Yıl: 2022 Cilt: 9 Sayı: 5 Sayfa Aralığı: 476 - 483 Metin Dili: İngilizce DOI: 10.14744/nci.2021.62447 İndeks Tarihi: 08-05-2023

Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye

Öz:
OBJECTIVE: Hemodialysis (HD) patients are a population at high risk for exposure to the severe respiratory syndrome coronavirus 2 (SARS-CoV-2) virus. Undiagnosed mild or asymptomatic SARS-CoV-2 infection in HD patients can make these patients a potential source of infection. In our study, we aimed to evaluate the entire spectrum of SARS-CoV-2 infection with the IgM and IgG rapid antibody kit in HD patients and healthcare providers working in HD unit. METHODS: 633 HD patients and 134 health workers from all dialysis centers (three private and three public) in Eskisehir were included in the study. Blood samples obtained from participants were allowed to clot for 30 min at room temperature at 15°C using a serum separator tube. Then it was centrifuged at 1000 g at 2–8°C for 15 min. The supernatant was collected and the samples were stored at -20°C until use. Serum samples stored at the end of the study were studied with the A.B.T.™ Biotechnology COVID-19 Rapid IgG-IgM Diagnostic Test. Routine examination was measured by standard methods. All participants were evaluated by serological analysis of IgG and IgM antibodies against the SARS-CoV-2 recombinant antigen. RESULTS: Two symptomatic HD patients (0.27%) were diagnosed with SARS-CoV-2 infection by real-time reverse-transcription- polymerase-chain - reaction test and chest tomography. In 15 (2.36%) of 633 asymptomatic patients, antibody was positive against the SARS-CoV recombinant antigen (IgG in 13, both IgG and IgM in 2), while no antibodies were detected in 134 health workers. CONCLUSION: We have shown that most HD patients with SARS-CoV-2 experience the disease asymptomatically, and that antibody testing plays an important role in identifying patients with asymptomatic infection.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. World Health Organization. Coronavirus disease (covid-19) dashboard. Available at: https://covid19.who.int/. Accessed Jul 31, 2020.
  • 2. General Office of National Health Committee. Office of State Administration of Traditional Chinese Medicine. Notice on the issuance of a programme for the diagnosis and treatment of novel coronavirus (2019-nCoV) infected pneumonia (Trial Version 4). 2020.
  • 3. Wang R, Liao C, He H, Hu C, Wei Z, Hong Z, et al. COVID-19 in hemodialysis patients: a report of 5 cases. Am J Kidney Dis 2020;76:141–3.
  • 4. Tang B, Li S, Xiong Y, Tian M, Yu J, Xu L, et al. COVID-19 pneumonia in a hemodialysis patient. Kidney Med 2020;2:354–8.
  • 5. Trujillo H, Caravaca-Fontán F, Sevillano Á, Gutiérrez E, Caro J, Gutiérrez E, et al. SARS-CoV-2 infection in hospitalized patients with kidney disease. Kidney Int Rep 2020;5:905–9.
  • 6. Wu J, Li J, Zhu G, Zhang Y, Bi Z, Yu Y, et al. Clinical features of maintenance hemodialysis patients with 2019 novel coronavirus- infected pneumonia in Wuhan, China. Clin J Am Soc Nephrol 2020;15:1139–45.
  • 7. Goicoechea M, Sánchez Cámara LA, Macías N, Muñoz de Morales A, Rojas ÁG, Bascuñana A, et al. COVID-19: clinical course and outcomes of 36 hemodialysis patients in Spain. Kidney Int 2020;98:27–34.
  • 8. Li J, Yang Y, Gong M, Shi J, Zhou X, Xing X, et al. Aggressive quarantine measures reduce the high morbidity of COVID-19 in patients on maintenance hemodialysis and medical staff of hemodialysis facilities in Wuhan, China. Kidney Dis (Basel) 2020;6:271–83.
  • 9. Chinese Society of Radiology. Radiological diagnosis of new coronavirus infected pneumonitis: Expert recommendation from the Chinese Society of Radiology (First edition). Chinese Journal of Radiology 2020;54:E001.
