[Seroprevalence of SARS-CoV-2 antibodies among travellers and workers screened at the Saint Luc Clinic in Bukavu, a city in eastern Democratic Republic of the Congo, from May to August 2020]
- PMID: 33889259
- PMCID: PMC8035686
- DOI: 10.11604/pamj.2021.38.93.26663
[Seroprevalence of SARS-CoV-2 antibodies among travellers and workers screened at the Saint Luc Clinic in Bukavu, a city in eastern Democratic Republic of the Congo, from May to August 2020]
Abstract
Introduction: SARS-CoV-2 serology tests could play a crucial role in estimating the prevalence of COVID-19. The purpose of this study was to estimate the prevalence of COVID-19 among travellers and workers in Bukavu, a city in eastern Democratic Republic of the Congo.
Methods: between May and August 2020, the Cellex qSARS-CoV-2 IgG/IgM Rapid Test (Cellex, Inc., USA), lateral flow immunoassay was used to rapidly detect and differentiate antibodies against SARS-CoV-2 among travellers and workers seeking medical certification.
Results: among the 684 residents of the city of Bukavu screened for COVID-19 (4.2% Hispanic, 2.8% other African, 0.9% Asian), the seroprevalence anti-SARS-CoV-2 antibodies was 40.8% (IgG+/IgM+: 34.6%; IgG+/IgM-: 0.5%; IgG-/IgM+: 5.4%). Cumulative seroprevalence of anti-SARS-CoV-2 IgG antibodies increased from 24.5% to 35.2% from May to August 2020. Independent predictors of SARS-CoV-2 antibodies were age > 60 years [adjusted OR = 2.07(1.26-3.38)] and non-membership of the medical staff [adjusted OR = 2.28 (1.22-4.26)]. Thirteen point nine percent of patients seropositive for SARS-CoV-2 antibodies were symptomatic and hospitalized.
Conclusion: this study shows a very high seroprevalence of SARS-CoV-2 antibodies among travellers and workers in Bukavu, a city in eastern Democratic Republic of the Congo, which may positively affect community immunity in the study population. Thus, the management of COVID-19 should be contextualized according to local realities.
Introduction: les tests sérologiques anti-SARS-CoV-2 pourrait jouer un rôle majeur dans l´estimation de la prévalence de la COVID-19. L´objectif était d´estimer la prévalence de la COVID-19 dans la ville de Bukavu, à l'Est de la République Démocratique du Congo, parmi les voyageurs et travailleurs.
Méthodes: entre mai et août 2020, les tests rapides Cellex qSARS-CoV-2 IgG/IgM (Cellex, Inc., USA), test immunologique à flux latéral, ont été utilisés pour détecter et différencier des anticorps anti-SARS-CoV-2 chez les voyageurs et les travailleurs en quête d´un certificat médical.
Résultats: parmi 684 habitants de la ville de Bukavu dépistés de la COVID-19 (4,2% hispaniques, 2,8% autres africains, 0,9% asiatiques), la séroprévalence anti-SARS-CoV-2 était de 40,8% (IgG+/IgM+: 34,6%; IgG+/IgM-: 0,5%; IgG-/IgM+: 5,4%). La séroprévalence cumulée des IgG anti-SARS-CoV-2 est passée de 24,5% à 35,2% de mai à août 2020. Les prédicteurs indépendants des anticorps anti-SARS-CoV-2 étaient l´âge > 60 ans [OR ajusté= 2,07(1,26-3,38)] et la non-appartenance au personnel médical [OR ajusté= 2,28(1,22-4,26)]. Treize virgule neuf pour cent (13,9%) des séropositifs pour les SARS-CoV-2 étaient symptomatiques et hospitalisés.
Conclusion: la présente étude montre une séroprévalence très élevée des anticorps anti-SARS-CoV-2 dans la ville de Bukavu, à l´Est de la République Démocratique du Congo, parmi les voyageurs et travailleurs, pouvant impacter positivement sur l´immunité communautaire de la population étudiée. Ainsi, la prise en charge de la COVID-19 devrait être contextualisée en fonction des réalités de chaque région.
Keywords: Bukavu; Congo; SARS-CoV-2; Seroprevalence.
Copyright: Philippe Bianga Katchunga et al.
Conflict of interest statement
Les auteurs ne déclarent aucun conflit d´intérêts.
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