Determining SARS sub-clinical infection: A longitudinal seroepidemiological study in recovered SARS patients and controls after an outbreak in a general hospital
Identifieur interne : 000218 ( PascalFrancis/Checkpoint ); précédent : 000217; suivant : 000219Determining SARS sub-clinical infection: A longitudinal seroepidemiological study in recovered SARS patients and controls after an outbreak in a general hospital
Auteurs : ZHEN YANG [République populaire de Chine] ; SHIXIN WANG [République populaire de Chine] ; QIAN LI [République populaire de Chine] ; YUMING LI [République populaire de Chine] ; MAOTI WEI [République populaire de Chine] ; HONGSHENG GAO [République populaire de Chine] ; Catherine Donovan [Canada] ; Peizhong Peter Wang [Canada, République populaire de Chine]Source :
- Scandinavian journal of infectious diseases [ 0036-5548 ] ; 2009.
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- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
A cohort of 67 confirmed SARS patients were prospectively followed for 16 months and were compared with a control population. Serum samples taken at various times were tested for IgG and IgM; dynamic serological changes in these antibodies were described. The positive responses of IgM and IgG antibodies in sera against SARS virus from the first week to the sixth week after onset of the illness in patients with SARS were measured. The ELISA test of IgG antibody was negative in 200 community controls. The positive rate in the SARS high-risk population was 0.61 % tested by ELISA and 0.21 % by IFA. The high-risk population in this study was defined as those who provided health care and other services to SARS patients during the outbreak. IgG antibody in convalescent serum of patients with SARS revealed an increasing trend, peaking at the 22nd week after onset of illness followed by a slow decline. IgM appeared earlier than IgG and can be better used for early detection. IgG remained at a high level for a much longer period, serving as a good indicator for follow-up and for assessing past exposure. Our results also suggest that sub-clinical infection, if it exists, is very rare.
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<front><div type="abstract" xml:lang="en">A cohort of 67 confirmed SARS patients were prospectively followed for 16 months and were compared with a control population. Serum samples taken at various times were tested for IgG and IgM; dynamic serological changes in these antibodies were described. The positive responses of IgM and IgG antibodies in sera against SARS virus from the first week to the sixth week after onset of the illness in patients with SARS were measured. The ELISA test of IgG antibody was negative in 200 community controls. The positive rate in the SARS high-risk population was 0.61 % tested by ELISA and 0.21 % by IFA. The high-risk population in this study was defined as those who provided health care and other services to SARS patients during the outbreak. IgG antibody in convalescent serum of patients with SARS revealed an increasing trend, peaking at the 22nd week after onset of illness followed by a slow decline. IgM appeared earlier than IgG and can be better used for early detection. IgG remained at a high level for a much longer period, serving as a good indicator for follow-up and for assessing past exposure. Our results also suggest that sub-clinical infection, if it exists, is very rare.</div>
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<fC07 i1="01" i2="X" l="ENG"><s0>Viral disease</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Virosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Infección</s0>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Pathologie de l'appareil respiratoire</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Respiratory disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Aparato respiratorio patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Pathologie des poumons</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Lung disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Pulmón patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Prévention</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Prevention</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Prevención</s0>
<s5>40</s5>
</fC07>
<fN21><s1>222</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations><list><country><li>Canada</li>
<li>République populaire de Chine</li>
</country>
<settlement><li>Tianjin</li>
</settlement>
</list>
<tree><country name="République populaire de Chine"><noRegion><name sortKey="Zhen Yang" sort="Zhen Yang" uniqKey="Zhen Yang" last="Zhen Yang">ZHEN YANG</name>
</noRegion>
<name sortKey="Hongsheng Gao" sort="Hongsheng Gao" uniqKey="Hongsheng Gao" last="Hongsheng Gao">HONGSHENG GAO</name>
<name sortKey="Maoti Wei" sort="Maoti Wei" uniqKey="Maoti Wei" last="Maoti Wei">MAOTI WEI</name>
<name sortKey="Qian Li" sort="Qian Li" uniqKey="Qian Li" last="Qian Li">QIAN LI</name>
<name sortKey="Shixin Wang" sort="Shixin Wang" uniqKey="Shixin Wang" last="Shixin Wang">SHIXIN WANG</name>
<name sortKey="Wang, Peizhong Peter" sort="Wang, Peizhong Peter" uniqKey="Wang P" first="Peizhong Peter" last="Wang">Peizhong Peter Wang</name>
<name sortKey="Yuming Li" sort="Yuming Li" uniqKey="Yuming Li" last="Yuming Li">YUMING LI</name>
</country>
<country name="Canada"><noRegion><name sortKey="Donovan, Catherine" sort="Donovan, Catherine" uniqKey="Donovan C" first="Catherine" last="Donovan">Catherine Donovan</name>
</noRegion>
<name sortKey="Wang, Peizhong Peter" sort="Wang, Peizhong Peter" uniqKey="Wang P" first="Peizhong Peter" last="Wang">Peizhong Peter Wang</name>
</country>
</tree>
</affiliations>
</record>
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