Diagnostic value and dynamic variance of serum antibody in coronavirus disease 2019

Objective: To investigate the diagnostic value of serological testing and dynamic variance of serum antibody in coronavirus disease 2019 (COVID-19). Methods: This study retrospectively included 43 patients with a laboratory-confirmed infection and 33 patients with a suspected infection, in whom the disease was eventually excluded. The IgM/IgG titer of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was measured by chemiluminescence immunoassay analysis. Results: Compared to molecular detection, the sensitivities of serum IgM and IgG antibodies to diagnose COVID-19 were 48.1% and 88.9%, and the specificities were 100% and 90.9%, respectively.In the COVID-19 group, the IgM-positive rate increased slightly at first and then decreased over time; in contrast, the IgG-positive rate increased to 100% and was higher than IgM at all times. The IgM-positive rate and titer were not significantly different before and after conversion to virus-negative. The IgG-positive rate was up to 90% and not significantly different before and after conversion to virus-negative. However, the median IgG titer after conversion to virus-negative was double that before, and the difference was significant. Conclusions: Viral serological testing is an effective means of diagnosis for SARS-CoV-2 infection. The positive rate and titer variance of IgG are higher than those of IgM in COVID-19..

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:94

Enthalten in:

International Journal of Infectious Diseases - 94(2020), Seite 49-52

Sprache:

Englisch

Beteiligte Personen:

Yujiao Jin [VerfasserIn]
Miaochan Wang [VerfasserIn]
Zhongbao Zuo [VerfasserIn]
Chaoming Fan [VerfasserIn]
Fei Ye [VerfasserIn]
Zhaobin Cai [VerfasserIn]
Ying Wang [VerfasserIn]
Huaizhong Cui [VerfasserIn]
Kenu Pan [VerfasserIn]
Aifang Xu [VerfasserIn]

Links:

doi.org [kostenfrei]
doaj.org [kostenfrei]
www.sciencedirect.com [kostenfrei]
Journal toc [kostenfrei]

Themen:

COVID-19
Diagnosis
Immunoglobulin G
Immunoglobulin M
Infectious and parasitic diseases
SARS-CoV-2
Serological test

doi:

10.1016/j.ijid.2020.03.065

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

DOAJ006233783