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2020年4月30日至5月30日,埃塞俄比亚西北部第一波新冠疫情期间,隔离人群中严重急性呼吸综合征冠状病毒2(SARS-CoV-2)IgG抗体血清阳性率。

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 ) IgG-antibody seroprevalence among quarantined population, during the first wave of COVID-19 pandemic, In North West Ethiopia (from 30 April to 30 May 2020).

作者信息

Kebede Fassikaw, Kebede Tsehay, Kebede Birhanu

机构信息

Department of Epidemiology & Biostatistics, School of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia.

Department of Geography and Environmental Studies, College of Social Science, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

SAGE Open Med. 2022 Feb 7;10:20503121221076931. doi: 10.1177/20503121221076931. eCollection 2022.

Abstract

OBJECTIVE

The spread of Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2) in Ethiopia is below par understood and to date has been poorly characterized by a lower number of confirmed cases and deaths as compared with other regions of the Sub-Saharan African (SSA) countries. We aimed to investigate the seroprevalence of SARS-CoV-2 specific IgG antibodies, using the Abbott anti-nucleocapsid IgG chemiluminescent microparticle immunoassay, in two COVID-19 diagnosed and treatment centers of quarantined population during the first wave of the COVID-19 pandemic (since 30 April-30 May 2020).

METHODS

We analyzed data of 446 quarantined individuals during the first wave of COVID-19 pandemic. The data were collected using both interviewed and blood sample collection. Participants asked about demographic characteristics, COVID-19 infection symptoms, and its practice of preventive measures. Seroprevalence was determined using the severe acute respiratory syndrome coronavirus 2 IgG test.

RESULTS

The mean (± standard deviation) age of the respondent was 37.5 (±18.5) years. The estimated SARS-CoV-2 infection seroprevalence was found 4.7% (95% confidence interval: 3.1-6.2) with no significant difference on age and gender of participants. Severe acute respiratory syndrome coronavirus 2 antibody seroprevalence was significantly associated with individuals who have been worked by moving from home to work area (adjusted odds ratio = 7.8, 95% confidence interval: 4.2-14.3,  < 0.019), not wearing masks (adjusted odds ratio = 2.4, 95% confidence interval: 1.9-3.8,  < 0.02), and baseline comorbidity (adjusted odds ratio = 6.3, 95% confidence interval: 2.3-17.1,  < 0.01) as compared to their counter groups, respectively.

CONCLUSION

Our study concluded that lower coronavirus disease 2019 seroprevalence, yet the large population in the community to be infected and insignificant proportion of seroprevalence, was observed between age and sex of respondents. Protective measures like contact tracing, face covering, and social distancing are therefore vital to demote the risk of community-strengthening factors should be continued as effect modification of anticipation for severe course of coronavirus disease 2019.

摘要

目的

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)在埃塞俄比亚的传播情况尚未得到充分了解,与撒哈拉以南非洲(SSA)其他国家地区相比,该国确诊病例和死亡人数较少,至今其特征仍不明确。我们旨在使用雅培抗核衣壳IgG化学发光微粒子免疫分析法,调查在新冠疫情第一波期间(2020年4月30日至5月30日),两个新冠确诊和治疗中心隔离人群中SARS-CoV-2特异性IgG抗体的血清流行率。

方法

我们分析了新冠疫情第一波期间446名隔离人员的数据。数据通过访谈和采集血样收集。参与者被问及人口统计学特征、新冠感染症状及其预防措施的实施情况。血清流行率通过严重急性呼吸综合征冠状病毒2 IgG检测确定。

结果

受访者的平均(±标准差)年龄为37.5(±18.5)岁。估计SARS-CoV-2感染血清流行率为4.7%(95%置信区间:3.1 - 6.2),参与者的年龄和性别无显著差异。与对照组相比,严重急性呼吸综合征冠状病毒2抗体血清流行率与从家前往工作区域工作的个体(调整比值比 = 7.8,95%置信区间:4.2 - 14.3,< 0.019)、不戴口罩(调整比值比 = 2.4,95%置信区间:1.9 - 3.8,< 0.02)以及基线合并症(调整比值比 = 6.3,95%置信区间:2.3 - 17.1,< 0.01)显著相关。

结论

我们的研究得出结论,在受访者的年龄和性别之间观察到2019冠状病毒病血清流行率较低,但社区中仍有大量人群有待感染,且血清流行率比例不显著。因此,接触者追踪、面部遮盖和社交距离等保护措施对于降低社区强化因素的风险至关重要,作为对2019冠状病毒病严重病程预期的效应修正,应继续采取这些措施。

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