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Published on: August 17, 2022
SARS-CoV-2 Reinfection and Risk of Multisystem Inflammatory Syndrome in Children: A Case-Control Study.
Noémie Schiever1, Léa Lenglart2,3, Corinne Levy4,5,6
1From the Service of Pediatrics, Department Women-Mother-Child, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Multisystem inflammatory syndrome in children (MIS-C) appears less likely after a second SARS-CoV-2 infection compared to the first. This study suggests a potentially lower risk of MIS-C following reinfection, though further research is needed for conclusive evidence.
Area of Science:
- Pediatrics
- Infectious Diseases
- Immunology
Background:
- Multisystem inflammatory syndrome in children (MIS-C) is a severe postinfectious complication of SARS-CoV-2.
- MIS-C incidence may be declining with increasing SARS-CoV-2 reinfection rates.
- The study aimed to compare MIS-C risk after primary SARS-CoV-2 infection versus reinfection.
Purpose of the Study:
- To determine if the risk of developing MIS-C differs between primary SARS-CoV-2 infection and reinfection.
- To investigate the association between SARS-CoV-2 reinfection and the incidence of MIS-C in children.
Main Methods:
- Retrospective, international, matched case-control study (September 2021 - April 2022).
- 180 MIS-C cases matched 1:1 with controls with acute SARS-CoV-2 infection.
- McNemar's test and conditional logistic regression used to compare MIS-C risk.
Main Results:
- No MIS-C cases occurred after documented SARS-CoV-2 reinfection.
- 3.9% of controls (acute infection) had a documented reinfection.
- A suggestive but not statistically significant lower odds of MIS-C after reinfection was observed (OR=0.067, P=0.064; adjusted OR=0.183, P=0.093).
Conclusions:
- MIS-C predominantly occurs after initial SARS-CoV-2 infections.
- Evidence suggests a potentially lower risk of MIS-C following SARS-CoV-2 reinfection, but this finding was not statistically conclusive.
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