Department of Internal Medicine and Gastroenterology with Inflammatory Bowel Disease Subdivision, Central Clinical Hospital of the Ministry of the Interior and Administration, Warsaw, Poland.
Department of Internal Medicine and Gastroenterology with Inflammatory Bowel Disease Subdivision, Central Clinical Hospital of the Ministry of the Interior and Administration, Warsaw, Poland
Pol Arch Intern Med. 2021 Mar 30;131(3):226-232. doi: 10.20452/pamw.15796. Epub 2021 Feb 5.
INTRODUCTION: According to the current data, there has been no increase in the incidence of COVID‑19 in patients with inflammatory bowel disease (IBD). OBJECTIVES: The available data are based on symptomatic cases and do not include the asymptomatic ones. To measure the exact infection rate, we initiated a study that aimed to assess the seroprevalence of anti-SARS‑CoV‑2 antibodies in IBD. PATIENTS AND METHODS: A total of 864 individuals were enrolled in the study, including 432 patients with IBD (290 with Crohn disease and 142 with ulcerative colitis) and 432 controls without IBD (healthcare professionals) matched for age and sex. Serum samples were prospectively collected, and the presence of anti-SARS‑CoV‑2 immunoglobulin (Ig) G and IgM + IgA antibodies were measured using the enzyme‑linked immunoassay method (Vircell Microbiologists). RESULTS: A significantly higher percentage of positive results for anti-SARS‑CoV‑2 antibodies, both in the IgG and IgM + IgA class, was found in patients with IBD (4.6% and 6%, respectively, compared with 1.6% and 1.1%, respectively, in controls; both P values <0.05). No patient had symptomatic COVID‑19. There was no association among patients' age, sex, drugs used for IBD, or disease activity and the occurrence of IgG antibodies. CONCLUSION: Patients with IBD may be at higher risk of developing SARS‑CoV‑2 infection, defined as the presence of elevated levels of anti-SARS‑CoV‑2 IgG antibodies, but not of having a symptomatic and / or severe course of COVID‑19 compared with healthcare professionals without IBD.
简介:根据目前的数据,炎症性肠病 (IBD) 患者的 COVID-19 发病率没有增加。
目的:现有数据基于有症状病例,不包括无症状病例。为了准确测量感染率,我们开展了一项研究,旨在评估 IBD 患者中抗 SARS-CoV-2 抗体的血清流行率。
患者和方法:共有 864 名个体入组本研究,包括 432 名 IBD 患者(290 名克罗恩病患者和 142 名溃疡性结肠炎患者)和 432 名无 IBD 的对照者(按年龄和性别匹配的医护人员)。前瞻性采集血清样本,采用酶联免疫吸附试验方法(Vircell Microbiologists)检测抗 SARS-CoV-2 免疫球蛋白 (Ig) G 和 IgM+IgA 抗体的存在。
结果:IBD 患者抗 SARS-CoV-2 抗体阳性率(IgG 和 IgM+IgA 类)显著更高,分别为 4.6%和 6%,而对照组分别为 1.6%和 1.1%(均 P 值<0.05)。没有患者出现有症状的 COVID-19。患者年龄、性别、用于治疗 IBD 的药物以及疾病活动度与 IgG 抗体的发生均无关联。
结论:与无 IBD 的医护人员相比,IBD 患者可能面临更高的 SARS-CoV-2 感染风险,定义为存在高水平的抗 SARS-CoV-2 IgG 抗体,但 COVID-19 的症状和/或严重程度并无差异。
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