Assessment of COVID-19 Incidence and the Ability to Synthesise Anti-SARS-CoV-2 Antibodies of Paediatric Patients with Primary Immunodeficiency

Background: Data regarding the course of SARS-CoV-2 infection in children with primary immunodeficiency (PID) is insufficient. The purpose of the study was to evaluate the morbidity and clinical course of COVID-19 and the ability to produce anti-SARS-CoV-2 IgG antibodies in children with PID. Method...

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Autores principales: Karolina Pieniawska-Śmiech, Anna Kuraszewicz, Joanna Sado, Karol Śmiech, Aleksandra Lewandowicz-Uszyńska
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spelling oai:doaj.org-article:4108c7e06e3f4137bfa734158fc7e3512021-11-11T17:43:51ZAssessment of COVID-19 Incidence and the Ability to Synthesise Anti-SARS-CoV-2 Antibodies of Paediatric Patients with Primary Immunodeficiency10.3390/jcm102151112077-0383https://doaj.org/article/4108c7e06e3f4137bfa734158fc7e3512021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5111https://doaj.org/toc/2077-0383Background: Data regarding the course of SARS-CoV-2 infection in children with primary immunodeficiency (PID) is insufficient. The purpose of the study was to evaluate the morbidity and clinical course of COVID-19 and the ability to produce anti-SARS-CoV-2 IgG antibodies in children with PID. Methods: In this retrospective study, medical records of 99 patients aged 0–18 were evaluated. The patients were divided into three groups: PID group (68.69%), control group (19.19%) and patients with ongoing or previous paediatric inflammatory multisystem syndrome (12.12%). Data such as morbidity, clinical outcome, and IgG anti-SARS-CoV-2 antibody titres were assessed. Results: A confirmed diagnosis of SARS-CoV-2 infection has been established in 26.47% of patients with PID. Among patients with PID infected with SARS-CoV-2, only three cases were hospitalised. Mortality in the PID group was 0%. Throughout an observation period of 1 year, 47.06% of patients with PID were tested positive for the anti-SARS-CoV-2 antibody. Conclusions: In the study group, in most cases the disease had a mild and self-limiting course. Remarkably, even though IgG deficiency was the most prevalent form of PID in the study group, the patients were able to respond satisfactorily to the infection in terms of anti-SARS-CoV-2 IgG.Karolina Pieniawska-ŚmiechAnna KuraszewiczJoanna SadoKarol ŚmiechAleksandra Lewandowicz-UszyńskaMDPI AGarticleanti-SARS-CoV-2 antibodiesCOVID-19primary immunodeficiencySARS-CoV-2PIMS-TSMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5111, p 5111 (2021)
institution DOAJ
collection DOAJ
language EN
topic anti-SARS-CoV-2 antibodies
COVID-19
primary immunodeficiency
SARS-CoV-2
PIMS-TS
Medicine
R
spellingShingle anti-SARS-CoV-2 antibodies
COVID-19
primary immunodeficiency
SARS-CoV-2
PIMS-TS
Medicine
R
Karolina Pieniawska-Śmiech
Anna Kuraszewicz
Joanna Sado
Karol Śmiech
Aleksandra Lewandowicz-Uszyńska
Assessment of COVID-19 Incidence and the Ability to Synthesise Anti-SARS-CoV-2 Antibodies of Paediatric Patients with Primary Immunodeficiency
description Background: Data regarding the course of SARS-CoV-2 infection in children with primary immunodeficiency (PID) is insufficient. The purpose of the study was to evaluate the morbidity and clinical course of COVID-19 and the ability to produce anti-SARS-CoV-2 IgG antibodies in children with PID. Methods: In this retrospective study, medical records of 99 patients aged 0–18 were evaluated. The patients were divided into three groups: PID group (68.69%), control group (19.19%) and patients with ongoing or previous paediatric inflammatory multisystem syndrome (12.12%). Data such as morbidity, clinical outcome, and IgG anti-SARS-CoV-2 antibody titres were assessed. Results: A confirmed diagnosis of SARS-CoV-2 infection has been established in 26.47% of patients with PID. Among patients with PID infected with SARS-CoV-2, only three cases were hospitalised. Mortality in the PID group was 0%. Throughout an observation period of 1 year, 47.06% of patients with PID were tested positive for the anti-SARS-CoV-2 antibody. Conclusions: In the study group, in most cases the disease had a mild and self-limiting course. Remarkably, even though IgG deficiency was the most prevalent form of PID in the study group, the patients were able to respond satisfactorily to the infection in terms of anti-SARS-CoV-2 IgG.
format article
author Karolina Pieniawska-Śmiech
Anna Kuraszewicz
Joanna Sado
Karol Śmiech
Aleksandra Lewandowicz-Uszyńska
author_facet Karolina Pieniawska-Śmiech
Anna Kuraszewicz
Joanna Sado
Karol Śmiech
Aleksandra Lewandowicz-Uszyńska
author_sort Karolina Pieniawska-Śmiech
title Assessment of COVID-19 Incidence and the Ability to Synthesise Anti-SARS-CoV-2 Antibodies of Paediatric Patients with Primary Immunodeficiency
title_short Assessment of COVID-19 Incidence and the Ability to Synthesise Anti-SARS-CoV-2 Antibodies of Paediatric Patients with Primary Immunodeficiency
title_full Assessment of COVID-19 Incidence and the Ability to Synthesise Anti-SARS-CoV-2 Antibodies of Paediatric Patients with Primary Immunodeficiency
title_fullStr Assessment of COVID-19 Incidence and the Ability to Synthesise Anti-SARS-CoV-2 Antibodies of Paediatric Patients with Primary Immunodeficiency
title_full_unstemmed Assessment of COVID-19 Incidence and the Ability to Synthesise Anti-SARS-CoV-2 Antibodies of Paediatric Patients with Primary Immunodeficiency
title_sort assessment of covid-19 incidence and the ability to synthesise anti-sars-cov-2 antibodies of paediatric patients with primary immunodeficiency
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/4108c7e06e3f4137bfa734158fc7e351
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