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  1. Article ; Online: Nationwide seroprevalence of antibodies against SARS-CoV-2 in Israel.

    Reicher, Shay / Ratzon, Ronit / Ben-Sahar, Shay / Hermoni-Alon, Sharon / Mossinson, David / Shenhar, Yotam / Friger, Michael / Lustig, Yaniv / Alroy-Preis, Sharon / Anis, Emilia / Sadetzki, Siegal / Kaliner, Ehud

    European journal of epidemiology

    2021  Volume 36, Issue 7, Page(s) 727–734

    Abstract: ... This is the first nationwide seroprevalence study conducted in Israel. It is one of the most widespread ... The first local spread of COVID-19 in Israel was detected in March 2020. Due to the diversity ... A positive serology test result was recently accepted in Israel as being sufficient to define recovery ...

    Abstract The first local spread of COVID-19 in Israel was detected in March 2020. Due to the diversity in clinical presentations of COVID-19, diagnosis by RT-PCR alone might miss patients with mild or no symptoms. Serology testing may better evaluate the actual magnitude of the spread of infection in the population. This is the first nationwide seroprevalence study conducted in Israel. It is one of the most widespread to be conducted thus far, and the largest per-country population size. The survey was conducted between June 28 and September 14, 2020 and included 54,357 patients who arrived at the Health Maintenance Organizations to undergo a blood test for any reason. A patient was considered seropositive after two consecutive positive results with two different kits (Abbott and DiaSorin).The overall seroprevalence was 3.8% (95%CI 3.7-4.0), males higher than females [4.9% (95%CI 4.6-5.2) vs. 3.1% (95%CI 2.9-3.3) respectively]. Adolescents had the highest prevalence [7.8% (95%CI 7.0-8.6)] compared to other age groups. Participants who had undergone RT-PCR testing had a tenfold higher risk to be seropositive. The prevalence-to-incidence ratio was 4.5-15.7. Serology testing is an important complimentary tool for assessing the actual magnitude of infection and thus essential for implementing policy measures to control the pandemic. A positive serology test result was recently accepted in Israel as being sufficient to define recovery, with possible far-reaching consequences, such as the deploying of employees to ensure the maintenance of a functional economy.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Antibodies, Viral/blood ; Biomarkers/blood ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/virology ; COVID-19 Nucleic Acid Testing ; COVID-19 Serological Testing/methods ; Child ; Child, Preschool ; Female ; Humans ; Incidence ; Infant ; Infant, Newborn ; Israel/epidemiology ; Male ; Middle Aged ; Prevalence ; SARS-CoV-2/immunology ; Seroepidemiologic Studies ; Young Adult
    Chemical Substances Antibodies, Viral ; Biomarkers
    Language English
    Publishing date 2021-04-21
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 632614-6
    ISSN 1573-7284 ; 0393-2990
    ISSN (online) 1573-7284
    ISSN 0393-2990
    DOI 10.1007/s10654-021-00749-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Evolution of antibodies against SARS-CoV-2 over seven months: Experience of the nationwide seroprevalence ENE-COVID study in Spain.

    Pérez-Olmeda, Mayte / Saugar, José María / Fernández-García, Aurora / Pérez-Gómez, Beatriz / Pollán, Marina / Avellón, Ana / Pastor-Barriuso, Roberto / Fernández-de Larrea, Nerea / Martín, Mariano / Cruz, Israel / Sanmartín, Jose L / Fedele, Giovanni / Paniagua, Jose León / Muñoz-Montalvo, Juan F / Blanco, Faustino / Yotti, Raquel / Oteo-Iglesias, Jesús

    Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology

    2022  Volume 149, Page(s) 105130

    Abstract: Background: The main aims of this study were to analyze trends of SARS-CoV-2 anti-nucleocapsid IgG ... The IgG response is heterogeneous and conditioned by infection severity. A proportion of SARS-CoV-2 ... Results: 10,153 individuals (82.2% of people invited) participated in the fourth round. Of them, 2595 (35 ...

