High pre-Delta and early-Omicron SARS-CoV-2 seroprevalence detected in dried blood samples from Kinshasa (D.R. Congo)

© 2024 The Authors. Journal of Medical Virology published by Wiley Periodicals LLC..

Studies on the impact of the COVID-19 pandemic in sub-Saharan Africa have yielded varying results, although authors universally agree the real burden surpasses reported cases. The primary objective of this study was to determine SARS-CoV-2 seroprevalence among patients attending Monkole Hospital in Kinshasa (D.R. Congo). The secondary objective was to evaluate the analytic performance of two chemiluminescence platforms: Elecsys® (Roche) and VirClia® (Vircell) on dried blood spot samples (DBS). The study population (N = 373) was recruited in two stages: a mid-2021 blood donor cohort (15.5% women) and a mid-2022 women cohort. Crude global seroprevalence was 61% (53.9%-67.8%) pre-Delta in 2021 and 90.2% (84.7%-94.2%) post-Omicron in 2022. Anti-spike (S) antibody levels significantly increased from 53.1 (31.8-131.3) U/mL in 2021 to 436.5 (219.3-950.5) U/mL in 2022 and were significantly higher above 45 years old in the 2022 population. Both platforms showed good analytic performance on DBS samples: sensitivity was 96.8% for IgG (antiN/S) (93.9%-98.5%) and 96.0% (93.0%-98.0%) for anti-S quantification. These results provide additional support for the notion that exposure to SARS-CoV-2 is more widespread than indicated by case-based surveillance and will be able to guide the pandemic response and strategy moving forward. Likewise, this study contributes evidence to the reliability of DBS as a tool for serological testing and diagnosis in resource-limited settings.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:96

Enthalten in:

Journal of medical virology - 96(2024), 3 vom: 22. März, Seite e29529

Sprache:

Englisch

Beteiligte Personen:

de Aguirre, Paula Martínez [VerfasserIn]
Carlos, Silvia [VerfasserIn]
Pina-Sánchez, Manuel [VerfasserIn]
Mbikayi, Samclide [VerfasserIn]
Burgueño, Eduardo [VerfasserIn]
Tendobi, Céline [VerfasserIn]
Chiva, Luis [VerfasserIn]
Holguín, África [VerfasserIn]
Reina, Gabriel [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Viral
COVID‐19
Chemiluminescence
DBS
Journal Article
SARS‐CoV‐2
Seroprevalence
Sub‐Saharan Africa

Anmerkungen:

Date Completed 25.03.2024

Date Revised 25.03.2024

published: Print

Citation Status MEDLINE

doi:

10.1002/jmv.29529

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370063449