  • 10. Chan JF, Yuan S, Kok KH, To KK, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet 2020;395:514–23.
  • 11. Li Z, Yi Y, Luo X, Xiong N, Liu Y, Li S, et al. Development and clinical application of a rapid IgM-IgG combined antibody test for SARSCoV- 2 infection diagnosis. J Med Virol 2020;92:1518–24.
  • 12. Jin YH, Zhan QY, Peng ZY, Ren XQ, Yin XT, Cai L, et al; Evidence- Based Medicine Chapter of China International Exchange and Promotive Association for Medical and Health Care (CPAM); Chinese Research Hospital Association (CRHA). Chemoprophylaxis, diagnosis, treatments, and discharge management of COVID-19: An evidence- based clinical practice guideline (updated version). Mil Med Res 2020;7:41.
  • 13. Ma Y, Diao B, Lv X, Liang W, Jili Z, Liu L, et al. COVID-19 in hemodialysis (HD) patients: Report from one HD center in Wuhan, China. medRxiv preprint Jun 17, 2020, doi: https://doi.org/10.1101/2 020.02.24.20027201.
  • 14. Xiong F, Tang H, Liu L, Tu C, Tian JB, Lei CT, et al. Clinical characteristics of and medical interventions for COVID-19 in hemodialysis patients in Wuhan, China. J Am Soc Nephrol 2020;31:1387–97.
  • 15. Tang H, Tian JB, Dong JW, Tang XT, Yan ZY, Zhao YY, et al. Serologic detection of SARS-CoV-2 infections in hemodialysis centers: a multicenter retrospective study in Wuhan, China. Am J Kidney Dis 2020;76:490–9.e1.
  • 16. Xu X, Nie S, Sun J, Kong Y, Liang M, Li D, et al. The cumulative rate of SARS-CoV-2 infection in Chinese hemodialysis patients. Kidney Int Rep 2020;5:1416–21.
  • 17. Xu X, Sun J, Nie S, Li H, Kong Y, Liang M, et al. Seroprevalence of immunoglobulin M and G antibodies against SARS-CoV-2 in China. Nat Med 2020;26:1193–5.
  • 18. Liakopoulos V, Roumeliotis S, Gorny X, Dounousi E, Mertens PR. Oxidative stress in hemodialysis patients: a review of the literature. Oxid Med Cell Longev 2017;2017:3081856.
  • 19. Lippi G, Plebani M, Henry BM. Thrombocytopenia is associated with severe coronavirus disease 2019 (COVID-19) infections: A meta-analysis. Clin Chim Acta 2020;506:145–8.
  • 20. Qu R, Ling Y, Zhang YH, Wei LY, Chen X, Li XM, et al. Platelet- to-lymphocyte ratio is associated with prognosis in patients with coronavirus disease-19. J Med Virol 2020;92:1533–41.
  • 21. Terpos E, Ntanasis-Stathopoulos I, Elalamy I, Kastritis E, Sergentanis TN, Politou M, Psaltopoulou T, Gerotziafas G, Dimopoulos MA. Hematological findings and complications of COVID-19. Am J Hematol 2020;95:834–47.
