7, 95% CI 1.3 to 5.7; p<0.05) were significantly associated with higher odds of being COVID-19 positive when compared with participants who were tested negative.Conclusions The study findings suggest that older age, fever, cough and anosmia were associated with COVID-19 among the study participants.https://bmjopen.bmj.com/content/12/6/e058074.full
spellingShingle Subhasish Das
Mustafa Mahfuz
Shah Mohammad Fahim
Tahmeed Ahmed
Shams E Arifeen
Md Ashraful Alam
Mustafizur Rahman
John D Clemens
S M Tafsir Hasan
Ishita Mostafa
Monira Sarmin
Shahana Parveen
COVID-19 among staff and their family members of a healthcare research institution in Bangladesh between March 2020 and April 2021: a test-negative case–control study
BMJ Open
title COVID-19 among staff and their family members of a healthcare research institution in Bangladesh between March 2020 and April 2021: a test-negative case–control study
title_full COVID-19 among staff and their family members of a healthcare research institution in Bangladesh between March 2020 and April 2021: a test-negative case–control study
title_fullStr COVID-19 among staff and their family members of a healthcare research institution in Bangladesh between March 2020 and April 2021: a test-negative case–control study
title_full_unstemmed COVID-19 among staff and their family members of a healthcare research institution in Bangladesh between March 2020 and April 2021: a test-negative case–control study
title_short COVID-19 among staff and their family members of a healthcare research institution in Bangladesh between March 2020 and April 2021: a test-negative case–control study
title_sort covid 19 among staff and their family members of a healthcare research institution in bangladesh between march 2020 and april 2021 a test negative case control study
url https://bmjopen.bmj.com/content/12/6/e058074.full
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