Detection of Neutralizing Antibodies against SARS-CoV-2 Post-Vaccination in Health Care Workers of a Large Tertiary Hospital in Spain by Using a Rapid Test LFIC and sVNT-ELISA.
Por:
Tuells J, Parra-Grande M, Santos-Calle FJ, Montagud AC, Egoavil CM, García-Rivera C, Caballero P, Gabaldón-Bravo EM, Rodríguez-Diaz JC and Hurtado-Sánchez JA
Publicada:
25 mar 2022
Ahead of Print:
25 mar 2022
Resumen:
The presence of neutralizing antibodies (NAbs) against SARS-CoV-2 represent a surrogate marker of immunologic protection in populations at high risk of infection such as healthcare workers caring for hospitalized patients with COVID-19. As recommended by CDC and the European CDC, the use of rapid diagnostic tests during population-based evaluations offers an opportunity to identify individuals with serologic evidence of natural infection or who have undergone vaccination. We carried out a cross-sectional study to assess the presence of neutralizing antibodies against SARS-CoV-2 among medical providers at an intensive care unit of a large referral hospital in Alicante, Spain. In addition, we tested for the presence of neutralizing antibodies compared to serum of uninfected individuals from a Biobank. We were also interested in evaluating the use of a rapid lateral flow immunochromatography (LFIC) test against a surrogate ELISA viral neutralization test (sVNT). This rapid test demonstrated a specificity of 1.000 95% CI (0.91-1.00) and the sensitivity of 0.987 95% CI (0.93-1.00). The negative predictive value was 95%. After six months, this rapid test demonstrated that those immunized with two doses of BioNTech/Pfizer vaccine, maintained optimal levels of neutralizing antibodies. We concluded that all Health Care Workers develop NAbs and the use of this rapid immunochromatographic test represents a potential tool to be used in population-based studies to detect serological antibody responses to vaccination. Vaccination policies could benefit from this tool to assess additional doses of vaccine or boosters among high-risk populations.
Filiaciones:
:
Department Community Nursing, Preventive Medicine and History of Science, Alicante Institute for Health and Biomedical Research (ISABIAL), University of Alicante, 03690 Alicante, Spain
:
Microbiology Department, General University Hospital Alicante, 03010 Alicante, Spain
Santos-Calle FJ:
Intensive Care Medicine Service, General University Hospital Elche, 03293 Elche, Spain
Montagud AC:
Immunology Department, Fundación Jiménez Díaz University Hospital, 28040 Madrid, Spain
:
Clinical Pharmacology Unit, General University Hospital of Alicante, Alicante Institute for Health and Biomedical Research (ISABIAL), 03010 Alicante, Spain
García-Rivera C:
Microbiology Department, General University Hospital Alicante, 03010 Alicante, Spain
:
Department Community Nursing, Preventive Medicine and History of Science, Alicante Institute for Health and Biomedical Research (ISABIAL), University of Alicante, 03690 Alicante, Spain
Gabaldón-Bravo EM:
Department of Nursing, Faculty of Health Sciences, University of Alicante, 03690 Alicante, Spain
:
Microbiology Department, General University Hospital Alicante, 03010 Alicante, Spain
Hurtado-Sánchez JA:
Department of Nursing, Faculty of Health Sciences, University of Alicante, 03690 Alicante, Spain
Green Published, gold
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