Evolution of anti-SARS-CoV-2 immune response in a cohort of French healthcare workers followed for 7 months - 27/02/22
Highlights |
• | Anti-nucleocapsid IgG index seemed to be related to the healthcare workers’ age. |
• | 90.5% of healthcare workers had detectable anti-spike IgG after 7months. |
• | One-third of healthcare workers reported persistent symptoms consistent with a diagnosis of post-acute COVID-19 syndrome. |
Abstract |
Objectives |
We aimed to understand the immune response among healthcare workers (HCWs) following SARS-CoV-2 infection, and to determine the infection prevalence during the first wave of the pandemic among workers in our hospital.
Methods |
Determination of the serological status against SARS-CoV-2 (nucleocapsid) was offered to all HCWs. All HCWs with positive SARS-CoV-2 serology were proposed to be included in a longitudinal medical and serological follow-up (anti-spike) for 7months.
Results |
We included 3062 HCWs; 256 (8.4%) were positive for anti-SARS-CoV-2 nucleocapsid IgG. Among them, early decrease in the anti-nucleocapsid antibody index was observed between the first (S1) and second (S2) serology samplings in 208 HCWs (84.2%). The initial anti-nucleocapsid IgG index seemed to be related to the HCWs’ age. Seventy-four HCWs were included in the 7-month cohort study. Among them, 69 (90.5%) had detectable anti-spike IgG after 7months and 24 (32.4%) reported persistent symptoms consistent with post-acute COVID-19 syndrome diagnosis.
Conclusion |
The prevalence of serological positivity among HCWs was 6.7%. Infection should be followed by vaccination because of antibody decrease.
Le texte complet de cet article est disponible en PDF.Keywords : SARS-CoV-2, COVID-19, Healthcare workers, Vaccination, Anti-spike IgG
Plan
Vol 52 - N° 2
P. 68-74 - mars 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.