Institute for Implementation Science in Population Health, City University of New York. New York, NY USA.
Institute for Implementation Science in Population Health, City University of New York. New York, NY USA.
Diagn Microbiol Infect Dis. 2022 Aug;103(4):115720. doi: 10.1016/j.diagmicrobio.2022.115720. Epub 2022 May 4.
The duration of antibody persistence following natural infection is unclear. We examined routine SARS-CoV-2 diagnostic and serological testing data on 6522 persons diagnosed between March 2020 and March 2021 who had at least 1 antibody test ≥30 days after diagnosis at CityMD, an urgent care provider. Using survival analysis, we estimated the median duration of detectable anti-SARS-CoV-2 antibodies and hazard of seroreversion by demographic and clinical characteristics. We found that over 90% (95% CI: 91.8%, 94.8%) of the study population had detectable levels of antibodies at 180 days post diagnosis and that SARS-CoV-2 antibodies persisted at a detectable level for a median duration of 342 days following infection (95% CI: 328, 361). Additionally, there were differences in antibody persistence by age, with older patients less likely to serorevert compared to younger patients. These findings suggest that protection from natural infection may wane with time and differ by demographic factors.
自然感染后抗体持续时间尚不清楚。我们对 2020 年 3 月至 2021 年 3 月期间在 CityMD(一家急诊护理提供者)就诊且至少有 1 次抗体检测在诊断后≥30 天的 6522 名确诊患者的常规 SARS-CoV-2 诊断和血清学检测数据进行了检查。使用生存分析,我们根据人口统计学和临床特征估计了抗 SARS-CoV-2 抗体的中位持续检测时间和血清学转换的风险。我们发现,超过 90%(95%CI:91.8%,94.8%)的研究人群在诊断后 180 天具有可检测水平的抗体,并且 SARS-CoV-2 抗体在感染后中位持续 342 天(95%CI:328,361)仍可检测。此外,抗体的持续时间存在年龄差异,与年轻患者相比,老年患者血清学转换的可能性较小。这些发现表明,自然感染的保护作用可能会随着时间的推移而减弱,并且存在人口统计学因素的差异。