Experiences of testing immunoglobulins to the SARS-CoV-2 virus in outpatient practice

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The study aimed to analyze the results of testing the presence of immunoglobulins of severe acute respiratory syndrome coronavirus 2 infection in outpatient clinical practice. The data of all tests of immunoglobulins G and M performed in the laboratory of Polyclinic No. 2 of the Administrative Department of the President of the Russian Federation from June 5 to October 2, 2020, were analyzed. In total, the studies were conducted in 784 applicants (319 [40.7%] men and 465 [59.3%] women), with the average age of 48.46±14.044 years (18 to 89 years). Of patients, 317 were clinically diagnosed with a new coronavirus infection, 64 were examined as having contacted the infected, 83 had bronchopulmonary diseases, and 320 were healthy individuals. A positive test result for the presence of IgG antibodies was obtained in 87.7% of patients with a new coronavirus infection. Of cases, 96.3% had a typical X-ray presentation of viral pneumonia that was confirmed by the polymerase chain reaction method, and also, 5% of cases in the healthy group. The data obtained enabled us to establish high sensitivity of the test systems used.

作者简介

Larisa Minushkina

Central State Medical Academy of the Department of Presidential Affairs; Polyclinic No. 2 of the Department of Presidential Affairs

编辑信件的主要联系方式.
Email: minushkina@mail.ru
ORCID iD: 0000-0002-4203-3586

MD, PhD, DSc, Professor

俄罗斯联邦, 121359, Moscow; 119146, Moscow

Elena Grigorieva

Polyclinic No. 2 of the Department of Presidential Affairs

Email: gev0160@mail.ru

MD, PhD

俄罗斯联邦, 119146, Moscow

Aynagyul Mukhareva

Polyclinic No. 2 of the Department of Presidential Affairs

Email: amukh@mail.ru
俄罗斯联邦, 119146, Moscow

Svetlana Kuleshova

Polyclinic No. 2 of the Department of Presidential Affairs

Email: svkul@mail.ru
ORCID iD: 0000-0002-6743-9574
俄罗斯联邦, 119146, Moscow

参考

  1. Devyatkin AV, Devyatkin AA. A novel coronavirus infection – COVID-19. Origin, tropism, transmission, routes, lab diagnostics and specific care. Kremlevskaya meditsina. Klinicheskii vestnik. 2020;(2):5–13. (In Russ). doi: 10.26269/b9ve-xf49.
  2. Kuvshinova IN, Nekrasov BG, Livitskaya NI, Molodykh SV, Rukavishnikov MYu. Sensitivity and specificity of VEKTOR-BEST JSC reagent kits for the detection of immunoglobulins of different classes in SARS-COV-2. Spravochnik zaveduyushchego KDL. 2020;(10):27–32. (In Russ).
  3. Kuleshova SV, Grigorieva EV, Mukharaeva AD, Minushkina LO. Experience in determining antibodies to the SARS-COV-2 virus - the causative agent of a new coronavirus infection. Spravochnik zaveduyushchego KDL. 2020;(9):9–15. (In Russ).
  4. Balakhonov SV, Dubrovina VI, Chesnokova MV, Voitkova VV, Pyatidesyatnikova AB, Bryukhova DD, et al. Studying humoral immune response at mild and asymptomatic COVID-19 forms. Acta biomedica scientifica. 2020;5(5):26–30. (In Russ). doi: 10.29413/ABS.2020-5.5.3
  5. Li Z, Yi Y, Luo X, Xiong N, Liu Y, Li S, Sun R, et al. Development and clinical application of a rapid IgM-IgG combined antibody test for SARS-CoV-2 infection diagnosis. J Med Virol. 2020:1518-1524. doi: 10.1002/jmv.25727.
  6. Tré-Hardy M, Wilmet A, Beukinga I, Favresse J, Dogné JM, Douxfils J, Blairon L. Analytical and clinical validation of an ELISA for specific SARS-CoV-2 IgG, IgA and IgM antibodies. J Med Virol. 2020:803-811. doi: 10.1002/jmv.26303.
  7. Kohmer N, Westhaus S, Rühl C, Ciesek S, Rabenau HF. Clinical performance of different SARS-CoV-2 IgG antibody tests. J Med Virol. 2020:2243-2247. doi: 10.1002/jmv.26145.
  8. Popova AYu, Ezhlova EB, Mel’nikova AA, Bashketova NS, Fridman RK, Lyalina LV, et al. Herd immunity to SARS-CoV-2 among the population in Saint-Petersburg during the COVID-19 epidemic. Problemy osobo opasnykh infektsi. 2020;(3):124–130. (In Russ). doi: 10.21055/0370-1069-2020-3-124-130.
  9. Popova AYu, Ezhlova EB, Mel’nikova AA, Istorik OA, Mosevich OS, Lyalina LV, et al. Assessment of the herd immunity to SARS-CoV-2 among the population of the Leningrad Region during the COVID-19 epidemic. Problemy osobo opasnykh infektsii. 2020;(3):114–123. (In Russ). doi: 10.21055/0370-1069-2020-3-114-123.

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1. JATS XML
2. Рис. 1. Гистограмма распределения сроков от момента получения положительного результата теста, выполненного методом полимеразной цепной реакции (ПЦР), на наличие РНК SARS-CoV-2 до положительного результата теста на наличие IgG.

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3. Рис. 2. Гистограмма распределения сроков от момента получения положительного результата теста, выполненного методом полимеразной цепной реакции (ПЦР), на наличие РНК SARS-CoV-2 до отрицательного результата теста на наличие IgG.

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4. Рис. 3. Гистограмма распределения сроков от момента получения положительного результата теста, выполненного методом полимеразной цепной реакции (ПЦР), на наличие РНК SARS-CoV-2 до положительного результата теста на наличие IgМ.

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