Prevalence of SARS-CoV-2 Antibodies in Multiple Sclerosis: The Hidden Part of the Iceberg.

COVID-19 antibody infection multiple sclerosis seroprevalence

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
16 Dec 2020
Historique:
received: 26 11 2020
revised: 09 12 2020
accepted: 13 12 2020
entrez: 19 12 2020
pubmed: 20 12 2020
medline: 20 12 2020
Statut: epublish

Résumé

We compared the prevalence of SARS-CoV-2 IgG/IgM in multiple sclerosis (MS), low-risk, and high-risk populations and explored possible clinical correlates. In this cross-sectional study, we recruited MS patients, low-risk (university staff from non-clinical departments), and high-risk individuals (healthcare staff from COVID-19 wards) from 11 May to 15 June 2020. We used lateral flow immunoassay to detect SARS-CoV-2 IgG and IgM. We used t-test, Fisher's exact test, chi square test, or McNemar's test, as appropriate, to evaluate between-group differences. We recruited 310 MS patients (42.3 ± 12.4 years; females 67.1%), 862 low-risk individuals (42.9 ± 13.3 years; females 47.8%), and 235 high-risk individuals (39.4 ± 10.9 years; females 54.5%). The prevalence of SARS-CoV-2 IgG/IgM in MS patients (n = 9, 2.9%) was significantly lower than in the high-risk population (n = 25, 10.6%) ( MS patients have similar risk of SARS-CoV-2 infection to the general population, and can be asymptomatic from COVID-19, also if using treatments with systemic immunosuppression.

Sections du résumé

BACKGROUND BACKGROUND
We compared the prevalence of SARS-CoV-2 IgG/IgM in multiple sclerosis (MS), low-risk, and high-risk populations and explored possible clinical correlates.
METHODS METHODS
In this cross-sectional study, we recruited MS patients, low-risk (university staff from non-clinical departments), and high-risk individuals (healthcare staff from COVID-19 wards) from 11 May to 15 June 2020. We used lateral flow immunoassay to detect SARS-CoV-2 IgG and IgM. We used t-test, Fisher's exact test, chi square test, or McNemar's test, as appropriate, to evaluate between-group differences.
RESULTS RESULTS
We recruited 310 MS patients (42.3 ± 12.4 years; females 67.1%), 862 low-risk individuals (42.9 ± 13.3 years; females 47.8%), and 235 high-risk individuals (39.4 ± 10.9 years; females 54.5%). The prevalence of SARS-CoV-2 IgG/IgM in MS patients (n = 9, 2.9%) was significantly lower than in the high-risk population (n = 25, 10.6%) (
CONCLUSIONS CONCLUSIONS
MS patients have similar risk of SARS-CoV-2 infection to the general population, and can be asymptomatic from COVID-19, also if using treatments with systemic immunosuppression.

Identifiants

pubmed: 33339402
pii: jcm9124066
doi: 10.3390/jcm9124066
pmc: PMC7766741
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Nicola Capasso (N)

Multiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80138 Naples, Italy.

Raffaele Palladino (R)

Department of Public Health, University of Naples "Federico II", 80138 Naples, Italy.
Department of Primary Care and Public Health, Imperial College London, London W68RP, UK.

Emma Montella (E)

Department of Hygiene, Preventive and Industrial Medicine, University Hospital "Federico II", 80138 Naples, Italy.

Francesca Pennino (F)

Department of Public Health, University of Naples "Federico II", 80138 Naples, Italy.

Roberta Lanzillo (R)

Multiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80138 Naples, Italy.

Antonio Carotenuto (A)

Multiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80138 Naples, Italy.

Maria Petracca (M)

Multiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80138 Naples, Italy.

Rosa Iodice (R)

Multiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80138 Naples, Italy.

Aniello Iovino (A)

Multiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80138 Naples, Italy.

Francesco Aruta (F)

Multiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80138 Naples, Italy.

Viviana Pastore (V)

Department of Public Health, University of Naples "Federico II", 80138 Naples, Italy.

Antonio Riccardo Buonomo (AR)

Section of Infectious Diseases, Department of Clinical Medicine and Surgery, University of Naples "Federico II", 80138 Naples, Italy.

Emanuela Zappulo (E)

Section of Infectious Diseases, Department of Clinical Medicine and Surgery, University of Naples "Federico II", 80138 Naples, Italy.

Ivan Gentile (I)

Section of Infectious Diseases, Department of Clinical Medicine and Surgery, University of Naples "Federico II", 80138 Naples, Italy.
UNESCO Chair on Health Education and Sustainable Development, University of Naples "Federico II", 80138 Naples, Italy.

Maria Triassi (M)

Department of Public Health, University of Naples "Federico II", 80138 Naples, Italy.

Vincenzo Brescia Morra (V)

Multiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80138 Naples, Italy.

Marcello Moccia (M)

Multiple Sclerosis Clinical Care and Research Centre, Department of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80138 Naples, Italy.

Classifications MeSH