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International Journal of Infectious Diseases
International Society for Infectious Diseases
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  • Research Article7
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  • Abdulrahman, Abdulkarim1
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  • International Journal of Infectious Diseases15

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  • Research Article
    Open Access

    Faster decay of neutralizing antibodies in never infected than previously infected healthcare workers three months after the second BNT162b2 mRNA COVID-19 vaccine dose

    International Journal of Infectious Diseases
    Vol. 112p40–44Published online: September 1, 2021
    • Ilaria Vicenti
    • Monica Basso
    • Francesca Gatti
    • Renzo Scaggiante
    • Adele Boccuto
    • Daniela Zago
    • and others
    Cited in Scopus: 21
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      The BNT162b2 COVID-19 vaccine is known to induce a rapid production of neutralizing antibodies (Lustig et al., 2021; Vicenti et al., 2021b); however, there are very limited data on their long-term kinetics. Favresse et al. (2021b) described a robust humoral response 90 days after the first dose of vaccine both in previously seropositive and seronegative subjects, but a significant antibody decrease in respect to the higher level reached occurred within this period. Interestingly, the administration of a third dose of the BNT162b2 vaccine, about two months from the second dose, to solid-organ transplant recipients significantly improved the immunogenicity of the vaccine (Kamar et al., 2021).
      Faster decay of neutralizing antibodies in never infected than previously infected healthcare workers three months after the second BNT162b2 mRNA COVID-19 vaccine dose
    • Short Communication
      Open Access

      Performance of SARS-CoV-2 rapid antigen test compared with real-time RT-PCR in asymptomatic individuals

      International Journal of Infectious Diseases
      Vol. 107p201–204Published online: May 1, 2021
      • Mónica Peña
      • Manuel Ampuero
      • Carlos Garcés
      • Aldo Gaggero
      • Patricia García
      • María Soledad Velasquez
      • and others
      Cited in Scopus: 23
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        Given the increase in cases of SARS-CoV-2 infections worldwide, there is a need for a reliable rapid diagnostic test in addition to existing gold standard real-time RT-PCR. Rapid antigen tests (RAT) for SARS-CoV-2 can be performed onsite in mass testing, are inexpensive compared to real-time RT-PCR, do not require specific and expensive equipment, and the results are available within 15 min (CDC, 2021), which could serve to evaluate chains of infection and their interruption. A recent meta-analysis revealed that the average sensitivity and specificity of RAT for SARS-CoV-2 were 56.2% and 99.5%, respectively (Dinnes et al., 2020).
        Performance of SARS-CoV-2 rapid antigen test compared with real-time RT-PCR in asymptomatic individuals
      • Research Article
        Open Access

        The high prevalence of asymptomatic SARS-CoV-2 infection reveals the silent spread of COVID-19

        International Journal of Infectious Diseases
        Vol. 105p656–661Published online: February 26, 2021
        • Marwa Ali Almadhi
        • Abdulkarim Abdulrahman
        • Sayed Ali Sharaf
        • Dana AlSaad
        • Nigel J. Stevenson
        • Stephen L. Atkin
        • and others
        Cited in Scopus: 28
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          SARS-CoV-2, the virus causing Coronavirus disease 2019 (COVID-19), has infected more than 92 million people and lead to the death of more than 1.9 million people worldwide since its outbreak in December 2019 (WHO, 2020). The disease has a wide range of presentations, from asymptomatic infection to fever, cough, shortness of breath and the loss of taste and smell. Symptoms normally appear 2–14 days following exposure to the virus and may develop into mild upper respiratory tract infections or progress to severe pneumonia, which can progress to acute respiratory distress, shock, multiorgan failure and death (Huang et al., 2020; Wang et al., 2020).
          The high prevalence of asymptomatic SARS-CoV-2 infection reveals the silent spread of COVID-19
        • Review
          Open Access

          The epidemiological and radiographical characteristics of asymptomatic infections with the novel coronavirus (COVID-19): A systematic review and meta-analysis

          International Journal of Infectious Diseases
          Vol. 104p458–464Published online: January 11, 2021
          • Can Chen
          • Changtai Zhu
          • Danying Yan
          • Hongchao Liu
          • Danfeng Li
          • Yuqing Zhou
          • and others
          Cited in Scopus: 21
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            COVID-19 was first reported in December 2019 and has spread rapidly worldwide (Chen et al., 2020). The infectivity of COVID-19, which has a basic reproduction number (R0) ranging from 2 to 6.7, was estimated to be much higher than that of influenza, severe acute respiratory syndrome (SARS), and middle east respiratory syndrome (MERS) (Wu et al., 2020; Zhao et al., 2020; Tang et al., 2020). Asymptomatic infections among patients with COVID-19 have been reported, including presymptomatic and covert infections; these are differentiated according to whether related clinical symptoms appear during follow-up (Wu, 2020).
            The epidemiological and radiographical characteristics of asymptomatic infections with the novel coronavirus (COVID-19): A systematic review and meta-analysis
          • Research Article
            Open Access

            High SARS-CoV-2 IgG/IGM seroprevalence in asymptomatic Congolese in Brazzaville, the Republic of Congo

