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Published on: November 10, 2023
Evaluation of the Factors Associated with Reinfections towards SARS-CoV-2 Using a Case Control Design
Giuseppe La Torre1, Gianluca Paglione1, Lavinia Camilla Barone1
1Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy.
Objective:
The risk of reinfection with SARS-CoV-2 has been rapidly increased with the circulation of concerns about variants. So, the aim of our study was to evaluate the factors that increase the risk of this reinfection in healthcare workers compared to those who have never been positive and those who have had only one positivity.
Methods:
A case-control study was carried out at the Teaching Hospital Policlinico Umberto I in Rome, Sapienza University of Rome, in the period between 6 March 2020 and 3 June 2022. Cases are healthcare workers who have developed a reinfection with the SARS-CoV-2 virus, while controls were either healthcare workers who tested positive once or those who have never tested positive for SARS-CoV-2.
Results:
134 cases and 267 controls were recruited. Female gender is associated with a higher odds of developing reinfection (OR: 2.42; 95% CI: 1.38-4.25). Moreover, moderate or high alcohol consumption is associated with higher odds of reinfection (OR: 1.49; 95% CI: 1.19-1.87). Diabetes is also associated with higher odds of reinfection (OR: 3.45; 95% CI: 1.41-8.46). Finally, subjects with increased red blood cell counts have higher odds of reinfection (OR: 1.69; 95% CI: 1.21-2.25).
Conclusion:
From the prevention point of view, these findings indicate that particular attention should be paid to subjects with diabetes mellitus, women and alcoholic drinkers. These results could also suggest that contact tracing represents a fundamental approach model against the SARS-CoV-2 pandemic, together with the health information of participants.
Insights
Female healthcare workers, those with diabetes, and individuals with higher alcohol consumption face increased risk of SARS-CoV-2 reinfection. Increased red blood cell counts also correlate with higher reinfection odds.
Area of Science:
- Infectious Diseases
- Epidemiology
- Public Health
Background:
- The emergence of SARS-CoV-2 variants has heightened concerns regarding reinfection risks.
- Understanding factors contributing to reinfection is crucial for effective pandemic control strategies.
Purpose of the Study:
- To identify and evaluate factors associated with SARS-CoV-2 reinfection among healthcare workers.
- To compare reinfection risks between healthcare workers with multiple infections, single infections, and no prior infection.
Main Methods:
- A case-control study was conducted at a teaching hospital between March 2020 and June 2022.
- Cases comprised healthcare workers with SARS-CoV-2 reinfection; controls included those with one infection or no infection.
- Statistical analysis determined odds ratios for various risk factors.
Main Results:
- Female gender was associated with a 2.42-fold increased odds of reinfection.
- Moderate to high alcohol consumption increased reinfection odds by 1.49 times.
- Diabetes (OR: 3.45) and elevated red blood cell counts (OR: 1.69) were also significantly linked to higher reinfection risk.
Conclusions:
- Healthcare workers with diabetes, women, and those with higher alcohol consumption require targeted preventive measures.
- Contact tracing and health education are vital components of SARS-CoV-2 pandemic management.
- Identifying specific risk factors aids in developing personalized prevention strategies.
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