SARS-CoV-2 and dialysis: humoral response, clinical and laboratory impacts before vaccination

Background: Patients with kidney disease on Hemodialysis (HD) are susceptible to Coronavirus Disease (COVID-19) due to multiple risk factors. Aim: This study aims to report the prevalence of antibodies against SARS-CoV-2 among patients on hemodialysis before vaccination in Brazil and to compare with...

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Main Authors: Alanna Calheiros Santos, Vanessa Duarte da Costa, Lucas Lima da Silva, Juliana Custódio Miguel, Rodrigo Jardim, Alberto Martín Rivera Dávila, Vanessa Salete de Paula, Juliana Gil Melgaço, Barbara Vieira do Lago, Livia Melo Villar
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Brazilian Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1413867024000187
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author Alanna Calheiros Santos
Vanessa Duarte da Costa
Lucas Lima da Silva
Juliana Custódio Miguel
Rodrigo Jardim
Alberto Martín Rivera Dávila
Vanessa Salete de Paula
Juliana Gil Melgaço
Barbara Vieira do Lago
Livia Melo Villar
author_facet Alanna Calheiros Santos
Vanessa Duarte da Costa
Lucas Lima da Silva
Juliana Custódio Miguel
Rodrigo Jardim
Alberto Martín Rivera Dávila
Vanessa Salete de Paula
Juliana Gil Melgaço
Barbara Vieira do Lago
Livia Melo Villar
author_sort Alanna Calheiros Santos
collection DOAJ
description Background: Patients with kidney disease on Hemodialysis (HD) are susceptible to Coronavirus Disease (COVID-19) due to multiple risk factors. Aim: This study aims to report the prevalence of antibodies against SARS-CoV-2 among patients on hemodialysis before vaccination in Brazil and to compare with clinical, demographic, and laboratory data. Methods: Blood samples from 398 Chronic Kidney Disease (CKD) patients treated in three different private institutions in Rio de Janeiro State, Brazil were submitted to the total anti-SARS-CoV-2 testing. Kidney, liver, and hematological markers were also determined. Respiratory samples were tested by real-time PCR for SARS-CoV-2 RNA and positive samples were subjected to high-throughput sequencing on the MinION device. Results: Overall, anti-SARS-CoV-2 prevalence was 54.5 % (217/398) and two individuals had SARS-CoV-2 RNA with variant B.1.1. High anti-SARS-CoV-2 seroprevalence was found in male gender and those with hospital admission in the last 3-months before the inclusion in the study. Lower red blood cell count was observed in the anti-SARS-CoV-2 seropositive group. High levels of anti-SARS-CoV-2 were found in those who reported symptoms, had low levels of eosinophils and low hematocrit, and who practiced physical activity. Conclusion: High prevalence of anti-SARS-CoV-2 was found in CKD patients before the universal immunization in Brazil suggesting that dialysis patients were highly exposed to SARS-CoV-2.
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spelling doaj.art-8031a4c646e944fea75a83737a3ac1942024-05-15T04:21:49ZengElsevierBrazilian Journal of Infectious Diseases1413-86702024-03-01282103735SARS-CoV-2 and dialysis: humoral response, clinical and laboratory impacts before vaccinationAlanna Calheiros Santos0Vanessa Duarte da Costa1Lucas Lima da Silva2Juliana Custódio Miguel3Rodrigo Jardim4Alberto Martín Rivera Dávila5Vanessa Salete de Paula6Juliana Gil Melgaço7Barbara Vieira do Lago8Livia Melo Villar9Instituto Oswaldo Cruz (FIOCRUZ), Laboratório Brasileiro de Referência em Hepatites Virais, Rio de Janeiro, RJ, BrazilInstituto Oswaldo Cruz (FIOCRUZ), Laboratório Brasileiro de Referência em Hepatites Virais, Rio de Janeiro, RJ, BrazilInstituto Oswaldo Cruz (FIOCRUZ), Laboratório Brasileiro de Referência em Hepatites Virais, Rio de Janeiro, RJ, BrazilInstituto Oswaldo Cruz (FIOCRUZ), Laboratório