Comparison of new and emerging SARS-CoV-2 variant transmissibility through active contact testing. A comparative cross-sectional household seroprevalence study.

Comparison of new and emerging SARS-CoV-2 variant transmissibility through active contact testing. A comparative cross-sectional household seroprevalence study.
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DOI:
10.1371/journal.pone.0284372
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发表时间:
2023
期刊:
影响因子:
3.7
通讯作者:
CONTACT Team Field Team
CONTACT Team Field Team
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Gaskell, Katherine F.;El Kheir, Natalie;Mirfendesky, Mariyam;Rampling, Tommy;Marks, Michael;Houlihan, Catherine;Lemonge, Norbert;Bristowe, Hannah;Aslam, Suhail;Kyprianou, Demetra;Nastouli, Eleni;Goldblatt, David;Fielding, Katherine;Moore, David A. J.;CONTACT Team Field Team

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Historically SARS-CoV-2 secondary attack rates (SAR) have been based on PCR positivity on screening symptomatic contacts; this misses transmission events and identifies only symptomatic contacts who are PCR positive at the time of sampling. We used serology to detect the relative transmissibility of Alpha Variant of Concern (VOC) to non-VOC SARS-CoV-2 to calculate household secondary attack rates. We identified index patients diagnosed with Alpha and non-VOC SARS-CoV-2 across two London Hospitals between November 2020 and January 2021 during a prolonged and well adhered national lockdown. We completed a household seroprevalence survey and found that 61.8% of non-VOC exposed household contacts were seropositive compared to 82.1% of Alpha exposed household contacts. The odds of infection doubled with exposure to an index diagnosed with Alpha. There was evidence of transmission events in almost all households. Our data strongly support that estimates of SAR should include serological data to improve accuracy and understanding.
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