Infection episodes and islet autoantibodies in children at increased risk for type 1 diabetes before and during the COVID-19 pandemic.

Autoimmunity COVID-19 Infection Type 1 diabetes

Journal

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

Informations de publication

Date de publication:
14 Jun 2024
Historique:
received: 06 03 2024
accepted: 29 05 2024
medline: 14 6 2024
pubmed: 14 6 2024
entrez: 14 6 2024
Statut: aheadofprint

Résumé

To determine the impact of the COVID-19 pandemic on the incidence rates of infection and islet autoimmunity in children at risk for type 1 diabetes. 1050 children aged 4 to 7 months with an elevated genetic risk for type 1 diabetes were recruited from Germany, Poland, Sweden, Belgium and the UK. Reported infection episodes and islet autoantibody development were monitored until age 40 months from February 2018 to February 2023. The overall infection rate was 311 (95% Confidence Interval [CI], 304-318) per 100 person years. Infection rates differed by age, country, family history of type 1 diabetes, and period relative to the pandemic. Total infection rates were 321 per 100 person-years (95% CI 304-338) in the pre-pandemic period (until February 2020), 160 (95% CI 148-173) per 100 person-years in the first pandemic year (March 2020-February 2021; P < 0.001) and 337 (95% CI 315-363) per 100 person-years in subsequent years. Similar trends were observed for respiratory and gastrointestinal infections. Islet autoantibody incidence rates were 1.6 (95% CI 1.0-2.4) per 100 person-years in the pre-pandemic period, 1.2 (95% CI 0.8-1.9) per 100 person-years in the first pandemic year (P = 0.46), and 3.4 (95% CI 2.3-4.8) per 100 person-years in subsequent years (P = 0.005 vs. pre-pandemic year; P < 0.001 vs. first pandemic year). The COVID-19 pandemic was associated with significantly altered infection patterns. Islet autoantibody incidence rates increased two-fold when infection rates returned to pre-pandemic levels.

Identifiants

pubmed: 38874748
doi: 10.1007/s15010-024-02312-y
pii: 10.1007/s15010-024-02312-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : The Leona M. and Harry B. Helmsley Charitable Trust
ID : 2018PG-T1D022
Organisme : Bundesministerium für Bildung und Forschung
ID : FKZ 01KX1818
Organisme : EASD-Novo Nordisk Foundation Diabetes Prize for Excellence to AGZ
ID : NNF22SA0081044

Informations de copyright

© 2024. The Author(s).

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Auteurs

Ivo Zeller (I)

Institute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Heidemannstrasse 1, 80939, Munich, Germany.

Andreas Weiss (A)

Institute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Heidemannstrasse 1, 80939, Munich, Germany.

Stefanie Arnolds (S)

Institute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Heidemannstrasse 1, 80939, Munich, Germany.

Katharina Schütte-Borkovec (K)

Institute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Heidemannstrasse 1, 80939, Munich, Germany.

Sari Arabi (S)

Center for Regenerative Therapies Dresden, Technische Universität Dresden, Dresden, Germany.
Department of Pediatrics, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.

Thekla von dem Berge (T)

Kinder- Und Jugendkrankenhaus AUF DER BULT, Hannover, Germany.

Kristina Casteels (K)

Department of Pediatrics, University Hospitals Leuven, Louvain, Belgium.
Department of Development and Regeneration, KU Leuven, Louvain, Belgium.

Angela Hommel (A)

Center for Regenerative Therapies Dresden, Technische Universität Dresden, Dresden, Germany.

Olga Kordonouri (O)

Kinder- Und Jugendkrankenhaus AUF DER BULT, Hannover, Germany.

Helena Elding Larsson (HE)

Unit for Pediatric Endocrinology, Department of Clinical Sciences Malmö, Lund University, Lund, Sweden.
Department of Paediatrics, Skåne University Hospital, Malmö/Lund, Sweden.

Markus Lundgren (M)

Unit for Pediatric Endocrinology, Department of Clinical Sciences Malmö, Lund University, Lund, Sweden.
Department of Pediatrics, Kristianstad Hospital, Kristianstad, Sweden.

Anne Rochtus (A)

Department of Pediatrics, University Hospitals Leuven, Louvain, Belgium.
Department of Development and Regeneration, KU Leuven, Louvain, Belgium.

Matthew D Snape (MD)

Oxford Vaccine Group, University of Oxford Department of Paediatrics, NIHR Oxford Biomedical Research Centre, Oxford, UK.

Agnieszka Szypowka (A)

Department of Paediatrics, Medical University of Warsaw, Warsaw, Poland.

Manu Vatish (M)

Nuffield Department of Women's & Reproductive Health, Oxford, UK.

Christiane Winkler (C)

Institute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Heidemannstrasse 1, 80939, Munich, Germany.

Ezio Bonifacio (E)

Center for Regenerative Therapies Dresden, Technische Universität Dresden, Dresden, Germany.
Paul Langerhans Institute Dresden of the Helmholtz Munich at University Hospital Carl Gustav Carus, Faculty of Medicine, TU, Dresden, Germany.

Anette-Gabriele Ziegler (AG)

Institute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Heidemannstrasse 1, 80939, Munich, Germany. anettegabriele.ziegler@helmholtz-munich.de.
Forschergruppe Diabetes E.V. at Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany. anettegabriele.ziegler@helmholtz-munich.de.
Forschergruppe Diabetes, School of Medicine, Klinikum Rechts Der Isar, Technical University Munich, Munich, Germany. anettegabriele.ziegler@helmholtz-munich.de.

Classifications MeSH