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意大利第二波新冠疫情期间炎症性肠病患者抗SARS-CoV-2抗体血清流行率研究

A Seroprevalence Study of Anti-SARS-CoV-2 Antibodies in Patients with Inflammatory Bowel Disease during the Second Wave of the COVID-19 Pandemic in Italy.

作者信息

Di Ruscio Mirko, Lunardi Gianluigi, Buonfrate Dora, Gobbi Federico, Bertoli Giulia, Piccoli Donatella, Conti Antonio, Geccherle Andrea, Variola Angela

机构信息

IBD Unit, IRCCS Sacro Cuore Don Calabria Hospital, 37024 Negrar di Valpolicella (VR), Italy.

Medical Analysis Laboratory, IRCCS Sacro Cuore Don Calabria Hospital, 37024 Negrar di Valpolicella (VR), Italy.

出版信息

Medicina (Kaunas). 2021 Oct 1;57(10):1048. doi: 10.3390/medicina57101048.


DOI:10.3390/medicina57101048
PMID:34684085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8539305/
Abstract

Studies have shown a lower prevalence of anti-SARS-CoV-2 antibodies in patients with inflammatory bowel disease (IBD), including amongst those receiving biological therapy. Aims were to determine the seroprevalence of anti-SARS-CoV-2 antibodies in IBD patients and to assess any association between seropositivity and IBD characteristics. Serum from adult IBD patients was prospectively collected between December 2020 and January 2021 and analyzed for anti-SARS-CoV-2 antibodies. Information about IBD characteristics and SARS-CoV-2 exposure risk factors was collected and analyzed. Serum from non-IBD healthcare workers formed the control group. 311 IBD patients on biologics and 75 on mesalazine were enrolled. Ulcerative colitis (UC) extension ( < 0.001), Crohn's disease (CD) phenotype ( = 0.009) and use of concomitant corticosteroids ( < 0.001) were significantly different between the two IBD groups. Overall seroprevalence among IBD patients was 10.4%. The control group showed a prevalence of 13.0%, not significantly different to that of IBD patients ( = 0.145). Only a close contact with SARS-CoV-2 positive individuals and the use of non-FFP2 masks were independently associated with a higher likelihood of seropositivity amongst IBD patients. In IBD patients, the prevalence of anti-SARS-CoV-2 antibodies is not determined by their ongoing treatment. Disease-related characteristics are not associated with a greater risk of antibody seropositivity.

摘要

研究表明,炎症性肠病(IBD)患者中抗SARS-CoV-2抗体的流行率较低,包括接受生物疗法的患者。目的是确定IBD患者中抗SARS-CoV-2抗体的血清流行率,并评估血清阳性与IBD特征之间的任何关联。在2020年12月至2021年1月期间前瞻性收集成年IBD患者的血清,并分析抗SARS-CoV-2抗体。收集并分析有关IBD特征和SARS-CoV-2暴露风险因素的信息。非IBD医护人员的血清构成对照组。纳入了311名接受生物制剂治疗的IBD患者和75名接受美沙拉嗪治疗的患者。两个IBD组之间的溃疡性结肠炎(UC)病变范围(<0.001)、克罗恩病(CD)表型(=0.009)和同时使用皮质类固醇(<0.001)存在显著差异。IBD患者的总体血清流行率为10.4%。对照组的流行率为13.0%,与IBD患者的流行率无显著差异(=0.145)。在IBD患者中,只有与SARS-CoV-2阳性个体密切接触和使用非FFP2口罩与血清阳性的较高可能性独立相关。在IBD患者中,抗SARS-CoV-2抗体的流行率不受其正在进行的治疗的影响。疾病相关特征与抗体血清阳性的更高风险无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a165/8539305/197e725cffe2/medicina-57-01048-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a165/8539305/197e725cffe2/medicina-57-01048-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a165/8539305/197e725cffe2/medicina-57-01048-g001.jpg

相似文献

[1]
A Seroprevalence Study of Anti-SARS-CoV-2 Antibodies in Patients with Inflammatory Bowel Disease during the Second Wave of the COVID-19 Pandemic in Italy.

