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10.1097/INF.0000000000003199

http://scihub22266oqcxt.onion/10.1097/INF.0000000000003199
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34250968!ä!34250968

suck abstract from ncbi


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pmid34250968      Pediatr+Infect+Dis+J 2021 ; 40 (8): e294-e299
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  • Longitudinal Follow-up of Antibody Responses in Pediatric Patients With COVID-19 up to 9 Months After Infection #MMPMID34250968
  • Oygar PD; Ozsurekci Y; Gurlevik SL; Aykac K; Kukul MG; Cura Yayla BC; Ilbay S; Karakaya J; Teksam O; Cengiz AB; Ceyhan M
  • Pediatr Infect Dis J 2021[Aug]; 40 (8): e294-e299 PMID34250968show ga
  • INTRODUCTION: Antibody response developed within 2-3 weeks after exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been shown to decrease over time; however, there is limited data about antibody levels at 6 months or later postinfection, particularly in children. MATERIALS AND METHOD: A prospective multicenter study was performed using 315 samples of 74 confirmed and 10 probable coronavirus disease 2019 pediatric cases. About 20% of these cases were classified as asymptomatic, 74% as mild/moderate and 6% as severe/critical. Patients were included if at least 2 samples were available. The antibody response was classified as either early-period or late-period (14 days-3 months and after 6 months, respectively) for IgG response whereas IgA response was tested on various time intervals, including as early as 4 days up to 3 months. Euroimmun Anti-SARS-CoV-2 IgG and IgA and Genscript SARS-CoV-2 Surrogate Virus Neutralization Kits were used for antibody detection. RESULTS: There was no difference between the early-period and late-period IgG positivity (P = 0.1). However, the median IgG levels were 11.98 in the early periods and 4.05 in the late periods, with a significance of P < 0.001. Although the decrease in IgG levels was significant in asymptomatic and mild/moderate cases (P < 0.008 and P < 0.001, respectively), the decrease in severe/critical cases was moderate (P = 0.285). The sensitivity of the IgG after 15 days was higher than 94%, and the sensitivity of IgA was 88% on days 8-15. CONCLUSION: SARS-CoV-2 IgG antibody levels decreased after 6 months. The decrease was moderate in severe/critical cases. Overall, 95.8% of the patients remained positive up to 9 months after infection. Although the IgA response may be useful early on, the IgG response is useful after 14 days.
  • |Adolescent[MESH]
  • |Antibodies, Viral/*biosynthesis/immunology[MESH]
  • |Antibody Formation[MESH]
  • |COVID-19/*immunology[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Female[MESH]
  • |Follow-Up Studies[MESH]
  • |Humans[MESH]
  • |Immunoglobulin A[MESH]
  • |Immunoglobulin G/biosynthesis/immunology[MESH]
  • |Infant[MESH]
  • |Longitudinal Studies[MESH]
  • |Male[MESH]
  • |Prospective Studies[MESH]


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