COVID-19: antibodies last at least 5 months, substantially reduce reinfection risk

  • Hall V & al.
  • Public Health England
  • 15 Jan 2021

  • curated by Liz Scherer
  • Clinical Essentials
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As an exception during this period of health crisis, some of the publications mentioned are at the time of writing still in pre-publication, undergoing peer review and subject to change. The results of this pre-print study should be interpreted with utmost caution.

Takeaway
  • Interim SIREN (SARS-CoV-2 Immunity and Reinfection EvaluatioN) findings suggest that a history of SARS-CoV-2 infection confers significant protection against reinfection for at least 5 months.

Why this matters

  • Carrying antibodies may not be 100% effective against reinfection.
  • The authors say, however, that the substantial protective effect they identified is the "minimum likely effect."

Key results

  • 20,787 enrolled (6614 in positive cohort, 14,173 in negative cohort).
  • 84% were women, and 88% were White.
  • Median age, 45.9 (interquartile range, 35.8-53.6) years.
  • 409 new infections.
  • 79% of PCR-positive cases were symptomatic, 12% were asymptomatic, and no data were available for 9%.
  • Reinfection (44 total events):
    • 3.3 reinfections/100,000 follow-up days in the positive cohort vs
    • 17.0 new infections/100,000 follow-up days in the negative cohort.
  • On multivariate analysis:
    • Probable reinfections (2 cases): aOR, 0.01 (P<.01>
    • Combined probable + symptomatic possible (15 cases): aOR, 0.06 (P<.01>
    • Probable + all possible (44 cases): aOR, 0.17 (P<.01>

Study design

  • Prospective UK multicenter cohort study, including health care workers in months following initial infection, June 18-November 9, 2020.
  • Funding: Department of Health and Social Care and Public Health England; Scottish, Welsh, and Northern Irish governments.

Limitations

  • Limited data, samples.
  • Measurement error (primary infection onset date).
  • Recall bias.
  • Short follow-up.