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10.1093/infdis/jiab524

http://scihub22266oqcxt.onion/10.1093/infdis/jiab524
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34636907!8549282!34636907
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suck abstract from ncbi


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pmid34636907      J+Infect+Dis 2022 ; 225 (4): 578-586
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  • Anti-SARS-CoV-2 IgA Identifies Asymptomatic Infection in First Responders #MMPMID34636907
  • Montague BT; Wipperman MF; Hooper AT; Hamon SC; Crow R; Elemo F; Hersh L; Langdon S; Hamilton JD; O'Brien MP; Simoes EAF
  • J Infect Dis 2022[Feb]; 225 (4): 578-586 PMID34636907show ga
  • BACKGROUND: Immunoglobulin A (IgA) is an important component of the early immune response to SARS-CoV-2. Prior serosurveys in high-risk groups employing IgG testing alone have provided discordant estimates. The potential added benefit of IgA in serosurveys has not been established. METHODS: Longitudinal serosurvey of first responders (police, emergency medical service providers, fire fighters, and other staff) employing 3 serologic tests (anti-spike IgA, anti-spike IgG, and anti-nucleocapsid IgG) correlated with surveys assessing occupational and nonoccupational risk, exposure to COVID-19, and illnesses consistent with COVID-19. RESULTS: Twelve percent of first responders in Colorado at baseline and 22% at follow-up were assessed as having SARS-CoV-2 infection. Five percent at baseline and 6% at follow-up were seropositive only for IgA. Among those IgA positive only at baseline, the majority (69%) had a positive antibody at follow-up; 45% of those infected at baseline and 33% at follow-up were asymptomatic. At all time points, the estimated cumulative incidence in our study was higher than that in the general population. CONCLUSIONS: First responders are at high risk of infection with SARS-CoV-2. IgA testing identified a significant portion of cases missed by IgG testing and its use as part of serologic surveys may improve retrospective identification of asymptomatic infection.
  • |*Asymptomatic Infections[MESH]
  • |*COVID-19/diagnosis/immunology[MESH]
  • |*Emergency Responders[MESH]
  • |Antibodies, Viral/*analysis[MESH]
  • |Humans[MESH]
  • |Immunoglobulin A/*analysis[MESH]
  • |Immunoglobulin G/analysis[MESH]


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