Department of Systems Medicine, Unit of Gastroenterology, University of Rome "Tor Vergata", Rome, Italy.
Eur Rev Med Pharmacol Sci. 2021 Mar;25(5):2418-2424. doi: 10.26355/eurrev_202103_25283.
OBJECTIVE: Treatments used in Inflammatory Bowel Disease (IBD) have been associated with enhanced risk of viral infections and viral reactivation, however, it remains unclear whether IBD patients have increased risk of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection. The aim of the study was to examine the prevalence of SARS-CoV-2 IgG positivity in IBD patients followed at our referral center. The role of treatments for IBD and risk factors for infection were also evaluated. PATIENTS AND METHODS: In a prospective study, all IBD patients followed at our referral centre between May 27th and July 21st, 2020 and fulfilling the inclusion criteria were tested for SARS-CoV-2 IgG. Specific IgG antibodies were evaluated by a commercial ELISA kit and SARS-CoV-2 nasopharyngeal swab was performed in seropositive patients. RESULTS: Two-hundred and eighteen patients, 128 Crohn's disease (CD) and 90 Ulcerative colitis (UC) [age 44, (19-77) years; ongoing biologics in 115 (52.7%)] were enrolled. No patient had major SARS-CoV-2-related symptoms. SARS-CoV-2 IgG were detected in 3 out of 218 (1.37%) patients with IBD (2 CD and 1 UC), all on biologics (2.6%). In all of the 3 seropositive patients, the nasopharyngeal swab was negative. There was no relationship between SARS-CoV-2 seroprevalence and the demographic/clinical characteristics of IBD patients. In contrast, history of recent travel was more frequent in the SARS-CoV-2 seropositive patients (2/3; 66.6%) than in SARS-CoV-2 seronegative patients [7/215 (3.25%); p<0.0001]. CONCLUSIONS: The prevalence of SARS-CoV-2 IgG seropositivity in IBD patients appears to be comparable to the non-IBD population and not influenced by ongoing treatments. Risk factors for infection common to the general non-IBD population should be considered when managing patients with IBD.
目的:用于炎症性肠病(IBD)的治疗与病毒感染和病毒再激活的风险增加有关,但是,IBD 患者是否存在严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)感染风险增加仍不清楚。本研究旨在检查在我们的转诊中心接受治疗的 IBD 患者中 SARS-CoV-2 IgG 阳性的患病率。还评估了 IBD 治疗和感染危险因素的作用。
患者和方法:在一项前瞻性研究中,于 2020 年 5 月 27 日至 7 月 21 日在我们的转诊中心接受治疗并符合纳入标准的所有 IBD 患者均接受 SARS-CoV-2 IgG 检测。通过商业 ELISA 试剂盒评估特定 IgG 抗体,对 SARS-CoV-2 鼻咽拭子呈阳性的患者进行 SARS-CoV-2 检测。
结果:共纳入 218 例患者,其中 128 例克罗恩病(CD)和 90 例溃疡性结肠炎(UC)[年龄 44 岁(19-77 岁);115 例(52.7%)正在接受生物治疗]。没有患者出现与 SARS-CoV-2 相关的主要症状。在 218 例 IBD 患者中,有 3 例(1.37%)患者检测到 SARS-CoV-2 IgG,均为生物治疗患者(2.6%)。在所有 3 例血清阳性患者中,鼻咽拭子均为阴性。SARS-CoV-2 血清阳性率与 IBD 患者的人口统计学/临床特征之间无关联。相比之下,SARS-CoV-2 血清阳性患者近期旅行史更为常见(2/3;66.6%),而非 SARS-CoV-2 血清阴性患者[7/215(3.25%);p<0.0001]。
结论:IBD 患者 SARS-CoV-2 IgG 血清阳性率似乎与非 IBD 人群相当,且不受正在进行的治疗影响。在管理 IBD 患者时,应考虑感染的非 IBD 患者常见的危险因素。
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