Evidence map›Paper›PMID 35840098›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2022

SARS-CoV-2 Reinfection Rate and Outcomes in Saudi Arabia: A National Retrospective Study.

Maram Al-Otaiby, Ines Krissaane, Ahad Al Seraihi, Jumanah Alshenaifi, Mohammad Hassan Qahtani, Thamer Aljeri, Ezzedine Zaatari, Mazen Hassanain, Abdullah Algwizani, Ahmed Albarrag and 2 more

Open access · goldAbstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  8. Reinfections from SARS-CoV-2: A Retrospective Study from the Gyncentrum Genetic Laboratory in Sosnowiec, Poland, April 2020 to July 2022.Medical science monitor : international medical journal of experimental and clinical research · 2023
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  14. Recent advances in PCR-free nucleic acid detection for SARS-COV-2.Frontiers in bioengineering and biotechnology · 2022
    Review
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

12 authors at 5 institutions in 2 countries.

Maram Al-OtaibyThe Saudi Ministry of Health, Riyadh, Saudi Arabia; Department of Pathology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. Electronic address: alotaibyma@moh.gov.sa.
Ines KrissaaneThe Saudi Ministry of Health, Riyadh, Saudi Arabia.
Ahad Al SeraihiThe Saudi Ministry of Health, Riyadh, Saudi Arabia.
Jumanah AlshenaifiThe Saudi Ministry of Health, Riyadh, Saudi Arabia.
Mohammad Hassan QahtaniThe Saudi Ministry of Health, Riyadh, Saudi Arabia.
Thamer AljeriThe Saudi Ministry of Health, Riyadh, Saudi Arabia.
Ezzedine ZaatariThe Saudi Ministry of Health, Riyadh, Saudi Arabia.
Mazen HassanainDepartment of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia; Department of Pediatrics, Baylor College of Medicine, Houston, Texas, United States.
Abdullah AlgwizaniSaudi Center for Disease Control and Prevention, Riyadh, Saudi Arabia.
Ahmed AlbarragSaudi Center for Disease Control and Prevention, Riyadh, Saudi Arabia.
Maha Al-MozainiImmunocompromised Host Research Section, Department of Infection and Immunity, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Mohammed AlabdulaaliThe Saudi Ministry of Health, Riyadh, Saudi Arabia.
Ministry of Health · SASaudi Center for Disease Prevention and Control · SABaylor College of Medicine · USKing Faisal Specialist Hospital & Research Centre · SAKing Saud University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe characterization of reinfection with SARS-CoV-2 has been a subject of concern and controversy, especially with the surge of infections with highly transmissible variants worldwide.

methodsThis retrospective national study used comorbidities, vaccination status, SARS-CoV-2 variants of concern, and demographics data to profile participants who were reinfected with SARS-CoV-2, defined as having two reverse transcriptase-polymerase chain reaction-positive SARS-CoV-2 tests within at least 90 days apart. A multivariate logistic regression model assessed the risk factors associated with reinfection . Two control groups were selected: nonreinfected participants reporting a positive test (control group one) and those reporting a negative test (control group two).

resultsBetween March 2020 and December 2021, 4454 reinfected participants were identified in Saudi Arabia (0.8%, 95% confidence interval [CI] 0.7-0.8). The majority (67.3%) were unvaccinated (95% CI 65.9-68.7) and 0.8% (95% CI 0.6-1.1) had severe or fatal SARS-CoV-2 disease. COVID-19 vaccines were 100% effective against mortality in reinfected individuals who received at least one dose, whereas it conferred 61% (odds ratio [OR] 0.4, 95% CI 0.1-1.0) additional protection against severe disease after the first dose and 100% after the second dose. In the risk factor analysis, reinfection was highly associated with comorbidities, such as HIV (OR 2.5, 95% CI 1.3-5.2; P = 0.009), obesity (OR 2.3, 95% CI 1.3-3.9; P = 0.003), pregnancy (OR 3.2, 95% CI 1.4-7.4; P = 0.005), and working in health care facilities (OR 6.1, 95% CI 3.1-12.9; P <0.0001). The delta variant (B.1.617.2) was the most frequent variant of concern among the reinfected cohort.

conclusionThis in-depth study of the reinfection profile identified risk factors and highlighted the associated SARS-CoV-2 variants. Results showed that naturally acquired immunity to SARS-CoV-2 through multiple reinfections together with vaccine-induced immunity provided substantial protection against severe SARS-CoV-2 disease and mortality.

Indexed as

COVID-19ReinfectionCOVID-19 VaccinesHumansRetrospective StudiesSARS-CoV-2Saudi ArabiaCOVID-19 VaccinesProtective ImmunityRisk FactorSARS-CoV-2 ReinfectionSaudi ArabiaVaccinationVariant Of Concern

Identifiers

PMID35840098
PMCPMC9364818
OpenAlexW4285401055

What OpenQuestion holds

Textmetadata
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.