SARS-CoV-2 变体对 COVID-19 流行病学和临床特征的影响:对两波病例的比较分析。

IF 5.4 3区 材料科学 Q2 CHEMISTRY, PHYSICAL
Pérola Rodrigues Dos Santos, Uener Ribeiro Dos Santos, Íris Terezinha Santos de Santana Silva, Hllytchaikra Ferraz Fehlberg, Fabrício Barbosa Ferreira, George Rego Albuquerque, Ana Paula Melo Mariano, Murillo Ferreira da Silva, Leonardo Santos Lemos, Karoline Almeida Piton, Mylene de Melo Silva, Renato Fontana, Eric Roberto Guimarães Rocha Aguiar, Lauro Juliano Marin, Sandra Rocha Gadelha
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引用次数: 0

摘要

背景:COVID-19 大流行是上个世纪最重大的健康挑战。连续多波的 COVID-19 病例,特别是新的 SARS-CoV-2 变体的出现,使全世界始终处于警戒状态:我们进行了一项观察性、描述性、横断面研究,旨在确定在巴西巴伊亚州南部(2021 年末和 2022 年末)两波 COVID-19 病例流行期间出现的 SARS-CoV-2 变体,并分析检测到的变体与该疾病的流行病学和临床特征之间的关联。为此,研究纳入了巴西巴伊亚州南部疑似 COVID-19 患者的数据和鼻咽样本。病毒检测采用 RT-qPCR 技术,SARS-CoV-2 变种则采用新一代病毒测序技术进行鉴定:结果:共检测了 368 份鼻咽样本。2021 年底约 23% 的样本对 SARS-CoV-2 呈阳性,而 2022 年的阳性率约为 56%。2021 年的所有测序样本都被确定为德尔塔变异体,而 2022 年的所有样本都被归类为奥米克龙变异体。总体而言,2022 年检测出 SARS-CoV-2 阳性的个体比 2021 年检测出 SARS-CoV-2 阳性的个体更年轻。此外,我们还观察到,与 2021 年相比,SARS-CoV-2 感染的临床表现有明显差异。在 2021 年,出现嗅觉障碍/老年性嗅觉障碍的人更有可能对 SARS-CoV-2 感染呈阳性反应,而在 2022 年则没有这种情况。此外,发热、干咳、咽痛、头痛和鼻出血在 Omicron 变种感染者中比在 Delta 变种感染者中更为常见:在分析巴伊亚州南部两波不同的大流行时,该地区 COVID-19 的概况有所不同。这些差异可能与变异体有关,它们可能在传播性和毒力方面存在差异,从而改变了大流行的动态。这凸显了基因组监测对于更好地了解病毒感染行为的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influence of SARS-CoV-2 variants on COVID-19 epidemiological and clinical profiles: a comparative analysis of two waves of cases.

Background: The COVID-19 pandemic has been the most significant health challenge of the last century. Multiple and successive waves of COVID-19 cases, driven particularly by the emergence of new SARS-CoV-2 variants, have kept the world in a constant state of alert.

Methods: We present an observational, descriptive, cross-sectional study aimed at identifying SARS-CoV-2 variants circulating during two local waves of COVID-19 cases in southern Bahia, Brazil (late 2021 and late 2022), and analyzing the association between the detected variants and the epidemiological and clinical characteristics of the disease. For this purpose, data and nasopharyngeal samples from individuals in southern Bahia, Brazil, with suspected COVID-19 were included. Viral detection was performed by RT-qPCR, and SARS-CoV-2 variants were identified by next-generation viral sequencing.

Results: A total of 368 nasopharyngeal samples were tested. Approximately 23% of the samples from late 2021 tested positive for SARS-CoV-2, while in 2022, the positivity rate was about 56%. All sequenced samples from 2021 were identified as the Delta variant, while in 2022, all samples were classified as the Omicron variant. Overall, individuals who tested positive for SARS-CoV-2 in 2022 were younger than those who tested positive in 2021. Moreover, we observed significant differences in the clinical spectrum of SARS-CoV-2 infection when comparing the two periods. Individuals who presented with anosmia/ageusia were more likely to test positive for SARS-CoV-2 infection in 2021 but not in 2022. Additionally, fever, dry cough, pharyngalgia, headache, and rhinorrhea were more frequent among individuals infected with the Omicron variant than among those infected with the Delta variant.

Conclusions: The profile of COVID-19 in southern Bahia differed when analyzing two distinct waves of the pandemic in the region. These differences are likely related to the variants, which may differ in transmissibility and virulence, thereby altering the dynamics of the pandemic. This underscores the importance of genomic surveillance in better understanding the behavior of viral infections.

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来源期刊
ACS Applied Energy Materials
ACS Applied Energy Materials Materials Science-Materials Chemistry
CiteScore
10.30
自引率
6.20%
发文量
1368
期刊介绍: ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.
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