混合免疫条件下 SARS-CoV-2 Omicron 变体的家庭传播--德国的前瞻性研究。

IF 5.4 2区 医学 Q1 INFECTIOUS DISEASES
Infection Pub Date : 2025-02-01 Epub Date: 2024-07-22 DOI:10.1007/s15010-024-02352-4
Bianca Klee, Sophie Diexer, Chao Xu, Cornelia Gottschick, Carla Hartmann, Kristin Maria Meyer-Schlinkmann, Alexander Kuhlmann, Jonas Rosendahl, Mascha Binder, Michael Gekle, Matthias Girndt, Jessica I Höll, Irene Moor, Daniel Sedding, Stefan Moritz, Thomas Frese, Rafael Mikolajczyk
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引用次数: 0

摘要

目的:我们研究了疫苗接种和既往感染对 SARS-CoV-2 Omicron 变体家庭传播的保护作用。方法:2022 年 6 月至 12 月间,德国 DigiHero 队列研究邀请了 34,666 名有两名或两名以上家庭成员的参与者参加前瞻性家庭传播研究。如果一个家庭的 SARS-CoV-2 检测呈阳性,则填写至少 14 天的症状日记。研究开始时和六至八周后,从所有家庭成员身上采集干血斑(DBS)。对干血斑进行 SARS-CoV-2 抗体分析:结果:来自 457 个家庭的 1191 人参加了此次活动。感染 SARS-CoV-2 的风险随着接触时 S 滴度水平的升高而降低(从滴度为 0 结合抗体单位 (BAU)/ml 时的 80% 降至滴度为 3000 BAU/ml 时的 20%),并随着接种疫苗/之前感染的时间呈线性增长(不到一个月时为 20%,一年时为 80%)。如果原发病例症状轻微,并采取了预防措施,传播概率也会降低:结论:接种疫苗/既往感染仅在几个月内对奥米克龙变异体的感染具有较高的保护作用,这支持了病毒季节性流行的观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Household transmission of Omicron variant of SARS-CoV-2 under conditions of hybrid immunity-a prospective study in Germany.

Household transmission of Omicron variant of SARS-CoV-2 under conditions of hybrid immunity-a prospective study in Germany.

Purpose: We investigated the protection offered by vaccinations and previous infections for the household transmission of Omicron variant of SARS-CoV-2.

Methods: 34,666 participants of the German DigiHero cohort study with two or more household members were invited to a prospective household transmission study between June and December 2022. In case of a positive SARS-CoV-2 test in a household, symptom diaries were completed for at least 14 days. Dry blood spots (DBS) were taken from all household members at the beginning and six to eight weeks later. DBS were analyzed for SARS-CoV-2 antibodies.

Results: 1191 individuals from 457 households participated. The risk of acquiring a SARS-CoV-2 infection decreased with higher S-titer levels at the time of exposure (from 80% at titer of 0 binding antibody units (BAU)/ml to 20% at titer of 3000 BAU/ml) and increased linearly with the time since vaccination/previous infection (20% for less than one month to 80% at one year). Transmission probability was also reduced when the symptoms of the primary case were mild and if preventive measures were implemented.

Conclusion: Vaccinations/previous infections offer a high protection against infection with the Omicron variant for a few months only, supporting the notion of seasonal circulation of the virus.

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来源期刊
Infection
Infection 医学-传染病学
CiteScore
12.50
自引率
1.30%
发文量
224
审稿时长
6-12 weeks
期刊介绍: Infection is a journal dedicated to serving as a global forum for the presentation and discussion of clinically relevant information on infectious diseases. Its primary goal is to engage readers and contributors from various regions around the world in the exchange of knowledge about the etiology, pathogenesis, diagnosis, and treatment of infectious diseases, both in outpatient and inpatient settings. The journal covers a wide range of topics, including: Etiology: The study of the causes of infectious diseases. Pathogenesis: The process by which an infectious agent causes disease. Diagnosis: The methods and techniques used to identify infectious diseases. Treatment: The medical interventions and strategies employed to treat infectious diseases. Public Health: Issues of local, regional, or international significance related to infectious diseases, including prevention, control, and management strategies. Hospital Epidemiology: The study of the spread of infectious diseases within healthcare settings and the measures to prevent nosocomial infections. In addition to these, Infection also includes a specialized "Images" section, which focuses on high-quality visual content, such as images, photographs, and microscopic slides, accompanied by brief abstracts. This section is designed to highlight the clinical and diagnostic value of visual aids in the field of infectious diseases, as many conditions present with characteristic clinical signs that can be diagnosed through inspection, and imaging and microscopy are crucial for accurate diagnosis. The journal's comprehensive approach ensures that it remains a valuable resource for healthcare professionals and researchers in the field of infectious diseases.
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