Evidence map›Paper›PMID 36423054›Full record

ArticleVaccines2022

Clinical Presentation of COVID-19 and Antibody Responses in Bangladeshi Patients Infected with the Delta or Omicron Variants of SARS-CoV-2.

Asish Kumar Ghosh, Olfert Landt, Mahmuda Yeasmin, Mohiuddin Sharif, Rifat Hossain Ratul, Maruf Ahmed Molla, Tasnim Nafisa, Mymuna Binte Mosaddeque, Nur Hosen, Md Rakibul Hassan Bulbul and 6 more

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Article
  7. 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

16 authors at 7 institutions in 2 countries.

Asish Kumar GhoshDepartment of Virology, Dhaka Medical College Hospital, Dhaka 1000, Bangladesh.ORCID 0000-0001-5735-3606
Olfert LandtTIB Molbiol GmbH, Eresburgstraße 22-23, 12103 Berlin, Germany.ORCID 0000-0001-6826-3438
Mahmuda YeasminNational Institute of Laboratory Medicine and Referral Center, Sher E-Bangla Nagar, Dhaka 1207, Bangladesh.
Mohiuddin SharifDepartment of Medicine, Dhaka Medical College Hospital, Dhaka 1000, Bangladesh.
Rifat Hossain RatulDepartment of Medicine, Dhaka Medical College Hospital, Dhaka 1000, Bangladesh.
Maruf Ahmed MollaNational Institute of Laboratory Medicine and Referral Center, Sher E-Bangla Nagar, Dhaka 1207, Bangladesh.ORCID 0000-0002-5062-9144
Tasnim NafisaNational Institute of Laboratory Medicine and Referral Center, Sher E-Bangla Nagar, Dhaka 1207, Bangladesh.
Mymuna Binte MosaddequeDepartment of Virology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka 1000, Bangladesh.
Nur HosenNational Institute of Laboratory Medicine and Referral Center, Sher E-Bangla Nagar, Dhaka 1207, Bangladesh.
Md Rakibul Hassan BulbulInstitute for Developing Science & Health Initiatives, Dhaka 1216, Bangladesh.ORCID 0000-0001-6655-3087
Rashid MamunurBangladesh Institute Tropical Infectious Disease (BITID), Fouzderhat, Chittagong 4317, Bangladesh.
Alimul IslamDepartment of Microbiology and Hygiene, Faculty of Veterinary Science, Bangladesh Agricultural University, Mymensingh 2202, Bangladesh.ORCID 0000-0002-6186-8044
Shahjahan Siddike ShakilNational Institute of Diseases of the Chest and Hospital, Mohakhali, Dhaka 1212, Bangladesh.
Marco KaiserTIB Molbiol GmbH, Eresburgstraße 22-23, 12103 Berlin, Germany.
Md Robed AminDepartment of Medicine, Dhaka Medical College Hospital, Dhaka 1000, Bangladesh.
Simon D LyttonSeraDiaLogistics, 81545 Munich, Germany.ORCID 0000-0001-5617-4139
Dhaka Medical College and Hospital · BDNational Institute of Neurosciences & Hospital · BDTIB Molbiol (Germany) · DEBangladesh Agricultural University · BDBangladesh Institute of Development Studies · BDBangladesh Medical University · BDNational Institute of Cardiovascular Diseases · BD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical presentation of COVID-19 and the specific antibody responses associated with SARS-CoV-2 variants have not been investigated during the emergence of Omicron variants in Bangladesh. The Delta and Omicron variants were identified by post-PCR melting curve analysis of the spike (S) protein receptor binding domain amplicons. Anti-S-protein immunoglobulin-G anti-nucleocapsid (N)-protein immunoglobulin-G and immunoglobulin-A levels were measured by ELISA. The Delta variant was found in 40 out of 40 (100%) SARS-CoV-2 RT-PCR positive COVID-19 patients between 13 September and 23 October 2021 and Omicron variants in 90 out of 90 (100%) RT-PCR positive COVID-19 patients between 9 January and 10 February 2022. The Delta variant associated with hospitalization (74%, 80%, and 40%) and oxygen support (60%, 57%, and 40%) in the no vaccine, dose-1, and dose-2 vaccinated cases, respectively, whereas the Omicron COVID-19 required neither hospitalization nor oxygen support (0%, p < 0.0001). Fever, cough, and breathlessness were found at a significantly higher frequency among the Delta than Omicron variants (p < 0.001). The viral RNA levels of the Delta variant were higher than that of the Omicron variants (Ct median 19.9 versus 23.85; p < 0.02). Anti-spike protein immunoglobulin-G and anti-N-protein immunoglobulin-G within 1 week post onset of Delta variant COVID-19 symptoms indicate prior SARS-CoV-2 infection. The Delta variant and Omicron BA.1 and BA.2 breakthrough infections in the Dhaka region, at 240 days post onset of COVID-19 symptoms, negatively correlated with the time interval between the second vaccine dose and serum sampling. The findings of lower anti-spike protein immunoglobulin-G reactivity after booster vaccination than after the second vaccine dose suggest that the booster vaccine is not necessarily beneficial in young Bangladeshi adults having a history of repeated SARS-CoV-2 infections.

Indexed as

anti-N proteinanti-S proteinCOVID-19 symptomsDeltahospitalizationOmicronPCR melting curve analysisSARS CoV-2 variants

Identifiers

PMID36423054
PMCPMC9694163
OpenAlexW4309456174

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.