在Omicron变种期间,希腊儿童中SARS-CoV-2血清流行率
Dimitra Dimopoulou1, Despoina Sotiri2, Dimitra Kousi3
1Second Department of Paediatrics, School of Medicine, National and Kapodistrian University of Athens, 'P. and A. Kyriakou' Children's Hospital, Thivon and Leivadias, Athens, 30601, Greece.
European journal of pediatrics
|March 13, 2024
概括
在Omicron变种激增期间,SARS-CoV-2的血清阳性在儿童中显著增加.由于更高的传染性. 1-4岁的幼儿显示出较高的抗体反应,而婴儿的抗体标位较低,需要持续监测.
科学领域:
- * 儿童传染病 儿童传染病
- * 免疫学 免疫学
- * 流行病学 流行病学
背景情况:
- * Omicron变种的高传染性引起了人们对其对儿科SARS-CoV-2血清阳性影响的担忧.
- * 关于Omicron对儿童抗体水平的特定影响的证据有限.
- *了解不同变体和年龄组的血清流行对于公共卫生至关重要.
研究的目的:
- * 为了评估在不同的Omicron子周期期间儿童的SARS-CoV-2血清流行率.
- * 分析各种儿科年龄组的抗体反应 (抗Spike和抗核体IgG,中和抗体).
- *评估Omicron变种对儿科血清阳性趋势的影响.
主要方法:
- * 在7所希腊大学医院进行的前性多中心血清流行研究 (2021年11月至2022年8月).
- * 为非COVID-19原因住院或在门诊诊所看病的2127名儿童的注册.
- * 血清中和抗体 (NAbs),抗Spike (anti-S) IgG和抗核体 (anti-N) IgG的实验室评估.
主要成果:
- * 在研究期间,抗N IgG血清阳性从17.8%上升到40.7%,然后略微下降至36.7%.
- *抗S IgG血清阳性呈现出一致的上升趋势,从34.8%上升到80.7%.
- * 1-4岁儿童的抗N IgG标位明显高于婴儿 (0-1岁). 婴儿表现出较低的抗S IgG和NAb标位相比较于年长的孩子,特别是免疫力低下的人.
结论:
- * 在Omicron期间,儿科SARS-CoV-2血清阳性显著增加,这归因于传染性增加.
- *幼儿 (1-4岁) 显示出潜在的更强抗体反应,而婴儿显示出较低的抗体标位.
- * 对儿童的持续血清流行监测对于跟踪SARS-CoV-2传播和告知公共卫生战略至关重要.
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