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10.1016/j.lanepe.2020.100014

http://scihub22266oqcxt.onion/10.1016/j.lanepe.2020.100014
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33871470!8009692!33871470
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suck abstract from ncbi


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pmid33871470      Lancet+Reg+Health+Eur 2021 ; 3 (ä): 100014
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  • Attack rates amongst household members of outpatients with confirmed COVID-19 in Bergen, Norway: A case-ascertained study #MMPMID33871470
  • Kuwelker K; Zhou F; Blomberg B; Lartey S; Brokstad KA; Trieu MC; Bansal A; Madsen A; Krammer F; Mohn KG; Tondel C; Linchausen DW; Cox RJ; Langeland N
  • Lancet Reg Health Eur 2021[Apr]; 3 (ä): 100014 PMID33871470show ga
  • BACKGROUND: Households studies reflect the natural spread of SARS-CoV-2 in immunologically naive populations with limited preventive measures to control transmission.We hypothesise that seropositivity provides more accurate household attack rates than RT-PCR. Here, we investigated the importance of age in household transmission dynamics. METHODS: We enroled 112 households (291 participants) in a case-ascertained study in Bergen, Norway from 28th February to 4th April 2020, collecting demographic and clinical data from index patients and household members. SARS-CoV-2-specific antibodies were measured in sera collected 6-8 weeks after index patient nasopharyngeal testing to define household attack rates. FINDINGS: The overall attack rate was 45% (95% CI 38-53) assessed by serology, and 47% when also including seronegative RT-PCR positives. Serology identified a higher number of infected household members than RT-PCR. Attack rates were equally high in children (48%) and young adults (42%). The attack rate was 16% in asymptomatic household members and 42% in RT-PCR negative contacts. Older adults had higher antibody titres than younger adults. The risk of household transmission was higher when the index patient had fever (aOR 3.31 [95% CI 1.52-7.24]; p = 0.003) or dyspnoea (aOR 2.25 [95% CI 1.80-4.62]; p = 0.027) during acute illness. INTERPRETATION: Serological assays provide more sensitive and robust estimates of household attack rates than RT-PCR. Children are equally susceptible to infection as young adults. Negative RT-PCR or lack of symptoms are not sufficient to rule out infection in household members. FUNDING: Helse Vest (F-11628), Trond Mohn Foundation (TMS2020TMT05).
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