Estimates of protection levels against SARS-CoV-2 infection and severe COVID-19 in Germany before the 2022/2023 winter season: the IMMUNEBRIDGE project.

Humoral immunity Neutralizing antibodies SARS-CoV-2 Seroepidemiological studies

Journal

Infection
ISSN: 1439-0973
Titre abrégé: Infection
Pays: Germany
ID NLM: 0365307

Informations de publication

Date de publication:
02 Aug 2023
Historique:
received: 06 06 2023
accepted: 27 06 2023
medline: 2 8 2023
pubmed: 2 8 2023
entrez: 2 8 2023
Statut: aheadofprint

Résumé

Despite the need to generate valid and reliable estimates of protection levels against SARS-CoV-2 infection and severe course of COVID-19 for the German population in summer 2022, there was a lack of systematically collected population-based data allowing for the assessment of the protection level in real time. In the IMMUNEBRIDGE project, we harmonised data and biosamples for nine population-/hospital-based studies (total number of participants n = 33,637) to provide estimates for protection levels against SARS-CoV-2 infection and severe COVID-19 between June and November 2022. Based on evidence synthesis, we formed a combined endpoint of protection levels based on the number of self-reported infections/vaccinations in combination with nucleocapsid/spike antibody responses ("confirmed exposures"). Four confirmed exposures represented the highest protection level, and no exposure represented the lowest. Most participants were seropositive against the spike antigen; 37% of the participants ≥ 79 years had less than four confirmed exposures (highest level of protection) and 5% less than three. In the subgroup of participants with comorbidities, 46-56% had less than four confirmed exposures. We found major heterogeneity across federal states, with 4-28% of participants having less than three confirmed exposures. Using serological analyses, literature synthesis and infection dynamics during the survey period, we observed moderate to high levels of protection against severe COVID-19, whereas the protection against SARS-CoV-2 infection was low across all age groups. We found relevant protection gaps in the oldest age group and amongst individuals with comorbidities, indicating a need for additional protective measures in these groups.

Identifiants

pubmed: 37530919
doi: 10.1007/s15010-023-02071-2
pii: 10.1007/s15010-023-02071-2
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. The Author(s).

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Auteurs

Berit Lange (B)

Department of Epidemiology, Helmholtz Centre for Infection Research (HZI), Brunswick, Germany. Berit.Lange@helmholtz-hzi.de.
German Center for Infection Research (DZIF), TI BBD, Brunswick, Germany. Berit.Lange@helmholtz-hzi.de.

Veronika K Jaeger (VK)

Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany.

Manuela Harries (M)

Department of Epidemiology, Helmholtz Centre for Infection Research (HZI), Brunswick, Germany.

Viktoria Rücker (V)

Institute of Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.

Hendrik Streeck (H)

Institute of Virology, Medical Faculty, University of Bonn, Bonn, Germany.
German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Brunswick, Germany.

Sabine Blaschke (S)

Emergency Department, University Medical Center Göttingen, Göttingen, Germany.

Astrid Petersmann (A)

Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Oldenburg, Oldenburg, Germany.
Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany.

Nicole Toepfner (N)

Department of Pediatrics, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.

Matthias Nauck (M)

Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany.
DZHK (German Centre for Cardiovascular Research), Partner Site Greifswald, University Medicine Greifswald, Greifswald, Germany.

Max J Hassenstein (MJ)

Department of Epidemiology, Helmholtz Centre for Infection Research (HZI), Brunswick, Germany.

Maren Dreier (M)

Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Hannover, Germany.

Isabell von Holt (I)

Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Hannover, Germany.

Axel Budde (A)

Institute of Virology, Medical Faculty, University of Bonn, Bonn, Germany.
German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Brunswick, Germany.

Antonia Bartz (A)

Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany.

Julia Ortmann (J)

Department of Epidemiology, Helmholtz Centre for Infection Research (HZI), Brunswick, Germany.

