Antibody titres in fully vaccinated healthcare workers with and without breakthrough infection during the Delta and Omicron waves

Introduction: Assessment of antibody response to vaccination against SARS CoV2 has clinical, public health, and policy implications during the pandemic and in the context of future waves. Method: In this repeated cross-sectional study, we estimated total binding antibody levels to the spike protein...

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Main Authors: Sindhulina Chandrasingh, Carolin E. George, Leeberk R. Inbaraj, Tatarao Maddipati
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-07-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_1809_22
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author Sindhulina Chandrasingh
Carolin E. George
Leeberk R. Inbaraj
Tatarao Maddipati
author_facet Sindhulina Chandrasingh
Carolin E. George
Leeberk R. Inbaraj
Tatarao Maddipati
author_sort Sindhulina Chandrasingh
collection DOAJ
description Introduction: Assessment of antibody response to vaccination against SARS CoV2 has clinical, public health, and policy implications during the pandemic and in the context of future waves. Method: In this repeated cross-sectional study, we estimated total binding antibody levels to the spike protein of the SARS CoV2 virus post two doses of Covishield vaccine among 133 health care workers (HCWs) (phase 1), followed by antibody levels among a subset (n = 61) of this group at 9 months after the second dose (phase 2). The time period of the first and second blood collection corresponds to Delta and Omicron waves, respectively. Results: We report 100% seroconversion post 28 days of the second dose of the Covishield vaccine among infection naïve HCWs. In this study, 33% had a breakthrough infection in phase 1 and 24% reported a history of infection in phase 2. The antibody titres were higher in the breakthrough infection group compared to the infection naïve group during both Delta and Omicron waves. Conclusion: This shows that there is a good seroconversion with two doses of vaccine, weaning of antibody with time, and a rise of antibody titre if infected with SARS CoV 2 subsequently.
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spelling doaj.art-c711f59d3c79466b85a61f21196706632024-11-11T11:08:10ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352023-07-011271298130210.4103/jfmpc.jfmpc_1809_22Antibody titres in fully vaccinated healthcare workers with and without breakthrough infection during the Delta and Omicron wavesSindhulina ChandrasinghCarolin E. GeorgeLeeberk R. InbarajTatarao MaddipatiIntroduction: Assessment of antibody response to vaccination against SARS CoV2 has clinical, public health, and policy implications during the pandemic and in the context of future waves. Method: In this repeated cross-sectional study, we estimated total binding antibody levels to the spike protein of the SARS CoV2 virus post two doses of Covishield vaccine among 133 health care workers (HCWs) (phase 1), followed by antibody levels among a subset (n = 61) of this group at 9 months after the second dose (phase 2). The time period of the first and second blood collection corresponds to Delta and Omicron waves, respectively. Results: We report 100% seroconversion post 28 days of the second dose of the Covishield vaccine among infection naïve HCWs. In this study, 33% had a breakthrough infection in phase 1 and 24% reported a history of infection in phase 2. The antibody titres were higher in the breakthrough infection group compared to the infection naïve group during both Delta and Omicron waves. Conclusion: This shows that there is a good seroconversion with two doses of vaccine, weaning of antibody with time, and a rise of antibody titre if infected with SARS CoV 2 subsequently.https://journals.lww.com/10.4103/jfmpc.jfmpc_1809_22breakthrough infectiondelta wavehealth care workers (hcws)omicron wavepost-vaccination antibody titresars cov2
spellingShingle Sindhulina Chandrasingh
Carolin E. George
Leeberk R. Inbaraj
Tatarao Maddipati
Antibody titres in fully vaccinated healthcare workers with and without breakthrough infection during the Delta and Omicron waves
Journal of Family Medicine and Primary Care
breakthrough infection
delta wave
health care workers (hcws)
omicron wave
post-vaccination antibody titre
sars cov2
title Antibody titres in fully vaccinated healthcare workers with and without breakthrough infection during the Delta and Omicron waves
title_full Antibody titres in fully vaccinated healthcare workers with and without breakthrough infection during the Delta and Omicron waves
title_fullStr Antibody titres in fully vaccinated healthcare workers with and without breakthrough infection during the Delta and Omicron waves
title_full_unstemmed Antibody titres in fully vaccinated healthcare workers with and without breakthrough infection during the Delta and Omicron waves
title_short Antibody titres in fully vaccinated healthcare workers with and without breakthrough infection during the Delta and Omicron waves
title_sort antibody titres in fully vaccinated healthcare workers with and without breakthrough infection during the delta and omicron waves
topic breakthrough infection
delta wave
health care workers (hcws)
omicron wave
post-vaccination antibody titre
sars cov2
url https://journals.lww.com/10.4103/jfmpc.jfmpc_1809_22
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AT carolinegeorge antibodytitresinfullyvaccinatedhealthcareworkerswithandwithoutbreakthroughinfectionduringthedeltaandomicronwaves
AT leeberkrinbaraj antibodytitresinfullyvaccinatedhealthcareworkerswithandwithoutbreakthroughinfectionduringthedeltaandomicronwaves
AT tataraomaddipati antibodytitresinfullyvaccinatedhealthcareworkerswithandwithoutbreakthroughinfectionduringthedeltaandomicronwaves