High prevalence of symptoms among Brazilian subjects with antibodies against SARS-CoV-2

Abstract Since the beginning of the pandemic of COVID-19, there has been a widespread assumption that most infected persons are asymptomatic. Using data from the recent wave of the EPICOVID19 study, a nationwide household-based survey including 133 cities from all states of Brazil, we estimated the...

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Autores principales: Ana M. B. Menezes, Cesar G. Victora, Fernando P. Hartwig, Mariângela F. Silveira, Bernardo L. Horta, Aluísio J. D. Barros, Marilia A. Mesenburg, Fernando C. Wehrmeister, Lúcia C. Pellanda, Odir A. Dellagostin, Cláudio J. Struchiner, Marcelo N. Burattini, Fernando C. Barros, Pedro C. Hallal
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:b4dbffcd6e78489f849ed91d1a9ca7052021-12-02T17:44:54ZHigh prevalence of symptoms among Brazilian subjects with antibodies against SARS-CoV-210.1038/s41598-021-92775-y2045-2322https://doaj.org/article/b4dbffcd6e78489f849ed91d1a9ca7052021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92775-yhttps://doaj.org/toc/2045-2322Abstract Since the beginning of the pandemic of COVID-19, there has been a widespread assumption that most infected persons are asymptomatic. Using data from the recent wave of the EPICOVID19 study, a nationwide household-based survey including 133 cities from all states of Brazil, we estimated the proportion of people with and without antibodies for SARS-CoV-2 who were asymptomatic, which symptoms were most frequently reported, number of symptoms and the association with socio-demographic characteristics. We tested 33,205 subjects using a rapid antibody test previously validated. Information was collected before participants received the test result. Out of 849 (2.7%) participants positive for SARS-CoV-2 antibodies, only 12.1% (95% CI 10.1–14.5) reported no symptoms, compared to 42.2% (95% CI 41.7–42.8) among those negative. The largest difference between the two groups was observed for changes in smell/taste (56.5% versus 9.1%, a 6.2-fold difference). Changes in smell/taste, fever and body aches were most likely to predict positive tests as suggested by recursive partitioning tree analysis. Among individuals without any of these three symptoms, only 0.8% tested positive, compared to 18.3% of those with both fever and changes in smell or taste. Most subjects with antibodies against SARS-CoV-2 are symptomatic, even though most present only mild symptoms.Ana M. B. MenezesCesar G. VictoraFernando P. HartwigMariângela F. SilveiraBernardo L. HortaAluísio J. D. BarrosMarilia A. MesenburgFernando C. WehrmeisterLúcia C. PellandaOdir A. DellagostinCláudio J. StruchinerMarcelo N. BurattiniFernando C. BarrosPedro C. HallalNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ana M. B. Menezes
Cesar G. Victora
Fernando P. Hartwig
Mariângela F. Silveira
Bernardo L. Horta
Aluísio J. D. Barros
Marilia A. Mesenburg
Fernando C. Wehrmeister
Lúcia C. Pellanda
Odir A. Dellagostin
Cláudio J. Struchiner
Marcelo N. Burattini
Fernando C. Barros
Pedro C. Hallal
High prevalence of symptoms among Brazilian subjects with antibodies against SARS-CoV-2
description Abstract Since the beginning of the pandemic of COVID-19, there has been a widespread assumption that most infected persons are asymptomatic. Using data from the recent wave of the EPICOVID19 study, a nationwide household-based survey including 133 cities from all states of Brazil, we estimated the proportion of people with and without antibodies for SARS-CoV-2 who were asymptomatic, which symptoms were most frequently reported, number of symptoms and the association with socio-demographic characteristics. We tested 33,205 subjects using a rapid antibody test previously validated. Information was collected before participants received the test result. Out of 849 (2.7%) participants positive for SARS-CoV-2 antibodies, only 12.1% (95% CI 10.1–14.5) reported no symptoms, compared to 42.2% (95% CI 41.7–42.8) among those negative. The largest difference between the two groups was observed for changes in smell/taste (56.5% versus 9.1%, a 6.2-fold difference). Changes in smell/taste, fever and body aches were most likely to predict positive tests as suggested by recursive partitioning tree analysis. Among individuals without any of these three symptoms, only 0.8% tested positive, compared to 18.3% of those with both fever and changes in smell or taste. Most subjects with antibodies against SARS-CoV-2 are symptomatic, even though most present only mild symptoms.
format article
author Ana M. B. Menezes
Cesar G. Victora
Fernando P. Hartwig
Mariângela F. Silveira
Bernardo L. Horta
Aluísio J. D. Barros
Marilia A. Mesenburg
Fernando C. Wehrmeister
Lúcia C. Pellanda
Odir A. Dellagostin
Cláudio J. Struchiner
Marcelo N. Burattini
Fernando C. Barros
Pedro C. Hallal
author_facet Ana M. B. Menezes
Cesar G. Victora
Fernando P. Hartwig
Mariângela F. Silveira
Bernardo L. Horta
Aluísio J. D. Barros
Marilia A. Mesenburg
Fernando C. Wehrmeister
Lúcia C. Pellanda
Odir A. Dellagostin
Cláudio J. Struchiner
Marcelo N. Burattini
Fernando C. Barros
Pedro C. Hallal
author_sort Ana M. B. Menezes
title High prevalence of symptoms among Brazilian subjects with antibodies against SARS-CoV-2
title_short High prevalence of symptoms among Brazilian subjects with antibodies against SARS-CoV-2
title_full High prevalence of symptoms among Brazilian subjects with antibodies against SARS-CoV-2
title_fullStr High prevalence of symptoms among Brazilian subjects with antibodies against SARS-CoV-2
title_full_unstemmed High prevalence of symptoms among Brazilian subjects with antibodies against SARS-CoV-2
title_sort high prevalence of symptoms among brazilian subjects with antibodies against sars-cov-2
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/b4dbffcd6e78489f849ed91d1a9ca705
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