Medicina (Kaunas). 2021-10-1

[2]
SARS-CoV-2 Igg seroprevalence in IBD patients treated with biologics: first vs. second pandemic wave in a prospective study.

Eur Rev Med Pharmacol Sci. 2022-5

[3]
Low prevalence of SARS-CoV-2 infection in inflammatory bowel disease.

Eur Rev Med Pharmacol Sci. 2021-3

[4]
Seroprevalence of SARS-CoV2 in IBD Patients Treated with Biologic Therapy.

J Crohns Colitis. 2021-5-4

[5]
High seroprevalence against SARS-CoV-2 in non-vaccinated patients with inflammatory bowel disease from Northern India.

Indian J Gastroenterol. 2023-2

[6]
Impact of the COVID-19 outbreak and the serum prevalence of SARS-CoV-2 antibodies in patients with inflammatory bowel disease treated with biologic drugs.

Dig Liver Dis. 2021-3

[7]
Inflammatory bowel disease is associated with higher seroprevalence rates of antibodies against SARS-CoV-2.

Pol Arch Intern Med. 2021-3-30

[8]
Geography Influences Susceptibility to SARS-CoV-2 Serological Response in Patients With Inflammatory Bowel Disease: Multinational Analysis From the ICARUS-IBD Consortium.

Inflamm Bowel Dis. 2023-11-2

[9]
Seroprevalence of ANTI-SARS-CoV-2 antibodies in patients with inflammatory bowel disease.

Sci Rep. 2023-4-29

[10]
Possible Impact of Vitamin D Status and Supplementation on SARS-CoV-2 Infection Risk and COVID-19 Symptoms in a Cohort of Patients with Inflammatory Bowel Disease.

Nutrients. 2022-12-29

引用本文的文献

[1]
Unravelling the cellular response to the SARS-COV-2 vaccine in inflammatory bowel disease patients on biologic drugs.

Sci Rep. 2023-12-27

[2]
The risk of COVID-19 in IBD patients is increased by urban living and is not influenced by disease activity or intravenous biologics.

Front Immunol. 2023

[3]
High seroprevalence against SARS-CoV-2 in non-vaccinated patients with inflammatory bowel disease from Northern India.

Indian J Gastroenterol. 2023-2

本文引用的文献

[1]
Low prevalence of SARS-CoV-2 infection in inflammatory bowel disease.

Eur Rev Med Pharmacol Sci. 2021-3

[2]
Maintenance therapy with infliximab or vedolizumab in IBD is not associated with increased SARS-CoV-2 seroprevalence: UK experience in the 2020 pandemic.

Gut. 2021-12

[3]
Performance of three automated SARS-CoV-2 antibody assays and relevance of orthogonal testing algorithms.

Clin Chem Lab Med. 2020-11-19

[4]
Inflammatory bowel disease is associated with higher seroprevalence rates of antibodies against SARS-CoV-2.

Pol Arch Intern Med. 2021-3-30

[5]
Impact of the COVID-19 outbreak and the serum prevalence of SARS-CoV-2 antibodies in patients with inflammatory bowel disease treated with biologic drugs.

Dig Liver Dis. 2021-3

[6]
Interrelations between COVID-19 and other disorders.

Clin Immunol. 2021-3

[7]
Seroprevalence of SARS-CoV2 in IBD Patients Treated with Biologic Therapy.

J Crohns Colitis. 2021-5-4

[8]
Effect of IBD medications on COVID-19 outcomes: results from an international registry.

Gut. 2021-4

[9]
Asymptomatic Severe Acute Respiratory Syndrome Coronavirus 2 Infection in Patients With Inflammatory Bowel Disease Under Biologic Treatment.

Gastroenterology. 2020-12

[10]
Epidemiology and the Impact of Therapies on the Outcome of COVID-19 in Patients With Inflammatory Bowel Disease.

Am J Gastroenterol. 2020-10

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