Evidence map›Paper›PMID 35743421›Full record

ArticleJournal of clinical medicine2022

Risk of SARS-CoV-2 Reinfections in a Prospective Inception Cohort Study: Impact of COVID-19 Vaccination.

José L Casado, Johannes Haemmerle, Pilar Vizcarra, Gema Ramirez-Alonso, Andrea Salazar-Tosco, Beatriz Romero-Hernandez, Magdalena Blasco, Mario Rodriguez-Dominguez, Itria G Mirabella, Alejandro Vallejo and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
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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

11 authors at 3 institutions in 1 country.

José L CasadoDepartment of Infectious Diseases, IRYCIS (Instituto Ramon y Cajal para la Investigación Sanitaria), Hospital Universitario Ramón y Cajal, Ctra Colmenar Km 9, 28034 Madrid, Spain.ORCID 0000-0002-7639-8591
Johannes HaemmerleDepartment of Occupational Safety and Health, University Hospital Ramón y Cajal, 28034 Madrid, Spain.
Pilar VizcarraDepartment of Infectious Diseases, IRYCIS (Instituto Ramon y Cajal para la Investigación Sanitaria), Hospital Universitario Ramón y Cajal, Ctra Colmenar Km 9, 28034 Madrid, Spain.
Gema Ramirez-AlonsoDepartment of Occupational Safety and Health, University Hospital Ramón y Cajal, 28034 Madrid, Spain.
Andrea Salazar-ToscoDepartment of Occupational Safety and Health, University Hospital Ramón y Cajal, 28034 Madrid, Spain.
Beatriz Romero-HernandezDepartment of Microbiology, Centro de Investigación Biomédica en Red en Epidemiologia y Salud Pública, CIBERESP, Hospital Universitario Ramon y Cajal, 28034 Madrid, Spain.
Magdalena BlascoDepartment of Occupational Safety and Health, University Hospital Ramón y Cajal, 28034 Madrid, Spain.
Mario Rodriguez-DominguezDepartment of Microbiology, Centro de Investigación Biomédica en Red en Epidemiologia y Salud Pública, CIBERESP, Hospital Universitario Ramon y Cajal, 28034 Madrid, Spain.
Itria G MirabellaDepartment of Occupational Safety and Health, University Hospital Ramón y Cajal, 28034 Madrid, Spain.
Alejandro VallejoDepartment of Infectious Diseases, IRYCIS (Instituto Ramon y Cajal para la Investigación Sanitaria), Hospital Universitario Ramón y Cajal, Ctra Colmenar Km 9, 28034 Madrid, Spain.ORCID 0000-0001-5360-878X
Marina Fernandez-EscribanoDepartment of Occupational Safety and Health, University Hospital Ramón y Cajal, 28034 Madrid, Spain.
Hospital Universitario Ramón y Cajal · ESInstituto Ramón y Cajal de Investigación Sanitaria · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The risk of reinfection could be related to the initial SARS-CoV-2 clinical presentation, but there are no data about the risk change after SARS-CoV-2 vaccination. We evaluated the rate of reinfection in an inception cohort study of 4943 health care workers (HCWs) according to symptoms and serologic results during March−May 2020. Incidence rates (IR) and IR ratios (IRR) before and after SARS-CoV-2 vaccination were determined by adjusting Poisson models. Overall, 1005 HCWs (20.3%) referred COVID-19 suggestive symptoms during the first surge of disease, and 33.5% and 55% presented a positive PCR or serology result, respectively. Meanwhile, 13% of asymptomatic HCWs had specific antibodies. During a follow up of 3422.2 person-years before vaccination, the rate of reinfection among seropositive individuals was 81% lower for those who were symptomatic compared with those who were asymptomatic (IRR of 0.19; 95% CI, 0.05−0.67; p = 0.003). During the 3100 person-years period after vaccination, an overall 74% decrease in the rate of infection was observed (IRR of 0.26; 95% CI, 0.21−0.32; p < 0.001), with a significant 83% and 70% decrease in seropositive and seronegative HCWs, respectively. In conclusion, the risk of SARS-CoV-2 reinfections is closely related to the clinical and serological presentation of COVID-19. COVID-19 vaccination further decreases the risk of reinfection more markedly among seropositive.

Indexed as

COVID-19healthcare workersimmune responsereinfectionSARS-CoV-2

Identifiers

PMID35743421
PMCPMC9225121
OpenAlexW4281770941

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.