    Abstract Background: The main aims of this study were to analyze trends of SARS-CoV-2 anti-nucleocapsid IgG throughout the four rounds of the seroepidemiologic study ENE-COVID, and compare the fourth-round results of two immunoassays detecting anti-nucleocapsid and anti-RBD IgG.
    Methods: ENE-COVID was developed in 2020 (two phases). Phase one included three rounds carried out in April 27-May 11, May 18-June 1, and June 8-June 22. Phase two included a fourth round in the same cohort (November 16-29). A chemiluminescent microparticle immunoassay was offered to participants in the first three rounds (Abbott; anti-nucleocapsid IgG). In the fourth round, we offered this test and a chemiluminescence immunoassay (Beckman; anti-RBD IgG) to i) a randomly selected sub-cohort, ii) participants who were IgG-positive in any of the three first rounds; and iii) participants who were IgG-positive in the fourth round by point-of-care immunochromatography.
    Results: 10,153 individuals (82.2% of people invited) participated in the fourth round. Of them, 2595 (35.1% of participants with results in the four rounds) were positive for anti-nucleocapsid IgG in at least one round. Anti-nucleocapsid IgG became undetectable in 43.3% of participants with positive first-round results. In fourth round, anti-nucleocapsid and anti-RBD IgG were detected in 5.5% (321/5827) and 5.4% (315/5827) participants of the randomly selected sub-cohort, and in 26.6% (867/3261) and 25.9% (846/3261) participants with at least one previous positive result, respectively.
    Conclusions: The IgG response is heterogeneous and conditioned by infection severity. A proportion of SARS-CoV-2 infected population may have negative serologic results in the post-infection months.
    MeSH term(s) Antibodies, Viral ; COVID-19/epidemiology ; Humans ; Immunoglobulin G ; SARS-CoV-2 ; Seroepidemiologic Studies ; Spain/epidemiology
    Chemical Substances Antibodies, Viral ; Immunoglobulin G
    Language English
    Publishing date 2022-03-11
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1446080-4
    ISSN 1873-5967 ; 1386-6532
    ISSN (online) 1873-5967
    ISSN 1386-6532
    DOI 10.1016/j.jcv.2022.105130
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Evolution of antibodies against SARS-CoV-2 over seven months: experience of the Nationwide Seroprevalence ENE-COVID Study in Spain

    Perez-Olmeda, Mayte / Saugar, Jose M / Fernandez-Garcia, Aurora / Perez-Gomez, Beatriz / Pollan, Marina / Avellon, Ana / Pastor-Barriuso, Roberto / Fernandez-de Larrea, Nerea / Martin, Mariano / Cruz, Israel / Sanmartin, Jose L / Fedele, Giovanni / Paniagua, Jose Leon / Munoz-Montalvo, Juan F / Blanco, Faustino / Yotti, Raquel / Oteo-Iglesias, Jesus / ENE-COVID Study Group

    medRxiv

    Abstract: Abstract Objectives: To analyse temporal trends in SARS-CoV-2 anti-nucleocapsid IgG ... CoV-2 is heterogeneous and conditioned by infection severity. A substantial proportion of the SARS-CoV ... the fourth-round results of two immunoassays detecting antibodies against nucleocapsid and to S protein ...

    Abstract Abstract Objectives: To analyse temporal trends in SARS-CoV-2 anti-nucleocapsid IgG throughout the four rounds of the nationwide seroepidemiologic study ENE-COVID (April-November 2020), and to compare the fourth-round results of two immunoassays detecting antibodies against nucleocapsid and to S protein receptor-binding domain (RBD). Methods: A chemiluminescent microparticle immunoassay (CMIA) was offered to all participants in the first three rounds (Abbott; anti-nucleocapsid IgG). In the fourth round we offered this test and a chemiluminescence immunoassay (CLIA) (Beckman; anti-RBD IgG) to i) a randomly selected sub-cohort, ii) participants who were IgG-positive in any of the three first rounds; and iii) participants who were IgG-positive in the fourth round by point-of-care immunochromatography. Results: Immunoassays involving 10,153 participants (82.2% of people invited to donate samples) were performed in the fourth round. A total of 2595 participants (35.1% of participants with immunoassay results in the four rounds) were positive for anti-nucleocapsid IgG in at least one round. Anti-nucleocapsid IgG became undetectable in 43.3% of participants with positive first-round results. Pneumonia was more frequent in participants with anti-nucleocapsid IgG in all four rounds (11.2%) than those in which IgG became undetectable (2.4%). In fourth round, anti-nucleocapsid and anti-RBD IgG were detected in 5.5% and 5.4% participants of the randomly selected sub-cohort, and in 26.6% and 25.9% participants with at least one previous positive result, respectively. Agreement between techniques was 90.3% (kappa: 0.72). Conclusions: The response of IgG to SARS-CoV-2 is heterogeneous and conditioned by infection severity. A substantial proportion of the SARS-CoV-2 infected population may have negative serologic results in the post-infection months.
    Keywords covid19
    Language English
    Publishing date 2021-03-12
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2021.03.11.21253142
    Database COVID19

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