Presence of specific SARS-COV2 antibodies in hemodialysis patients and their caregivers after the first wave of COVID-19

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Robert, Thomas | Lano, Guillaume | Resseguier, Noemie | Bobot, Mickael | Bouchouareb, Dammar | Burtey, Stephane | Lamballerie, Xavier, De | Dhorne, Jean | Dussol, Bertrand | Duval, Ariane | Faraut, Julien | Fourie, Toscane | Giaime, Philippe | Hallah, Mourad | Jaubert, Dominique | Jehel, Oceane | Legris, Tristan | Liotatis, Stephane | Moal, Valerie | Ninove, Laetitia | Pedinielli, Nathalie | Pelletier, Marion | Romeu-Giannoli, Manon | Saba, Mariela | Sallee, Marion | Samson, Laurent | Saveanu, Adriana | Scarfogliere, Violaine | Sebahoun, Pascale | Vial, Romain | von Kotze, Clarissa | Brunet, Philippe | Lebrun, Gaetan | Bataille, Stanislas | Jourde-Chiche, Noemie

Edité par CCSD ; Nature Publishing Group -

International audience. Hemodialysis (HD) patients are at risk for severe COVID-19 and cannot comply with social distancing. SARS-COV2 seroprevalence in French patients and caregivers after the first wave of COVID-19 is unknown. SeroCOVIDial is a prospective study conducted between June and December 2020. SARS-COV2 seroprevalence was evaluated by a rapid serological test (BIOSYNEX) in HD patients and caregivers, and the presence or not of anti-SARS-COV2 neutralizing or non-neutralizing antibodies in patients was also determined by ELISA and seroneutralization. In June 2020, 451 HD patients and 238 caregivers were included. Overall SARS-COV2 seroprevalence was 8.4% (patients) and 6.7% (caregivers), and was 87.1% (patients) and 90.0% (caregivers) in participants with a previously documented SARS-COV2 infection. Overall seroprevalence reached 13.8% (patients) and 12.6% (caregivers) following the second epidemic wave. During the follow-up, 38 (8.4%) patients died (9 of COVID-19). Among the 44 (10.6%) patients who became infected, only two were seropositive at M0. The levels of anti-SARS-COV2 antibodies decreased over time in patients and caregivers. The BIOSYNEX test showed 82.9% sensitivity and 97.7% specificity. Prevalence of anti-SARS-COV2 antibodies was low in HD patients and caregivers after the first epidemic wave but rose after the second wave. A rapid serological test showed good performances and could be useful for future monitoring of anti-SARS-COV2 antibodies.

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