The magnitude and duration of the protective effect of prior infection and hybrid immunity against Omicron infection and severe disease

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The magnitude and duration of the protective effect of prior infection and hybrid immunity against Omicron infection and severe disease medrxivpreprint UofT UCalgary UCBerkeley UBC uvic infection immunity COVID19 coronavirus

By Pooja Toshniwal PahariaOct 7 2022Reviewed by Danielle Ellis, B.Sc. In a recent study posted to the medRxiv* preprint server, researchers reviewed the duration and magnitude of the protective effect of previous severe acute respiratory syndrome coronavirus 2 infections and hybrid immunity against SARS-CoV-2 Omicron variant of concern infections and coronavirus disease 2019 severity.

Data were searched on Embase, MEDLINE, Cochrane Central Register of Controlled Trials, Web of Science, WHO COVID-19 database, Europe PubMed Central , and ClinicalTrials.gov databases between January 1, 2020, and June 1, 2022. In addition, the team included preprints identified during the period and published between June 1, 2022, and July 15, 2022. Additional records were identified based on recommendations of previous review authors and WHO’s solidarity 2 network investigators.

Related StoriesStudy designs included were traditional case-control, test-negative case-control, cohort, cross-sectional, randomized controlled trials , and non-RCTs. The team excluded case series, case reports, incomplete RCTs, reviews, duplicates, and preprints of articles that were eventually published. Additionally, studies that had no documentation of confirmed previous SARS-CoV-2 infections or days elapsed from the index infections until reinfections were excluded.

Among HE studies, 153 estimates were observed, of which 78 and 75 had moderate and serious RoB, respectively, with the longest follow-up assessments performed 11 months after prime vaccinations and four months after initial booster dose administration. Against both hospitalizations and COVID-19 severity outcomes, HE estimates involving prime vaccinations or initial booster dose administrations were consistent with >95% follow-up assessments.

 

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