The REinfection in COVID-19 Estimation of Risk (RECOVER) study: Reinfection and serology dynamics in a cohort of Canadian healthcare workers

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creativework.keywords - en
COVID-19
prospective studies
reinfection
SARS-CoV-2
serology
dc.contributor.author
Racine, Étienne
Boivin, Guy
Longtin, Yves
McCormack, Deirdre
Decaluwe, Hélène
Savard, Patrice
Cheng, Matthew P.
Hamelin, Marie-Ève
Carbonneau, Julie
Tadount, Fazia
Adams, Kelsey
Bourdin, Benoîte
Nantel, Sabryna
Gilca, Vladimir
Corbeil, Jacques
De Serres, Gaston
Quach-Thanh, Caroline
dc.date.accessioned
2024-01-29T15:18:53Z
dc.date.available
2024-01-29T15:18:53Z
dc.date.issued
2022-05-05
dc.description.abstract - en
BACKGROUND: Understanding the immune response to natural infection by SARS-CoV-2 is key to pandemic management, especially in the current context of emerging variants. Uncertainty remains regarding the efficacy and duration of natural immunity against reinfection. METHODS: We conducted an observational prospective cohort study in Canadian healthcare workers (HCWs) with a history of PCR-confirmed SARS-CoV-2 infection to (i) measure the average incidence rate of reinfection and (ii) describe the serological immune response to the primary infection. RESULTS: Our cohort comprised 569 HCWs; median duration of individual follow-up was 371 days. We detected six cases of reinfection in absence of vaccination between August 21, 2020, and March 1, 2022, for a reinfection incidence rate of 4.0 per 100 person-years. Median duration of seropositivity was 415 days in symptomatics at primary infection compared with 213 days in asymptomatics (p < 0.0001). Other characteristics associated with prolonged seropositivity for IgG against the spike protein included age over 55 years, obesity, and non-Caucasian ethnicity. CONCLUSIONS: Among unvaccinated healthcare workers, reinfection with SARS-CoV-2 following a primary infection remained rare.
dc.description.sponsorship
Fonds de recherche du Québec - Santé; Public Health Agency of Canada; Canadian Institutes of Health Research, Grant/Award Number: VR2-172712
dc.identifier.doi
https://doi.org/10.1111/irv.12997
dc.identifier.issn
1750-2640
dc.identifier.pubmedID
35510653
dc.identifier.uri
https://open-science.canada.ca/handle/123456789/1898
dc.language.iso
en
dc.publisher
John Wiley & Sons Ltd.
dc.rights - en
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights - fr
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights.openaccesslevel - en
Gold
dc.rights.openaccesslevel - fr
Or
dc.rights.uri - en
https://creativecommons.org/licenses/by/4.0/
dc.rights.uri - fr
https://creativecommons.org/licenses/by/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
The REinfection in COVID-19 Estimation of Risk (RECOVER) study: Reinfection and serology dynamics in a cohort of Canadian healthcare workers
dc.type - en
Article
dc.type - fr
Article
local.article.journalissue
5
local.article.journaltitle
Influenza and Other Respiratory Viruses
local.article.journalvolume
16
local.pagination
916-925
local.peerreview - en
Yes
local.peerreview - fr
Oui
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