Marc-André Kurosinski (MA)

Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany.

Reinhard Berner (R)

Department of Pediatrics, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.

Max Borsche (M)

Institute of Neurogenetics, University of Lübeck, Lübeck, Germany.

Gunnar Brandhorst (G)

Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Oldenburg, Oldenburg, Germany.

Melanie Brinkmann (M)

Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Hannover, Germany.

Kathrin Budde (K)

Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany.

Marek Deckena (M)

MVZ Labor Krone GbR, Bad Salzuflen, Germany.

Geraldine Engels (G)

Department of Pediatrics, University Hospital Würzburg, Würzburg, Germany.

Marc Fenzlaff (M)

Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany.

Christoph Härtel (C)

Department of Pediatrics, University Hospital Würzburg, Würzburg, Germany.

Olga Hovardovska (O)

Department of Epidemiology, Helmholtz Centre for Infection Research (HZI), Brunswick, Germany.

Alexander Katalinic (A)

Institute of Social Medicine and Epidemiology, University of Luebeck, Luebeck, Germany.

Katja Kehl (K)

Institute of Virology, Medical Faculty, University of Bonn, Bonn, Germany.
German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Brunswick, Germany.

Mirjam Kohls (M)

Institute of Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.

Stefan Krüger (S)

Dimap, das Institut Für Markt- Und Politikforschung GmbH, Bonn, Germany.

Wolfgang Lieb (W)

Institute of Epidemiology, Christian-Albrechts-University of Kiel, Kiel, Germany.

Kristin M Meyer-Schlinkmann (KM)

MVZ Labor Krone GbR, Bad Salzuflen, Germany.

Tobias Pischon (T)

Molecular Epidemiology Research Group, Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.
Biobank Technology Platform, Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.
Charité-Universitätsmedizin Berlin, Berlin corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

Daniel Rosenkranz (D)

Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Oldenburg, Oldenburg, Germany.

Nicole Rübsamen (N)

Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany.

Jan Rupp (J)

Department of Infectious Diseases and Microbiology, University Hospital Schleswig-Holstein, German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems, Lübeck, Germany.

Christian Schäfer (C)

Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany.

Mario Schattschneider (M)

Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany.

Anne Schlegtendal (A)

University Children's Hospital, Ruhr University Bochum, Bochum, Germany.

Simon Schlinkert (S)

Dimap, das Institut Für Markt- Und Politikforschung GmbH, Bonn, Germany.

Lena Schmidbauer (L)

Institute of Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.

Kai Schulze-Wundling (K)

Institute of Virology, Medical Faculty, University of Bonn, Bonn, Germany.
German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Brunswick, Germany.

Stefan Störk (S)

Department of Clinical Research and Epidemiology, Comprehensive Heart Failure Center (CHFC), and Department of Internal Medicine I, University Hospital Würzburg, Würzburg, Germany.

Carsten Tiemann (C)

MVZ Labor Krone GbR, Bad Salzuflen, Germany.

Henry Völzke (H)

Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.

Theresa Winter (T)

Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany.

Christine Klein (C)

Institute of Neurogenetics, University of Lübeck, Lübeck, Germany.

Johannes Liese (J)

Department of Pediatrics, University Hospital Würzburg, Würzburg, Germany.

Folke Brinkmann (F)

University Children's Hospital, Ruhr University Bochum, Bochum, Germany.

Patrick F Ottensmeyer (PF)

Institute of Virology, Medical Faculty, University of Bonn, Bonn, Germany.
German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Brunswick, Germany.

Jens-Peter Reese (JP)

Institute of Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Institute for Medical Data Science, University Hospital Würzburg, Würzburg, Germany.

Peter Heuschmann (P)

Institute of Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Institute for Medical Data Science, University Hospital Würzburg, Würzburg, Germany.
Clinical Trial Center, University Hospital Würzburg, Würzburg, Germany.

André Karch (A)

Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany. akarch@uni-muenster.de.

Classifications MeSH