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评估恢复期血浆中抗 SARS-CoV-2 抗体水平。

Assessment of anti-SARS-CoV-2 antibodies level in convalescents plasma.

机构信息

Department of Otolaryngology, Medical University of Gdańsk, Gdańsk, Poland.

Regional Center of Blood Donation and Treatment, Gdańsk, Poland.

出版信息

J Med Virol. 2022 Mar;94(3):1130-1137. doi: 10.1002/jmv.27433. Epub 2021 Nov 9.

DOI:10.1002/jmv.27433
PMID:34738646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8661642/
Abstract

Despite extensive vaccination, the quantity of patients infected with the SARS-CoV-2 virus and its variants continues to grow worldwide. Treating patients with a severe course of COVID-19 is a difficult challenge. One of the generally accepted and specific therapy methods is the use of plasma rich in anti-SARS-CoV-2 antibodies. On the other hand, assessing the antibodies level depending on the time after infection allows for vaccine-decision. The study marked the level of anti-SARS-CoV-2 IgG antibodies in 351 COVID-19 convalescent residents of one geographical region in Poland. The study group included blood donors. The studies were cross-sectional and extended to a questionnaire to determine infection severity. These data were compiled statistically. The study considered epidemiological factors, the time from the end of the infection, and infection severity. The fastest increase of the antibodies level was observed up to 59 days after COVID-19, and it was statistically significantly higher among men. Higher levels of antibodies were found among people above the average age in both men and women. There was an increase in the level of antibodies since the onset of the disease in men, while in women, it decreased. The antibodies level was also found to depend on the severity of the course of COVID-19 infection. The optimal group of plasma donors in the studied geographical region is men and women above 39 years old. after a more severe infection. The titer of antibodies increases with time from the disease.

摘要

尽管广泛接种疫苗,但 SARS-CoV-2 病毒及其变体感染的患者数量仍在全球范围内不断增加。治疗 COVID-19 重症患者是一个具有挑战性的难题。一种被广泛认可的特定治疗方法是使用富含抗 SARS-CoV-2 抗体的血浆。另一方面,根据感染后时间评估抗体水平有助于疫苗决策。该研究标记了波兰一个地理区域的 351 名 COVID-19 康复居民的抗 SARS-CoV-2 IgG 抗体水平。研究组包括献血者。这些研究是横断面的,并扩展到了一份问卷,以确定感染的严重程度。这些数据进行了统计学汇总。该研究考虑了流行病学因素、感染结束后的时间以及感染的严重程度。抗体水平的最快增长是在 COVID-19 后 59 天内观察到的,在男性中具有统计学显著意义。在男性和女性中,年龄超过平均年龄的人具有更高的抗体水平。从疾病开始,男性的抗体水平有所上升,而女性的抗体水平则有所下降。抗体水平也取决于 COVID-19 感染严重程度。在研究的地理区域中,最佳的血浆捐赠者群体是年龄在 39 岁以上、感染更为严重的男性和女性。抗体滴度随疾病发生后的时间而增加。

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