Journal of Epidemiology and Public Health

The Incidence of Probable Reinfection with Sars Cov 2 and the Frequency of Post Covid Syndrome Among Convalescents from Covid 19 at the Frantz Fanon Hospital Bejaia University Hospital Algeria

Abstract

Sabrine Boufarou, Nassima Achour, Ines Allam and Reda Djidjik

Summary The rate of reinfection with SARS-CoV-2 is low while post-COVID syndrome is increasingly present. The aim of this study is to estimate the incidence of probable SARS-CoV-2 reinfection and post-COVID complications in patients previously infected with the virus.

Methods We included patients in the convalescence phase of a SARS-CoV-2 infection confirmed by RT-PCR into our study. Follow-up started from the 90th day after clinical recovery from the first episode of COVID-19 and extended over a period of 12 months, from September 20, 2020 to September 30, 2021. A total of 96 convalescents were included in the study. During this follow-up period, we also assessed the frequency as well as the most common symptoms of post-COVID syndrome in previously infected convalescents.

Results Of the 96 convalescents included in our study, only four were identified as having been infected twice, thus representing 4.17% of the positive cases diagnosed during the follow-up period. The clinical presentation of these 04 cases was benign. This low incidence of reinfection with SARS-CoV-2 among convalescents indicates a relative reduction in reinfection among previously infected people and that the risk of hospitalizations and death has also been reduced, moreover, the frequency of post COVID syndrome was 57.3%. Among the different symptoms observed, fatigue turned out to be the most common symptom (47.9%). These results highlight the importance of long-term monitoring of COVID-19 convalescents, highlighting aspects of reinfection as well as persistent manifestations of post-COVID syndrome.

Conclusion This study found that the risk of reinfection with SARS-CoV-2 remained considerably lower while post-COVID syndrome is increasingly common, clinical and virological analysis indicates a decrease in the rate of reinfection in recovered patients as well as the persistence of post-COVID symptoms in most convalescents. These data show that convalescent patients maintain functional antibody responses for at least 12 months after infection, suggesting a strong and durable response after symptomatic illness that may provide prolonged protection that may reduce the risk of reinfection.

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