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健康献血者中 SARS-CoV-2 抗体血清阳性率的急剧上升:大流行的演变。

Dramatic rise in seroprevalence rates of SARS-CoV-2 antibodies among healthy blood donors: The evolution of a pandemic.

机构信息

Department of Pathology and Laboratory Medicine, King Hussein Cancer Center, Amman, Jordan.

Department of Radiology, and CEO, King Hussein Cancer Center, Jordan.

出版信息

Int J Infect Dis. 2021 Jun;107:116-120. doi: 10.1016/j.ijid.2021.04.059. Epub 2021 Apr 20.

Abstract

BACKGROUND

Seroprevalence studies of SARS-CoV-2 antibodies are useful in assessing the epidemiological status in the community, and the degree of spread.

OBJECTIVE

To study the seroprevalence rates of SARS-CoV-2 antibodies among healthy blood donors in Jordan, at various points of time and as the pandemic evolves in the community.

METHODS

In total, 1374 blood donor samples, from three groups, were tested for SARS-CoV-2 total immunoglobulin antibodies. In the first group, samples from 734 individuals (from donations made between January and June 2020) were tested in June. In the second group, 348 individuals were tested in September 2020. The third group of 292 individuals was tested in February 2021. A qualitative assay was used for testing (specificity 99.8%, sensitivity 100%).

RESULTS

The first two groups, from January-June and September 2020, when confirmed Covid-19 cases numbered between several hundred and 3000, showed a seroprevalence rate of 0% (95% CI 0.00-0.51%). The third group (early February 2021), when the number of confirmed cases had reached 100 times that of September 2020, revealed a seroprevalence of 27.4% (95% CI 22.5-32.9%).

CONCLUSIONS

A dramatic rise in seroprevalence of SARS-CoV-2 antibodies was seen among healthy blood donors in Jordan, in parallel with widespread intracommunity transmission of the disease. This information is useful for assessing the degree of herd immunity, and provides for better understanding of the pandemic.

摘要

背景

SARS-CoV-2 抗体的血清阳性率研究对于评估社区中的流行病学状况和传播程度非常有用。

目的

在社区中疾病传播的同时,研究不同时间点在约旦健康献血者中 SARS-CoV-2 抗体的血清阳性率。

方法

总共检测了 1374 份献血者样本的 SARS-CoV-2 总免疫球蛋白抗体,分为三组。第一组 734 份样本(来自 2020 年 1 月至 6 月期间的献血)于 6 月进行了检测。第二组 348 份样本于 2020 年 9 月进行了检测。第三组 292 份样本于 2021 年 2 月进行了检测。使用定性检测法进行检测(特异性 99.8%,灵敏度 100%)。

结果

前两组,即 2020 年 1 月至 6 月和 9 月,当确诊的 COVID-19 病例数在几百到 3000 例之间时,血清阳性率为 0%(95%CI 0.00-0.51%)。第三组(2021 年 2 月初),当确诊病例数达到 2020 年 9 月的 100 倍时,血清阳性率为 27.4%(95%CI 22.5-32.9%)。

结论

在约旦健康献血者中,SARS-CoV-2 抗体的血清阳性率急剧上升,与疾病在社区内的广泛传播平行。这些信息有助于评估群体免疫程度,并更好地了解疫情。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87ab/8057684/78fdc97f7c77/gr1_lrg.jpg

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