SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, Northeast Brazil, February 2021
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/50679 |
Resumo: | This study was funded by CNPq, Inova Fiocruz, the Serrapilheira Institute, and the D’Or Institute for Research and Education. Ethics statement This study was reviewed by local IRBs and received ethical approval by the National Committee for Ethics on Research (CONEP; CAAE: 29496920.8.0000.5262, 46821621.5.0000.0048 and 3.980.128 /2020). All sampled patients have provided written informed consent. |
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Nonaka, Carolina Kymie VasquesGräf, TiagoBarcia, Camila Araújo de LorenzoCosta, Vanessa FerreiraOliveira, Janderson Lopes dePassos, Rogério da HoraBastos, Iasmin NogueiraSantana, Maria Clara Brito deSantos, Ian MarinhoSousa, Karoline Almeida Felix deWeber, Thamires Gomes LopesSiqueira, Isadora Cristina deRocha, Clarissa Araújo GurgelMendes, Ana Verena AlmeidaSouza, Bruno Solano de Freitas2022-01-07T21:07:02Z2022-01-07T21:07:02Z2021NONAKA, Carolina Kymie Vasques et al. SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, northeast Brazil, February 2021. International Journal of Infectious Diseases, v. 111, p. 47-54, 2021.1201-9712https://www.arca.fiocruz.br/handle/icict/5067910.1016/j.ijid.2021.08.003This study was funded by CNPq, Inova Fiocruz, the Serrapilheira Institute, and the D’Or Institute for Research and Education. Ethics statement This study was reviewed by local IRBs and received ethical approval by the National Committee for Ethics on Research (CONEP; CAAE: 29496920.8.0000.5262, 46821621.5.0000.0048 and 3.980.128 /2020). All sampled patients have provided written informed consent.São Rafael Hospital. Center for Biotechnology and Cell Therapy. Salvador, BA, Brazil / D'Or Institute for Research and Education (IDOR). Salvador, BA, Brazil.Oswaldo Cruz Foundation. Gonçalo Moniz Institute. Salvador, BA, Brazil.São Rafael Hospital. Department of Infectology. Salvador, BA, Brazil.São Rafael Hospital. Department of Infectology. Salvador, BA, Brazil.São Rafael Hospital. Department of Infectology. Salvador, BA, Brazil.São Rafael Hospital. Department of Infectology. Salvador, BA, Brazil.Oswaldo Cruz Foundation. Gonçalo Moniz Institute. Salvador, BA, Brazil.Oswaldo Cruz Foundation. Gonçalo Moniz Institute. Salvador, BA, Brazil.São Rafael Hospital. Center for Biotechnology and Cell Therapy. Salvador, BA, Brazil / Oswaldo Cruz Foundation. Gonçalo Moniz Institute. Salvador, BA, Brazil.Oswaldo Cruz Foundation. Gonçalo Moniz Institute. Salvador, BA, Brazil.São Rafael Hospital. Clinical Laboratory. Salvador, BA, Brazil.Oswaldo Cruz Foundation. Gonçalo Moniz Institute. Salvador, BA, Brazil.São Rafael Hospital. Center for Biotechnology and Cell Therapy. Salvador, BA, Brazil / Oswaldo Cruz Foundation. Gonçalo Moniz Institute. Salvador, BA, Brazil.São Rafael Hospital. Department of Infectology. Salvador, BA, Brazil.São Rafael Hospital. Center for Biotechnology and Cell Therapy. Salvador, BA, Brazil / Oswaldo Cruz Foundation. Gonçalo Moniz Institute. Salvador, BA, Brazil.Objectives: To evaluate changes in the characteristics of patients with coronavirus disease 2019 (COVID-19) after the emergence of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variant of concern (VOC) P.1 (Gamma), by comparing the clinical, demographic, and laboratory profiles of patients hospitalized during the first (May to July 2020) and second (December 2020 to February 2021) pandemic waves. Methods: Data were collected from the records of COVID-19 patients (n = 4164) admitted to a single hospital in Salvador, Northeast Brazil. SARS-CoV-2 genome sequencing was performed on nasopharyngeal swab samples from 12 patients aged <60 years admitted to the intensive care unit (ICU) in February 2021. Results: Between June 2020 and February 2021, the median age of patients admitted to the ICU decreased from 66 to 58 years (P < 0.05). This was accompanied by an increased proportion of patients without comorbidities (15.32% vs 32.20%, P < 0.0001). A significant reduction in the cycle threshold values of SARS-CoV-2 RT-PCR tests was observed in the second wave (P < 0.0001). Sequencing analysis detected lineage Gamma in all 12 ICU patients sampled in February 2021. Conclusions: The results of this study demonstrated an increased proportion of younger adults without comorbidities with severe disease during the second COVID-19 wave, shortly after the confirmation of local Gamma circulation.engElsevierhttps://www.arca.fiocruz.br/handle/icict/48692SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, Northeast Brazil, February 2021info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleCOVID-19SARS-CoV-2Variants of concernP.1Gammainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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dc.title.pt_BR.fl_str_mv |
SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, Northeast Brazil, February 2021 |
title |
SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, Northeast Brazil, February 2021 |
spellingShingle |
SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, Northeast Brazil, February 2021 Nonaka, Carolina Kymie Vasques COVID-19 SARS-CoV-2 Variants of concern P.1 Gamma |
title_short |
SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, Northeast Brazil, February 2021 |
title_full |
SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, Northeast Brazil, February 2021 |
title_fullStr |
SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, Northeast Brazil, February 2021 |
title_full_unstemmed |
SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, Northeast Brazil, February 2021 |
title_sort |
SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, Northeast Brazil, February 2021 |
author |
Nonaka, Carolina Kymie Vasques |
author_facet |
Nonaka, Carolina Kymie Vasques Gräf, Tiago Barcia, Camila Araújo de Lorenzo Costa, Vanessa Ferreira Oliveira, Janderson Lopes de Passos, Rogério da Hora Bastos, Iasmin Nogueira Santana, Maria Clara Brito de Santos, Ian Marinho Sousa, Karoline Almeida Felix de Weber, Thamires Gomes Lopes Siqueira, Isadora Cristina de Rocha, Clarissa Araújo Gurgel Mendes, Ana Verena Almeida Souza, Bruno Solano de Freitas |
author_role |
author |
author2 |
Gräf, Tiago Barcia, Camila Araújo de Lorenzo Costa, Vanessa Ferreira Oliveira, Janderson Lopes de Passos, Rogério da Hora Bastos, Iasmin Nogueira Santana, Maria Clara Brito de Santos, Ian Marinho Sousa, Karoline Almeida Felix de Weber, Thamires Gomes Lopes Siqueira, Isadora Cristina de Rocha, Clarissa Araújo Gurgel Mendes, Ana Verena Almeida Souza, Bruno Solano de Freitas |
author2_role |
author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Nonaka, Carolina Kymie Vasques Gräf, Tiago Barcia, Camila Araújo de Lorenzo Costa, Vanessa Ferreira Oliveira, Janderson Lopes de Passos, Rogério da Hora Bastos, Iasmin Nogueira Santana, Maria Clara Brito de Santos, Ian Marinho Sousa, Karoline Almeida Felix de Weber, Thamires Gomes Lopes Siqueira, Isadora Cristina de Rocha, Clarissa Araújo Gurgel Mendes, Ana Verena Almeida Souza, Bruno Solano de Freitas |
dc.subject.en.pt_BR.fl_str_mv |
COVID-19 SARS-CoV-2 Variants of concern P.1 Gamma |
topic |
COVID-19 SARS-CoV-2 Variants of concern P.1 Gamma |
description |
This study was funded by CNPq, Inova Fiocruz, the Serrapilheira Institute, and the D’Or Institute for Research and Education. Ethics statement This study was reviewed by local IRBs and received ethical approval by the National Committee for Ethics on Research (CONEP; CAAE: 29496920.8.0000.5262, 46821621.5.0000.0048 and 3.980.128 /2020). All sampled patients have provided written informed consent. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021 |
dc.date.accessioned.fl_str_mv |
2022-01-07T21:07:02Z |
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2022-01-07T21:07:02Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
NONAKA, Carolina Kymie Vasques et al. SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, northeast Brazil, February 2021. International Journal of Infectious Diseases, v. 111, p. 47-54, 2021. |
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https://www.arca.fiocruz.br/handle/icict/50679 |
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1201-9712 |
dc.identifier.doi.none.fl_str_mv |
10.1016/j.ijid.2021.08.003 |
identifier_str_mv |
NONAKA, Carolina Kymie Vasques et al. SARS-CoV-2 variant of concern P.1 (Gamma) infection in young and middle-aged patients admitted to the intensive care units of a single hospital in Salvador, northeast Brazil, February 2021. International Journal of Infectious Diseases, v. 111, p. 47-54, 2021. 1201-9712 10.1016/j.ijid.2021.08.003 |
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https://www.arca.fiocruz.br/handle/icict/50679 |
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eng |
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Elsevier |
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