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Author Spotlight: A Pseudotype Virus System for Assessing Omicron Subvariants and Neutralizing Antibodies in SARS-CoV-2 Research
Published on: September 8, 2023
SARS CoV-2 reinfection rate is higher in the Omicron variant than in the Alpha and Delta variants
Osman Özüdoğru1, Yasemin Genç Bahçe2, Ömer Acer3
1Department of Internal Medicine, Medical Faculty, Siirt University, Siirt, 56100, Turkey.
Background And Objectives:
Many mutations in variants for instance Delta and Alpha are associated with immune evasion and higher infectious potential. There are uncertainties regarding Omicron. In this regard, we aimed to compare the frequency of reinfection of SARS CoV-2 variants in our hospital between April 22, 2021 and January 26, 2022.
Method:
The reinfection rates and demographic characteristics of a total of 27,487 COVID-19 patients infected with different SARS CoV-2 variants were examined.
Results:
Reinfection was found in 26 (0.46%) of 5554 Alpha, 209 (1.16%) of 17,941 Delta, and 520 (13.0%) of 3992 Omicron variants. A statistically significant difference was observed between the reinfection rates of the variants (p = 0.000). The mean reinfection days were calculated as 204.4 ± 51.1 in the Alpha variant, 291.2 ± 58.2 in the Delta variant, and 361.2 ± 131.6 in the Omicron variant (p = 0.000). It was observed that 16.5% of reinfection cases caught COVID-19 for the second time 3-6 months after the first COVID-19 infection, 36.7% after 6-12 months, and 46.8% after more than 12 months. There was a significant difference between the times in reinfection cases. Most reinfections occurred more than 12 months apart. Among those with a reinfection time > 12 months, 0% had Alpha, 3.4% had Delta, and 96.6% had Omicron variants.
Conclusion:
The highest reinfection rate was observed in the Omicron variant. Reinfection was approximately 30 times more frequent in the Omicron variant than in the Alpha variant and 10 times more frequent in the Delta variant.
Insights
The Omicron variant showed the highest SARS-CoV-2 reinfection rate, being approximately 30 times more frequent than the Alpha variant. This study highlights significant differences in reinfection frequency across major COVID-19 variants.
Area of Science:
- Virology
- Epidemiology
- Infectious Diseases
Background:
- Mutations in SARS-CoV-2 variants like Alpha and Delta are linked to immune evasion and increased transmissibility.
- Uncertainties exist regarding the immune evasion and reinfection potential of the Omicron variant.
- Previous variants demonstrated varying degrees of immune escape, necessitating further investigation into newer strains.
Purpose of the Study:
- To compare the frequency of reinfection across different severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants.
- To analyze the temporal patterns and rates of reinfection associated with Alpha, Delta, and Omicron variants.
- To assess the clinical significance of reinfections in the context of evolving SARS-CoV-2 variants.
Main Methods:
- Retrospective analysis of COVID-19 patient data from a single hospital.
- Examination of reinfection rates and demographic characteristics for 27,487 patients infected with Alpha, Delta, or Omicron variants.
- Statistical comparison of reinfection frequencies and time intervals between initial infection and reinfection.
Main Results:
- Reinfection rates were 0.46% for Alpha, 1.16% for Delta, and 13.0% for Omicron.
- A statistically significant difference in reinfection rates was observed among the variants (p < 0.001).
- The mean time to reinfection was significantly longer for Omicron (361.2 days) compared to Alpha (204.4 days) and Delta (291.2 days).
Conclusions:
- The Omicron variant exhibited the highest rate of SARS-CoV-2 reinfection.
- Reinfection was approximately 30 times more frequent with Omicron than with Alpha and 10 times more frequent than with Delta.
- A significant proportion of Omicron reinfections occurred over 12 months post-initial infection, indicating substantial immune evasion.
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