SARS-CoV-2-Specific Antibody Prevalence and Symptoms in a Local Austrian Population

Background: Since December 2019 the novel coronavirus (SARS-CoV-2) is the center of global attention due to its rapid transmission and toll on health care systems and global economy. Population-based serosurveys measuring antibodies for SARS-CoV-2 provide one method for estimating previous infection...

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Main Authors: Dennis Ladage, Yana Höglinger, Dorothee Ladage, Christoph Adler, Israfil Yalcin, Oliver Harzer, Ralf J. Braun
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-05-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2021.632942/full
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author Dennis Ladage
Dennis Ladage
Dennis Ladage
Yana Höglinger
Yana Höglinger
Dorothee Ladage
Christoph Adler
Christoph Adler
Christoph Adler
Israfil Yalcin
Oliver Harzer
Oliver Harzer
Ralf J. Braun
author_facet Dennis Ladage
Dennis Ladage
Dennis Ladage
Yana Höglinger
Yana Höglinger
Dorothee Ladage
Christoph Adler
Christoph Adler
Christoph Adler
Israfil Yalcin
Oliver Harzer
Oliver Harzer
Ralf J. Braun
author_sort Dennis Ladage
collection DOAJ
description Background: Since December 2019 the novel coronavirus (SARS-CoV-2) is the center of global attention due to its rapid transmission and toll on health care systems and global economy. Population-based serosurveys measuring antibodies for SARS-CoV-2 provide one method for estimating previous infection rates including the symptom-free courses of the disease and monitoring the progression of the epidemic.Methods: In June 2020 we succeeded in testing almost half of the population of an Austrian township (1,359 inhabitants) with a reported higher incidence for COVID-19 infections (17 PCR positive cases have been officially reported until the date of sample collection, i.e., 1.2% of the total population). We determined the prevalence of SARS-CoV-2-specific antibodies in this population, factors affecting, and symptoms correlated with prior infection. Antibodies were determined using a CE-certified quality-controlled ELISA test for SARS-CoV-2-specific IgG and IgA antibodies.Results: We found a high prevalence of 9% positive antibodies among the town population in comparison to 6% of the neighboring villages. This was considerably higher than the officially known RT-PCR-approved COVID-19 cases (1.2%) in the town population. Twenty percent of SARS-CoV-2-antibody positive cases declared being asymptomatic in a questionnaire. On the other hand, we identified six single major symptoms, including anosmia/ageusia, weight loss, anorexia, general debility, dyspnea, and fever, and especially their combination to be of high prognostic value for predicting SARS-CoV-2 infection in a patient.Conclusions: This population study demonstrated a high prevalence of antibodies to SARS-CoV-2 as a marker of past infections in an Austrian township. Several symptoms revealed a diagnostic value especially in combination.
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spelling doaj.art-a5d3dcf80a36499496674b25f5a99d352022-12-21T22:25:47ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-05-01810.3389/fmed.2021.632942632942SARS-CoV-2-Specific Antibody Prevalence and Symptoms in a Local Austrian PopulationDennis Ladage0Dennis Ladage1Dennis Ladage2Yana Höglinger3Yana Höglinger4Dorothee Ladage5Christoph Adler6Christoph Adler7Christoph Adler8Israfil Yalcin9Oliver Harzer10Oliver Harzer11Ralf J. Braun12Department of Internal Medicine, Danube Private University, Krems/Donau, AustriaHeart Center, University of Cologne, Cologne, GermanyDepartment of Pneumology, Kliniken Maria Hilf, Mönchengladbach, GermanyDepartment of Internal Medicine, Danube Private University, Krems/Donau, AustriaResearch Division for Neurodegenerative Diseases, Danube Private University, Krems/Donau, AustriaDepartment of Internal Medicine, Danube Private University, Krems/Donau, AustriaDepartment of Internal Medicine, Danube Private University, Krems/Donau, AustriaHeart Center, University of Cologne, Cologne, GermanyFire Department, City of Cologne, Institute for Security Science and Rescue Technology, Cologne, GermanyResearch Division for Neurodegenerative Diseases, Danube Private University, Krems/Donau, AustriaCenter of Biosciences, Danube Private University, Krems/Donau, AustriaBioscientia, Institute of Medical Diagnostics, Ingelheim, GermanyResearch Division for Neurodegenerative Diseases, Danube Private University, Krems/Donau, AustriaBackground: Since December 2019 the novel coronavirus (SARS-CoV-2) is the center of global attention due to its rapid transmission and toll on health care systems and global economy. Population-based serosurveys measuring antibodies for SARS-CoV-2 provide one method for estimating previous infection rates including the symptom-free courses of the disease and monitoring the progression of the epidemic.Methods: In June 2020 we succeeded in testing almost half of the population of an Austrian township (1,359 inhabitants) with a reported higher incidence for COVID-19 infections (17 PCR positive cases have been officially reported until the date of sample collection, i.e., 1.2% of the total population). We determined the prevalence of SARS-CoV-2-specific antibodies in this population, factors affecting, and symptoms correlated with prior infection. Antibodies were determined using a CE-certified quality-controlled ELISA test for SARS-CoV-2-specific IgG and IgA antibodies.Results: We found a high prevalence of 9% positive antibodies among the town population in comparison to 6% of the neighboring villages. This was considerably higher than the officially known RT-PCR-approved COVID-19 cases (1.2%) in the town population. Twenty percent of SARS-CoV-2-antibody positive cases declared being asymptomatic in a questionnaire. On the other hand, we identified six single major symptoms, including anosmia/ageusia, weight loss, anorexia, general debility, dyspnea, and fever, and especially their combination to be of high prognostic value for predicting SARS-CoV-2 infection in a patient.Conclusions: This population study demonstrated a high prevalence of antibodies to SARS-CoV-2 as a marker of past infections in an Austrian township. Several symptoms revealed a diagnostic value especially in combination.https://www.frontiersin.org/articles/10.3389/fmed.2021.632942/fullSARS-CoV-2COVID-19immunology & infectious diseasesantibody prevalencedisease symptom assessment
spellingShingle Dennis Ladage
Dennis Ladage
Dennis Ladage
Yana Höglinger
Yana Höglinger
Dorothee Ladage
Christoph Adler
Christoph Adler
Christoph Adler
Israfil Yalcin
Oliver Harzer
Oliver Harzer
Ralf J. Braun
SARS-CoV-2-Specific Antibody Prevalence and Symptoms in a Local Austrian Population
Frontiers in Medicine
SARS-CoV-2
COVID-19
immunology & infectious diseases
antibody prevalence
disease symptom assessment
title SARS-CoV-2-Specific Antibody Prevalence and Symptoms in a Local Austrian Population
title_full SARS-CoV-2-Specific Antibody Prevalence and Symptoms in a Local Austrian Population
title_fullStr SARS-CoV-2-Specific Antibody Prevalence and Symptoms in a Local Austrian Population
title_full_unstemmed SARS-CoV-2-Specific Antibody Prevalence and Symptoms in a Local Austrian Population
title_short SARS-CoV-2-Specific Antibody Prevalence and Symptoms in a Local Austrian Population
title_sort sars cov 2 specific antibody prevalence and symptoms in a local austrian population
topic SARS-CoV-2
COVID-19
immunology & infectious diseases
antibody prevalence
disease symptom assessment
url https://www.frontiersin.org/articles/10.3389/fmed.2021.632942/full
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