APA Ozkurt S, Tezcan N, Mengüş Ç, ÖZGÜR B, ALKAN TALİ Ö, SAİDOGLU E, OZARKAN H, GÖLGELİ H, erol m, Bilgin M, yalçın a (2022). Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye. , 476 - 483. 10.14744/nci.2021.62447
Chicago Ozkurt Sultan,Tezcan Neslihan,Mengüş Çiğdem,ÖZGÜR BÜLENT,ALKAN TALİ ÖZGE,SAİDOGLU EMCET,OZARKAN HÜLYA,GÖLGELİ HANDAN,erol mehmet,Bilgin Muzaffer,yalçın ahmet uğur Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye. (2022): 476 - 483. 10.14744/nci.2021.62447
MLA Ozkurt Sultan,Tezcan Neslihan,Mengüş Çiğdem,ÖZGÜR BÜLENT,ALKAN TALİ ÖZGE,SAİDOGLU EMCET,OZARKAN HÜLYA,GÖLGELİ HANDAN,erol mehmet,Bilgin Muzaffer,yalçın ahmet uğur Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye. , 2022, ss.476 - 483. 10.14744/nci.2021.62447
AMA Ozkurt S,Tezcan N,Mengüş Ç,ÖZGÜR B,ALKAN TALİ Ö,SAİDOGLU E,OZARKAN H,GÖLGELİ H,erol m,Bilgin M,yalçın a Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye. . 2022; 476 - 483. 10.14744/nci.2021.62447
Vancouver Ozkurt S,Tezcan N,Mengüş Ç,ÖZGÜR B,ALKAN TALİ Ö,SAİDOGLU E,OZARKAN H,GÖLGELİ H,erol m,Bilgin M,yalçın a Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye. . 2022; 476 - 483. 10.14744/nci.2021.62447
IEEE Ozkurt S,Tezcan N,Mengüş Ç,ÖZGÜR B,ALKAN TALİ Ö,SAİDOGLU E,OZARKAN H,GÖLGELİ H,erol m,Bilgin M,yalçın a "Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye." , ss.476 - 483, 2022. 10.14744/nci.2021.62447
ISNAD Ozkurt, Sultan vd. "Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye". (2022), 476-483. https://doi.org/10.14744/nci.2021.62447
APA Ozkurt S, Tezcan N, Mengüş Ç, ÖZGÜR B, ALKAN TALİ Ö, SAİDOGLU E, OZARKAN H, GÖLGELİ H, erol m, Bilgin M, yalçın a (2022). Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye. İstanbul Kuzey Klinikleri, 9(5), 476 - 483. 10.14744/nci.2021.62447
Chicago Ozkurt Sultan,Tezcan Neslihan,Mengüş Çiğdem,ÖZGÜR BÜLENT,ALKAN TALİ ÖZGE,SAİDOGLU EMCET,OZARKAN HÜLYA,GÖLGELİ HANDAN,erol mehmet,Bilgin Muzaffer,yalçın ahmet uğur Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye. İstanbul Kuzey Klinikleri 9, no.5 (2022): 476 - 483. 10.14744/nci.2021.62447
MLA Ozkurt Sultan,Tezcan Neslihan,Mengüş Çiğdem,ÖZGÜR BÜLENT,ALKAN TALİ ÖZGE,SAİDOGLU EMCET,OZARKAN HÜLYA,GÖLGELİ HANDAN,erol mehmet,Bilgin Muzaffer,yalçın ahmet uğur Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye. İstanbul Kuzey Klinikleri, vol.9, no.5, 2022, ss.476 - 483. 10.14744/nci.2021.62447
AMA Ozkurt S,Tezcan N,Mengüş Ç,ÖZGÜR B,ALKAN TALİ Ö,SAİDOGLU E,OZARKAN H,GÖLGELİ H,erol m,Bilgin M,yalçın a Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye. İstanbul Kuzey Klinikleri. 2022; 9(5): 476 - 483. 10.14744/nci.2021.62447
Vancouver Ozkurt S,Tezcan N,Mengüş Ç,ÖZGÜR B,ALKAN TALİ Ö,SAİDOGLU E,OZARKAN H,GÖLGELİ H,erol m,Bilgin M,yalçın a Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye. İstanbul Kuzey Klinikleri. 2022; 9(5): 476 - 483. 10.14744/nci.2021.62447
IEEE Ozkurt S,Tezcan N,Mengüş Ç,ÖZGÜR B,ALKAN TALİ Ö,SAİDOGLU E,OZARKAN H,GÖLGELİ H,erol m,Bilgin M,yalçın a "Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye." İstanbul Kuzey Klinikleri, 9, ss.476 - 483, 2022. 10.14744/nci.2021.62447
ISNAD Ozkurt, Sultan vd. "Evaluation of hemodialysis patients and hemodialysis health workers with COVID-19 IgM and IgG antibody test; a multicenter study from Eskisehir, Turkiye". İstanbul Kuzey Klinikleri 9/5 (2022), 476-483. https://doi.org/10.14744/nci.2021.62447