<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1578-2549</journal-id>
<journal-title><![CDATA[Archivos de Prevención de Riesgos Laborales]]></journal-title>
<abbrev-journal-title><![CDATA[Arch Prev Riesgos Labor]]></abbrev-journal-title>
<issn>1578-2549</issn>
<publisher>
<publisher-name><![CDATA[Societat Catalana de Salut Laboral y Asociación de Medicina del Trabajo de la Comunidad Valenciana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1578-25492017000300002</article-id>
<article-id pub-id-type="doi">10.12961/aprl.2017.20.03.2</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Seroprevalencia frente a la varicela en una población trabajadora sanitaria y sociosanitaria de Catalunya (España)]]></article-title>
<article-title xml:lang="en"><![CDATA[Chickenpox seroprevalence among healthcare and social assistance workers in Catalonia (Spain)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Inglés Torruella]]></surname>
<given-names><![CDATA[Joan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gil Soto]]></surname>
<given-names><![CDATA[Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Sant Joan Salud Laboral ]]></institution>
<addr-line><![CDATA[Reus ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>20</volume>
<numero>3</numero>
<fpage>158</fpage>
<lpage>166</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1578-25492017000300002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1578-25492017000300002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1578-25492017000300002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivos:  La varicela es frecuente en centros sanitarios existiendo escasos datos de seroprevalencia en sus trabajadores (TS). Este estudio tiene como objetivo estimar la susceptibilidad a la varicela entre TS y la respuesta serológica postvacunación.  Métodos:  Se analiza la primera serología frente varicela por método ELISA en trabajadores de empresas sanitario-sociosanitarias de Catalunya, entre 2004-2013 (2958 trabajadores) según: género, edad, cohortes previas y posteriores a introducción vacuna en calendario de vacunación de Catalunya y en puestos de trabajo con o sin riesgo de exposición según la evaluación de riesgos. La respuesta serológica postvacunal se determinó mediante método ELISA, frente a virus de la varicela a los 2 meses de haber administrado la segunda dosis de vacuna VARIVAX® en 59 trabajadores con seroprotección negativa previa.  Resultados:  2820 trabajadores (95,33%) presentaron tasas protectoras (TP) a varicela, 507 hombres (97,13%) y 2313 mujeres (94,95%). Las cohortes de nacidos en 1993 o anteriores presentaban TP del 95,41% y las posteriores a 1993 del 80,0%. En los puestos de trabajo con riesgo de exposición la TP fue de 95,18% y en los sin riesgo fue 95,98%. Por edad la TP inferior se establece en &gt;60 años (93,33%). La respuesta serológica post-vacunación fue del 89,83%.  Conclusiones:  Las TP son similares a las esperadas según los últimos estudios de seroprevalencia de población general en Catalunya. Los hombres presentan TP significativamente más elevada que las mujeres. Los nacidos después de 1993 presentan TP significativamente más bajas que los nacidos en 1993 y anteriores.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Aims:  Chickenpox is a frequent and contagious disease in healthcare and social assistance settings, and there are limited data on seroprevalence among workers in this sector. We estimated susceptibility to chickenpox among workers, by demographic and occupational variables, and measured the rate of seroprotection after vaccination.  Methods:  A retrospective seroprevalence study of chickenpox (varicella) and serological vaccine response. The earliest recorded varicella serology, analyzed by the ELISA method, was identified for each worker from a health surveillance database of a group of medical and healthcare companies in Catalonia, recorded between 2004 and 2013. The total study population consisted of 2958 workers, analyzed by gender, age, birth cohort preceding and following the introduction of the vaccine in the vaccination schedule of Catalonia (born after 1993), and occupational category, regardless of exposure risk. Vaccine effectiveness was determined in a group of 59 initially seronegative workers by measuring ELISA-based varicella titers, obtained at least 2 months after receiving a second dose of the VARIVAX® vaccine.  Results:  2820 workers (95.3%) had protective titers (PT) to chickenpox; 507 were men (97.1%) and 2313 were women (95%). The 1993 and earlier birth cohorts had a PT of 95.4% and those born after 1993 had a PT of 80.0%. Among at-risk categories, the PT was 95.2%, whereas among those not at risk it was was 96%. By birth decade, the lowest PT was among those age 60 years or older (93.3%). The postvaccination serological response was 89.8%.  Conclusions:  The prevalence of protective varicella serologies among healthcare and social assistance workers was similar to that found in recent seroprevalence studies in the general population in Catalonia. Men have significantly higher rates of protection than women. Those born after 1993 have significantly lower rates of protective titers than those born in 1993 or earlier.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Varicela]]></kwd>
<kwd lng="es"><![CDATA[Estudios Seroepidemiológicos]]></kwd>
<kwd lng="es"><![CDATA[Personal de Salud]]></kwd>
<kwd lng="es"><![CDATA[Vacuna contra la varicela]]></kwd>
<kwd lng="en"><![CDATA[Chickenpox]]></kwd>
<kwd lng="en"><![CDATA[varicella]]></kwd>
<kwd lng="en"><![CDATA[seroepidemiologic studies]]></kwd>
<kwd lng="en"><![CDATA[healthcare worker]]></kwd>
<kwd lng="en"><![CDATA[varicela vaccine]]></kwd>
</kwd-group>
</article-meta>
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