| Literature DB >> 33400794 |
Shelly Bolotin1,2,3, Vanessa Tran1,3, Selma Osman1, Kevin A Brown1,2, Sarah A Buchan1,2, Eugene Joh1, Shelley L Deeks1,2, Vanessa G Allen1,3.
Abstract
We analyzed 21 676 residual specimens from Ontario, Canada collected March-August 2020 to investigate the effect of antibody decline on SARS-CoV-2 seroprevalence estimates. Testing specimens orthogonally using Abbott (anti-nucleocapsid) and Ortho (anti-spike) assays, seroprevalence estimates were 0.4%-1.4%, despite ongoing disease activity. The geometric mean concentration (GMC) of antibody-positive specimens decreased over time (P = .015), and GMC of antibody-negative specimens increased over time (P = .0018). Association between the 2 tests decreased each month (P < .001), suggesting anti-nucleocapsid antibody decline. Lowering Abbott antibody index cutoff from 1.4 to 0.7 resulted in a 16% increase in positive specimens. © Her Majesty the Queen in Right of Canada, as represented by Ontario Agency for Health Protection and Promotion, 2021.Entities:
Keywords: COVID-19; SARS-CoV-2; serology; seroprevalence
Year: 2021 PMID: 33400794 PMCID: PMC7928877 DOI: 10.1093/infdis/jiaa796
Source DB: PubMed Journal: J Infect Dis ISSN: 0022-1899 Impact factor: 5.226