Pre-Omicron seroprevalence, seroconversion, and seroreversion of infection-induced SARS-CoV-2 antibodies among a cohort of children and teenagers in Montreal, Canada

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creativework.keywords - en
SARS-CoV-2
Serology
Cohort
Pediatric
Seroconversion
Seroreversion
dc.contributor.author
Zinszer, Kate
Charland, Katia
Pierce, Laura
Saucier, Adrien
McKinnon, Britt
Hamelin, Marie-Ève
Cheriet, Islem
Da Torre, Margot Barbosa
Carbonneau, Julie
Nguyen, Cat Tuong
De Serres, Gaston
Papenburg, Jesse
Boivin, Guy
Quach, Caroline
dc.date.accepted
2023-03-17
dc.date.accessioned
2024-01-02T19:26:44Z
dc.date.available
2024-01-02T19:26:44Z
dc.date.issued
2023
dc.date.submitted
2022-10-26
dc.description.abstract - en
OBJECTIVES: To use serological testing to assess the pre-Omicron seroprevalence, seroconversion, and seroreversion of infection-induced SARS-CoV-2 antibodies in children and adolescents in Montréal, Canada. DESIGN: This analysis is from a prospective cohort study of children aged 2-17 years (at baseline) that included blood spots for antibody detection. The serostatus of participants was determined by enzymelinked immunosorbent assays using the receptor-binding domain from the spike protein and the nucleocapsid protein as antigens. We estimated seroprevalence, seroconversion rates, and the likelihood of seroreversion at 6 months and 1 year. RESULTS: The baseline (October 2020 to April 2021) seroprevalence was 5.8% (95% confidence interval [CI] 4.8-7.1), which increased to 10.5% (May to September 2021) and 11.0% (November 2021 to March 2022) for the respective follow-ups (95% CI 8.6-12.7; 95% CI 8.8-13.5). The crude rate of seroconversion over the study period was 12.8 per 100 person-years (95% CI 11.0-14.7). The adjusted hazard rates of seroconversion by child characteristics showed higher rates in children who were female, whose parent identified as a racial or ethnic minority, and in households with incomes in the lowest tercile of our study population. The likelihood of remaining seropositive at 6 months was 68% (95% CI 60-77%) and dropped to 42% (95% CI 32-56%) at 1 year. CONCLUSION: Serological studies continue to provide valuable contributions for infection prevalence estimates and help us better understand the dynamics of antibody levels after infection.
dc.identifier.doi
https://doi.org/10.1016/j.ijid.2023.03.036
dc.identifier.issn
1201-9712
dc.identifier.uri
https://open-science.canada.ca/handle/123456789/1377
dc.language.iso
en
dc.publisher
Elsevier
dc.rights - en
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
dc.rights - fr
Creative Commons Attribution - Pas d'utilisation commerciale - Pas de modification 4.0 International (CC BY-NC-ND 4.0)
dc.rights.openaccesslevel - en
Gold
dc.rights.openaccesslevel - fr
Or
dc.rights.uri - en
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.uri - fr
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.fr
dc.subject - en
Health
dc.subject - fr
Santé
dc.subject.en - en
Health
dc.subject.fr - fr
Santé
dc.title - en
Pre-Omicron seroprevalence, seroconversion, and seroreversion of infection-induced SARS-CoV-2 antibodies among a cohort of children and teenagers in Montreal, Canada
dc.type - en
Article
dc.type - fr
Article
local.article.journaltitle
International Journal of Infectious Diseases
local.article.journalvolume
131
local.pagination
119-126
local.peerreview - en
Yes
local.peerreview - fr
Oui
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