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A cohort study measuring SARS-CoV-2 seroconversion and serial viral testing in university students
Christine C Lee1,2, Hannah E Segaloff3,4,5, Devlin Cole6,7
1CDC COVID-19 Response Team, 1600 Clifton Rd. NE, Mailstop H23-6, Atlanta, GA, USA. pfx6@cdc.gov.
BMC Infectious Diseases
|April 1, 2022
Summary
Antibody responses to SARS-CoV-2 (COVID-19) were studied in university students. Serology testing combined with viral tests accurately detected infections and antibody changes, aiding understanding of immune protection.
Area of Science:
- Immunology
- Virology
- Epidemiology
Background:
- Understanding antibody responses to SARS-CoV-2 is crucial for managing the COVID-19 pandemic.
- Young adults on university campuses represent a population with high potential for transmission.
Purpose of the Study:
- To assess seroprevalence, infection incidence, and seroconversion in a university student cohort.
- To evaluate the utility of serology testing in conjunction with viral surveillance.
Main Methods:
- Serum samples from 107 students were collected at the beginning and end of an 11-week period.
- Qualitative SARS-CoV-2 IgG antibody assays (Abbott Architect and AdviseDx) were utilized.
- Results were correlated with weekly viral testing and symptom data.
Main Results:
- Seropositivity increased significantly from semester start to end, with both assays showing similar trends.
- Over 21% of students tested positive for SARS-CoV-2 infection during the semester.
- Seroconversion was largely identified by serial viral testing, and symptomatic infections were more common among those seropositive at semester end.
Conclusions:
- Differences in antibody target detection were observed between anti-nucleocapsid and anti-spike assays.
- Combined serology and viral testing effectively detect SARS-CoV-2 seroconversions.
- This approach aids in understanding antibody correlates of protection against COVID-19.
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