Brasileiro de Referência em Hepatites Virais, Rio de Janeiro, RJ, BrazilInstituto Oswaldo Cruz (FIOCRUZ), Laboratório de Biologia Computacional e de Sistemas, Programa de Pós-Graduação em Biodiversidade e Saúde, Rio de Janeiro, RJ, BrazilInstituto Oswaldo Cruz (FIOCRUZ), Laboratório de Biologia Computacional e de Sistemas, Programa de Pós-Graduação em Biodiversidade e Saúde, Rio de Janeiro, RJ, BrazilInstituto Oswaldo Cruz (FIOCRUZ), Laboratório de Virologia Molecular e Parasitologia, Rio de Janeiro, RJ, BrazilBio-Manguinhos (FIOCRUZ), Laboratório de Tecnologia Imunológica, Rio de Janeiro, RJ, BrazilInstituto Oswaldo Cruz (FIOCRUZ), Laboratório Brasileiro de Referência em Hepatites Virais, Rio de Janeiro, RJ, BrazilInstituto Oswaldo Cruz (FIOCRUZ), Laboratório Brasileiro de Referência em Hepatites Virais, Rio de Janeiro, RJ, Brazil; Corresponding author.Background: Patients with kidney disease on Hemodialysis (HD) are susceptible to Coronavirus Disease (COVID-19) due to multiple risk factors. Aim: This study aims to report the prevalence of antibodies against SARS-CoV-2 among patients on hemodialysis before vaccination in Brazil and to compare with clinical, demographic, and laboratory data. Methods: Blood samples from 398 Chronic Kidney Disease (CKD) patients treated in three different private institutions in Rio de Janeiro State, Brazil were submitted to the total anti-SARS-CoV-2 testing. Kidney, liver, and hematological markers were also determined. Respiratory samples were tested by real-time PCR for SARS-CoV-2 RNA and positive samples were subjected to high-throughput sequencing on the MinION device. Results: Overall, anti-SARS-CoV-2 prevalence was 54.5 % (217/398) and two individuals had SARS-CoV-2 RNA with variant B.1.1. High anti-SARS-CoV-2 seroprevalence was found in male gender and those with hospital admission in the last 3-months before the inclusion in the study. Lower red blood cell count was observed in the anti-SARS-CoV-2 seropositive group. High levels of anti-SARS-CoV-2 were found in those who reported symptoms, had low levels of eosinophils and low hematocrit, and who practiced physical activity. Conclusion: High prevalence of anti-SARS-CoV-2 was found in CKD patients before the universal immunization in Brazil suggesting that dialysis patients were highly exposed to SARS-CoV-2.http://www.sciencedirect.com/science/article/pii/S1413867024000187SARS-CoV-2PrevalenceChronic kidney diseaseSeroepidemiologyCovid-19 pandemic
spellingShingle Alanna Calheiros Santos
Vanessa Duarte da Costa
Lucas Lima da Silva
Juliana Custódio Miguel
Rodrigo Jardim
Alberto Martín Rivera Dávila
Vanessa Salete de Paula
Juliana Gil Melgaço
Barbara Vieira do Lago
Livia Melo Villar
SARS-CoV-2 and dialysis: humoral response, clinical and laboratory impacts before vaccination
Brazilian Journal of Infectious Diseases
SARS-CoV-2
Prevalence
Chronic kidney disease
Seroepidemiology
Covid-19 pandemic
title SARS-CoV-2 and dialysis: humoral response, clinical and laboratory impacts before vaccination
title_full SARS-CoV-2 and dialysis: humoral response, clinical and laboratory impacts before vaccination
title_fullStr SARS-CoV-2 and dialysis: humoral response, clinical and laboratory impacts before vaccination
title_full_unstemmed SARS-CoV-2 and dialysis: humoral response, clinical and laboratory impacts before vaccination
title_short SARS-CoV-2 and dialysis: humoral response, clinical and laboratory impacts before vaccination
title_sort sars cov 2 and dialysis humoral response clinical and laboratory impacts before vaccination
topic SARS-CoV-2
Prevalence
Chronic kidney disease
Seroepidemiology
Covid-19 pandemic
url http://www.sciencedirect.com/science/article/pii/S1413867024000187
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