Evidence map›Paper›PMID 36144413›Full record

ArticleMicroorganisms2022

Epidemiological and Serological Analysis of a SARS-CoV-2 Outbreak in a Nursing Home: Impact of SARS-CoV-2 Vaccination and Enhanced Neutralizing Immunity Following Breakthrough Infection.

Barbara I Streibl, Heidi Lahne, Andreas Grahl, Philipp Agsten, Magdalena Bichler, Christa Büchl, Marco Damzog, Ute Eberle, Stefan Gärtner, Bernhard Hobmaier and 16 more

Abstract read
In one paragraph

Article in Microorganisms, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Incidence of SARS-CoV-2 during the Omicron wave: Results of a longitudinal serosurvey in Québec, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2024
    Article
  2. Article
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

26 authors.

Barbara I StreiblPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.ORCID 0000-0001-9644-1609
Heidi LahnePublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Andreas GrahlPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Philipp AgstenPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Magdalena BichlerPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Christa BüchlHealth Office Neumarkt, 92318 Neumarkt, Germany.
Marco DamzogHealth Office Neumarkt, 92318 Neumarkt, Germany.
Ute EberlePublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Stefan GärtnerHealth Office Neumarkt, 92318 Neumarkt, Germany.
Bernhard HobmaierPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Gabriele MargosPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Martin HochPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Sabrina JungnickPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Walter JonasPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Katharina KatzPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Liane LaubertHealth Office Neumarkt, 92318 Neumarkt, Germany.
Barbara SchuttHealth Office Neumarkt, 92318 Neumarkt, Germany.
Cornelia SeidlPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Bianca TreisPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Daniel WeindlPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Karen ZilchHealth Office Neumarkt, 92318 Neumarkt, Germany.
Manfred WildnerPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Bernhard LieblPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Nikolaus AckermannPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Andreas SingPublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.
Volker FingerlePublic Health Microbiology Unit, Bavarian Health and Food Safety Authority, 85764 Oberschleißheim, Germany.ORCID 0000-0002-3835-5646

Funding

Bavarian Ministry of Health and Care Bay-VOC, ITT
6 · The paper itself

Abstract

Background: Despite a vaccination rate of 82.0% (n = 123/150), a SARS-CoV-2 (Alpha) outbreak with 64.7% (n = 97/150) confirmed infections occurred in a nursing home in Bavaria, Germany. Objective: the aim of this retrospective cohort study was to examine the effects of the Corminaty vaccine in a real-life outbreak situation and to obtain insights into the antibody response to both vaccination and breakthrough infection. Methods: the antibody status of 106 fully vaccinated individuals (54/106 breakthrough infections) and epidemiological data on all 150 residents and facility staff were evaluated. Results: SARS-CoV-2 infections (positive RT-qPCR) were detected in 56.9% (n = 70/123) of fully vaccinated, compared to 100% (n = 27/27) of incompletely or non-vaccinated individuals. The proportion of hospitalized and deceased was 4.1% (n = 5/123) among fully vaccinated and therewith lower compared to 18.5% (n = 5/27) hospitalized and 11.1% (n = 3/27) deceased among incompletely or non-vaccinated. Ct values were significantly lower in incompletely or non-vaccinated (p = 0.02). Neutralizing antibodies were detected in 99.1% (n = 105/106) of serum samples with significantly higher values (p < 0.001) being measured post-breakthrough infection. α-N-antibodies were detected in 37.7% of PCR positive but not in PCR negative individuals. Conclusion: Altogether, our data indicate that SARS-CoV-2 vaccination does provide protection against infection, severe disease progression and death with regards to the Alpha variant. Nonetheless, it also shows that infection and transmission are possible despite full vaccination. It further indicates that breakthrough infections can significantly enhance α-S- and neutralizing antibody responses, indicating a possible benefit from booster vaccinations.

Indexed as

breakthrough infectionComirnaty® COVID-19 vaccineepidemiologyneutralizing antibodiesnursing homeoutbreakSARS-CoV-2 Alpha variantSARS-CoV-2 antibodiesserology

Identifiers

PMID36144413
PMCPMC9505589

What OpenQuestion holds

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Registered trials

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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.