Evidence map›Paper›PMID 34981682›Full record

ArticleJournal of Korean medical science2022

SARS-CoV-2 Delta Variant Breakthrough Infection and Onward Secondary Transmission in Household.

Seonju Yi, Jong Mu Kim, Young June Choe, Sujin Hong, Siwon Choi, Seong Bae Ahn, Miya Kim, Young-Joon Park

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Seonju YiEpidemiological Investigation Team, Central Disease Control Headquarters, Korea Disease Control and Prevention Agency, Cheongju, Korea.ORCID https://orcid.org/0000-0002-8525-213X
Jong Mu KimEpidemiological Investigation Team, Central Disease Control Headquarters, Korea Disease Control and Prevention Agency, Cheongju, Korea.ORCID https://orcid.org/0000-0002-5840-6965
Young June ChoeDepartment of Pediatrics, Korea University Anam Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-2733-0715
Sujin HongHonam Regional Center for Disease Control and Prevention Jeju Branch Office, Korea Disease Control and Prevention Agency, Jeju, Korea.ORCID https://orcid.org/0000-0002-4057-2586
Siwon ChoiHonam Regional Center for Disease Control and Prevention Jeju Branch Office, Korea Disease Control and Prevention Agency, Jeju, Korea.ORCID https://orcid.org/0000-0003-1279-3661
Seong Bae AhnThe General Department of Quarantine, Health Welfare and Women Bureau, Jeju Special Self-Governing Province, Jeju, Korea.ORCID https://orcid.org/0000-0002-1657-3247
Miya KimThe General Department of Quarantine, Health Welfare and Women Bureau, Jeju Special Self-Governing Province, Jeju, Korea.ORCID https://orcid.org/0000-0002-7054-8296
Young-Joon ParkEpidemiological Investigation Team, Central Disease Control Headquarters, Korea Disease Control and Prevention Agency, Cheongju, Korea. pahmun@korea.kr.ORCID https://orcid.org/0000-0002-5971-7829
Korea Disease Control and Prevention Agency · KRJeju TechnoPark · KRKorea University Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the extraordinary speed of mass vaccination efforts, an outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) delta variant in a vaccinee with coronavirus disease 2019 (COVID-19) mRNA vaccine was identified in an adult day service center (ADSC) of Jeju, South Korea. The primary objective of this study was to investigate the epidemiologic features in infection-vulnerable facilities with a high vaccination rate of BNT162b2 mRNA COVID-19 vaccine. The second was to estimate the secondary transmission prevention effect of the vaccine in the household members by vaccination status.

methodsWe included all ADSC participants, staff and their household members. All COVID-19 infected cases were confirmed by reverse transcriptase polymerase chain reaction. We calculated attack rate in ADSC and the secondary attack rate (SAR) in household members by vaccination status.

resultsAmong a total of 42 participants and 16 staff, of which 96.6% were fully vaccinated with BNT162b2 mRNA COVID-19 vaccine, 12 symptomatic cases and 13 asymptomatic confirmed cases of COVID-19 were found. The attack rate was 43.1%, with 13 isolates identified as SARS-CoV-2 virus, delta variant. The SAR in unvaccinated and partially vaccinated household members were 27.8% (5/18) and 25.0% (5/20), respectively, while the SAR in fully vaccinated household members was 12.5% (1/8).

conclusionWe describe a SARS-CoV-2 delta variant outbreak in ADSC with high vaccine coverage rate, characterized by high infection rate, high transmissibility, and low clinical severity. The outbreak proceeded to unvaccinated or partially vaccinated household members, emphasizing the need for immunizing close contacts of high-risk groups.

Indexed as

SARS-CoV-2AdultAgedAged, 80 and overBNT162 VaccineBreakthrough InfectionsCOVID-19COVID-19 VaccinesFemaleHumansIncidenceMaleMiddle AgedRepublic of KoreaVaccinationBNT162 VaccineCOVID-19 VaccinesCoronavirusCOVID-19EffectivenessSARS-CoV-2Vaccine

Identifiers

PMID34981682
PMCPMC8723891
OpenAlexW4200081486

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.