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Are Daycare Workers at a Higher Risk of Parvovirus B19 Infection? A Systematic Review and Meta-Analysis

Author

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  • Karla Romero Starke

    (Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, 01307 Dresden, Germany)

  • Marlen Kofahl

    (Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, 01307 Dresden, Germany)

  • Alice Freiberg

    (Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, 01307 Dresden, Germany)

  • Melanie Schubert

    (Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, 01307 Dresden, Germany)

  • Mascha Luisa Groß

    (Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, 01307 Dresden, Germany)

  • Stefanie Schmauder

    (Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, 01307 Dresden, Germany)

  • Janice Hegewald

    (Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, 01307 Dresden, Germany)

  • Daniel Kämpf

    (Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, 01307 Dresden, Germany)

  • Johanna Stranzinger

    (Section Occupational Health, Basic Principles of Prevention and Rehabilitation, Institution for Statutory Social Accident Insurance and Prevention in the Health Care and Welfare Services (BGW), 22089 Hamburg, Germany)

  • Albert Nienhaus

    (Section Occupational Health, Basic Principles of Prevention and Rehabilitation, Institution for Statutory Social Accident Insurance and Prevention in the Health Care and Welfare Services (BGW), 22089 Hamburg, Germany
    Competence Centre for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf (UKE), 20251 Hamburg, Germany)

  • Andreas Seidler

    (Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, 01307 Dresden, Germany)

Abstract

Objective: In this systematic review, we aimed to summarize the evidence on the association between being a daycare educator working with children and the possible increased risk of parvovirus B19 infection compared to the general population. Methods: The Medline and Embase databases were searched using a defined search to find studies published since 2000. Two reviewers evaluated the search hits using predefined inclusion and exclusion criteria. The resulting studies were extracted and were assessed in eight domains of bias. A pooled relative risk (RR) of parvovirus infection for daycare workers compared to the general population was calculated. Results: After evaluating the 7781 search hits and manual search, four methodologically-adequate studies were identified: three cross-sectional studies and one retrospective cohort study. Of the three studies investigating the risk of infection, one evaluated parvovirus B19 seroconversion rates for daycare workers. There was an indication for an increased risk for daycare workers compared to the unexposed population (RR = 1.12, 95% CI 0.98–1.27) using prevalence estimators. Furthermore, daycare workers had a higher seroconversion rate compared to the unexposed population (RR = 2.63, 95% CI 1.27–5.45) in the low risk of bias study. Conclusions: Our findings suggest a higher risk of parvovirus B19 infection for daycare workers compared to an unexposed comparison population, which necessitate preventative efforts. Considering the underestimation of the occupational seroconversion risk by prevalence-based estimators, parvovirus B19 infections among daycare workers might mostly be occupationally acquired.

Suggested Citation

  • Karla Romero Starke & Marlen Kofahl & Alice Freiberg & Melanie Schubert & Mascha Luisa Groß & Stefanie Schmauder & Janice Hegewald & Daniel Kämpf & Johanna Stranzinger & Albert Nienhaus & Andreas Seid, 2019. "Are Daycare Workers at a Higher Risk of Parvovirus B19 Infection? A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 16(8), pages 1-16, April.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:8:p:1392-:d:223787
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Jim Giles, 2005. "Start your engines," Nature, Nature, vol. 438(7068), pages 554-555, December.
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    Cited by:

    1. Karla Romero Starke & René Mauer & Ethel Karskens & Anna Pretzsch & David Reissig & Albert Nienhaus & Anna Lene Seidler & Andreas Seidler, 2021. "The Effect of Ambient Environmental Conditions on COVID-19 Mortality: A Systematic Review," IJERPH, MDPI, vol. 18(12), pages 1-20, June.
    2. Gabriela Petereit-Haack & Ulrich Bolm-Audorff & Karla Romero Starke & Andreas Seidler, 2020. "Occupational Risk for Post-Traumatic Stress Disorder and Trauma-Related Depression: A Systematic Review with Meta-Analysis," IJERPH, MDPI, vol. 17(24), pages 1-21, December.
    3. Melanie Schubert & Julia Ludwig & Alice Freiberg & Taurai Monalisa Hahne & Karla Romero Starke & Maria Girbig & Gudrun Faller & Christian Apfelbacher & Olaf von dem Knesebeck & Andreas Seidler, 2021. "Stigmatization from Work-Related COVID-19 Exposure: A Systematic Review with Meta-Analysis," IJERPH, MDPI, vol. 18(12), pages 1-22, June.
    4. Karla Romero Starke & Sophie Friedrich & Melanie Schubert & Daniel Kämpf & Maria Girbig & Anna Pretzsch & Albert Nienhaus & Andreas Seidler, 2021. "Are Healthcare Workers at an Increased Risk for Obstructive Respiratory Diseases Due to Cleaning and Disinfection Agents? A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(10), pages 1-24, May.

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    More about this item

    Keywords

    parvovirus B19; fifth disease; daycare workers; daycare; kindergarten teachers; occupational risk; occupational disease;
    All these keywords.

    JEL classification:

    • B19 - Schools of Economic Thought and Methodology - - History of Economic Thought through 1925 - - - Other

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