Understanding the Patterns of Serological Testing for COVID-19 Pre- and Post-Vaccination Rollout in Michigan.

Understanding the Patterns of Serological Testing for COVID-19 Pre- and Post-Vaccination Rollout in Michigan.
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DOI:
10.3390/jcm10194341
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发表时间:
2021-09-24
影响因子:
3.9
通讯作者:
Fritsche LG
Fritsche LG
中科院分区:
医学2区
文献类型:
--
作者:
Zhao Z;Salerno S;Shi X;Lee S;Mukherjee B;Fritsche LG

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对SARS-CoV-2抗体的检测通常用于确定以前是否感染过新冠肺炎,并衡量感染或疫苗诱导的免疫水平。密歇根医学,一家主要的地区卫生中心,提供了一个理想的环境,以了解随着时间的推移血清学检测模式。在2020年4月27日至2021年5月3日期间,共收集了10,416名参加SARS-CoV-2抗体测试的个人的特征(共10,932项测试)。相对于新冠肺炎疫苗推出日期2020年12月14日,数据被分为疫苗推出前(8,026人)和疫苗推出后(2,587人)两个时期,并与未测试的个人进行对比,以确定与测试的个人和血清阳性相关的因素。对347名完全接种疫苗的人进行了疫苗介导的血清阳性反应的探索性分析。受试者的预测因素包括年龄、性别、吸烟、邻里变量和既往疾病。疫苗投放前血清阳性率为9.2%,疫苗投放后增至46.7%。在疫苗投放前阶段,血清阳性与年龄显著相关(10岁;OR=0.80(0.73,0.89)、是否吸烟(0.49(0.35,0.67))、呼吸系统疾病(4.38(3.13,6.12))、循环系统疾病(2.09(1.48,2.96))、肝病(2.06(1.11,3.84))、非西班牙裔黑人(2.18(1.33,3.58))和人口密度(1.10(1.03,1.18))。除后两者外,这些关联在疫苗投放后的时期仍具有统计学意义。全程接种者阳性率为296/347(85.3%,81.0%,88.8%)。
Testing for SARS-CoV-2 antibodies is commonly used to determine prior COVID-19 infections and to gauge levels of infection- or vaccine-induced immunity. Michigan Medicine, a primary regional health center, provided an ideal setting to understand serologic testing patterns over time. Between 27 April 2020 and 3 May 2021, characteristics for 10,416 individuals presenting for SARS-CoV-2 antibody tests (10,932 tests in total) were collected. Relative to the COVID-19 vaccine roll-out date, 14 December 2020, the data were split into a pre- (8026 individuals) and post-vaccine launch (2587 individuals) period and contrasted with untested individuals to identify factors associated with tested individuals and seropositivity. Exploratory analysis of vaccine-mediated seropositivity was performed in 347 fully vaccinated individuals. Predictors of tested individuals included age, sex, smoking, neighborhood variables, and pre-existing conditions. Seropositivity in the pre-vaccine launch period was 9.2% and increased to 46.7% in the post-vaccine launch period. In the pre-vaccine launch period, seropositivity was significantly associated with age (10 year; OR = 0.80 (0.73, 0.89)), ever-smoker status (0.49 (0.35, 0.67)), respiratory disease (4.38 (3.13, 6.12)), circulatory disease (2.09 (1.48, 2.96)), liver disease (2.06 (1.11, 3.84)), non-Hispanic Black race/ethnicity (2.18 (1.33, 3.58)), and population density (1.10 (1.03, 1.18)). Except for the latter two, these associations remained statistically significant in the post-vaccine launch period. The positivity rate of fully vaccinated individual was 296/347(85.3% (81.0%, 88.8%)).
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