ESCMID eAcademy

A comparison of three different assays on SARS-CoV2 seroprevalence and kinetics
ESCMID eAcademy. Armann J. 07/09/21; 332830; 2979
Jakob Armann
Jakob Armann
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Abstract
Discussion Forum (0)
Abstract number: 2979

Session Type: 1,5-hour Oral Session

Session Title: 1,5-hour Oral Session

Authors(s): E. Kahre (1), L. Galow (1), A. Dalpke (2), R. Berner (1), J. Armann (1)

Authors Affiliations(s): (1) 1. University Children's Hospital Technische Universität (TU), Germany, (2) Institute for Medical Microbiology and Virology, Medical Faculty Carl Gustav Carus, Technische Universität, Germany

Background:

Longitudinal studies on SARS-CoV-2 antibody kinetics comparing different commercially available assays are currently lacking. 

Methods:

Individuals with confirmed SARS-CoV-2 infections had their SARS-CoV-2 antibody status analyzed twice using three commercially avbailable antibody assays. 

Diasorin LIAISON® SARS-CoV-2 S1/S2 IgG Assay, Abbott Diagnostics® ARCHITECT SARS-CoV-2 IgG and Euroimmun® Anti-SARS-CoV-2 ELISA were used. 

Results:

122 individuals were enrolled in this study. Median time between first SARS-CoV-2 antibody assessment and the infection was 144 days. 100 participants had detectable antibodies in the Diasorin LIAISON® assay, 96 in the Euroimmun® assay and 70 in the Abbott Diagnostics® Assay. 99 participants had detectable antibodies against SARS-CoV-2 in at least two different assays at baseline. Time between infection and antibody assessment (146 days/141 days), Hospitalization rate (8/99(8%)/0/23 (0%)) and frequency of reported symptoms (75/99 (76%)/ 17/23 (74%)) did not differ significantly between participants with at least one positive assay versus none. Seropositivity, however, differed significantly depending on test indication. While 44/50 (88%) participants with a defined SARS-CoV-2 positive contact were seropositive and 18/19 (95%) who were tested related to travel history only 18/32 (56%) were seropositive who were tested solely based on symptoms.  Median time between second antibody assessment and infection was 295 days.  98/100 (98%) of participants with initially detectable antibodies in the Diasorin LIAISON® assay, 71/96 (74%) in the Euroimmun® assay and 21/70 (30%) in Abbott Diagnostics® continued to have detectable antibodies 9-11 months after the infection.      

Conclusions:

There are relevant differences in SARS-CoV-2 antibody kinetics comparing different assays that warrent further studies especially when using these assays is seroepidemiological studies. 

Keyword(s): COVID19, Antibody kinetics, seroprevalence

COI Institutional Grants: Yes
Abstract number: 2979

Session Type: 1,5-hour Oral Session

Session Title: 1,5-hour Oral Session

Authors(s): E. Kahre (1), L. Galow (1), A. Dalpke (2), R. Berner (1), J. Armann (1)

Authors Affiliations(s): (1) 1. University Children's Hospital Technische Universität (TU), Germany, (2) Institute for Medical Microbiology and Virology, Medical Faculty Carl Gustav Carus, Technische Universität, Germany

Background:

Longitudinal studies on SARS-CoV-2 antibody kinetics comparing different commercially available assays are currently lacking. 

Methods:

Individuals with confirmed SARS-CoV-2 infections had their SARS-CoV-2 antibody status analyzed twice using three commercially avbailable antibody assays. 

Diasorin LIAISON® SARS-CoV-2 S1/S2 IgG Assay, Abbott Diagnostics® ARCHITECT SARS-CoV-2 IgG and Euroimmun® Anti-SARS-CoV-2 ELISA were used. 

Results:

122 individuals were enrolled in this study. Median time between first SARS-CoV-2 antibody assessment and the infection was 144 days. 100 participants had detectable antibodies in the Diasorin LIAISON® assay, 96 in the Euroimmun® assay and 70 in the Abbott Diagnostics® Assay. 99 participants had detectable antibodies against SARS-CoV-2 in at least two different assays at baseline. Time between infection and antibody assessment (146 days/141 days), Hospitalization rate (8/99(8%)/0/23 (0%)) and frequency of reported symptoms (75/99 (76%)/ 17/23 (74%)) did not differ significantly between participants with at least one positive assay versus none. Seropositivity, however, differed significantly depending on test indication. While 44/50 (88%) participants with a defined SARS-CoV-2 positive contact were seropositive and 18/19 (95%) who were tested related to travel history only 18/32 (56%) were seropositive who were tested solely based on symptoms.  Median time between second antibody assessment and infection was 295 days.  98/100 (98%) of participants with initially detectable antibodies in the Diasorin LIAISON® assay, 71/96 (74%) in the Euroimmun® assay and 21/70 (30%) in Abbott Diagnostics® continued to have detectable antibodies 9-11 months after the infection.      

Conclusions:

There are relevant differences in SARS-CoV-2 antibody kinetics comparing different assays that warrent further studies especially when using these assays is seroepidemiological studies. 

Keyword(s): COVID19, Antibody kinetics, seroprevalence

COI Institutional Grants: Yes
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