            International Journal of Infectious Diseases
            Vol. 106p3–7Published online: December 24, 2020
            • Armel Landry Batchi-Bouyou
            • Line Lobaloba Ingoba
            • Matthieu Ndounga
            • Jeannhey Christevy Vouvoungui
            • Claujens Chastel Mfoutou Mapanguy
            • Kamal Rauchelvy Boumpoutou
            • and others
            Cited in Scopus: 8
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              The occurrence of asymptomatic individuals with coronaviruses presents a significant public health issue (Nikolai et al., 2020). As of December 15, 2020, there had been more than 73,557,491 coronavirus disease 2019 (COVID-19) infections world-wide and 1,637,053 deaths (University JH, 2020). The United States had the highest number of infections in the world, with 16,724,753 cases and 303,849 deaths. In Africa, South Africa had the highest number of cases (873,678) and deaths (23,661). The Republic of the Congo, with an estimated population of 5,300,000, had recorded 6200 cases and 100 deaths, as of December 12, 2020 (SITREP 115, Congo).
              High SARS-CoV-2 IgG/IGM seroprevalence in asymptomatic Congolese in Brazzaville, the Republic of Congo
            • Perspective
              Open Access

              Low-dose and oral exposure to SARS-CoV-2 may help us understand and prevent severe COVID-19

              International Journal of Infectious Diseases
              Vol. 103p37–41Published online: November 20, 2020
              • William P. Hausdorff
              • Jorge Flores
              Cited in Scopus: 6
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                Where efficiently applied, a broad range of restrictive non-pharmaceutical interventions (NPI) has succeeded in preempting or mitigating explosive outbreaks of coronavirus disease 2019 (COVID-19) hospitalizations and deaths in many settings. Elsewhere, it has proven difficult to fully implement, maintain, or reimpose these interventions. Much of the public reluctance lies in their huge social and economic consequences, exacerbated by the failure of political leaders to convincingly advocate for these measures.
              • Short Communication
                Open Access

                Asymptomatic COVID-19 in hospital visitors: The underestimated potential of viral shedding

                International Journal of Infectious Diseases
                Vol. 102p412–414Published online: October 27, 2020
                • Victor C. Passarelli
                • Klinger Faico-Filho
                • Luiz Vinicius Leão Moreira
                • Ana Paula Cunha
                • Joseane Mayara Almeida Carvalho
                • Gabriela Rodrigues Barbosa
                • and others
                Cited in Scopus: 8
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                  The burden of asymptomatic Coronavirus Disease-2019 (COVID-19) on clinical practice and epidemiological control remains a challenge, particularly due to the high potential of transmission (Al-Sadeq and Nasrallah, 2020; Arons et al., 2020). While several nosocomial outbreaks have been reported (Arons et al., 2020; Roxby et al., 2020), most studies focused on the role of asymptomatic hospitalized patients (Passarelli et al., 2020; Rhee et al., 2020). However, hospital visitors’ impact on viral shedding in healthcare facilities remains underestimated.
                  Asymptomatic COVID-19 in hospital visitors: The underestimated potential of viral shedding
                • Research Article
                  Open Access

                  Antibody responses after COVID-19 infection in patients who are mildly symptomatic or asymptomatic in Bangladesh

                  International Journal of Infectious Diseases
                  Vol. 101p220–225Published online: October 5, 2020
                  • Tahmina Shirin
                  • Taufiqur Rahman Bhuiyan
                  • Richelle C. Charles
                  • Shaheena Amin
                  • Imran Bhuiyan
                  • Zannat Kawser
                  • and others
                  Cited in Scopus: 30
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                    Coronavirus disease-2019 (COVID-19), the disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was first identified in December 2019 in Wuhan, China (Guo et al., 2020). The World Health Organization (WHO) declared a Public Health Emergency on January 30, 2020, after COVID-19 had spread to other countries (Cascella et al., 2020) and declared COVID-19 a pandemic in March 2020 (2020, WHO, 2020). The first case of COVID-19 in Bangladesh was confirmed on March 8, 2020. As of August 27, 2020, according to the Institute of Epidemiology, Disease Control and Research (IEDCR), there have been 302,147 confirmed COVID-19 cases in Bangladesh, including 4082 related deaths for a case fatality rate of 1.38%.(Anon, 2020b)
                    Antibody responses after COVID-19 infection in patients who are mildly symptomatic or asymptomatic in Bangladesh
                  • Review
                    Open Access

                    Asymptomatic SARS Coronavirus 2 infection: Invisible yet invincible

                    International Journal of Infectious Diseases
                    Vol. 100p112–116Published online: September 3, 2020
                    • Lea A. Nikolai
                    • Christian G. Meyer
                    • Peter G. Kremsner
                    • Thirumalaisamy P. Velavan
                    Cited in Scopus: 129
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                      Transmission of SARS-CoV-2, the agent causing COVID-19, is driven by virus-containing droplets released from the upper airways and aerosols that can float, dependent on the airflow, for a prolonged period in the environment (Meselson, 2020). Aerosols can be spread by just breathing, while droplets originate from speaking, shouting, sneezing, and coughing as well as from singing and playing wind instruments (Zhang et al., 2020; Zhen-Dong et al., 2020; Asadi et al., 2019). Of great importance are super-spreading events, which are infection clusters constituting effective chains of SARS-CoV-2 transmission.
                    • Short Communication
                      Open Access

                      Clinical Characteristics of Asymptomatic Patients with COVID-19: A Nationwide Cohort Study in South Korea

                      International Journal of Infectious Diseases
                      Vol. 99p266–268Published online: August 6, 2020
                      • Chan-Young Jung
                      • Haeyong Park
                      • Dong Wook Kim
                      • Yoon Jung Choi
                      • Seong Woo Kim
                      • Tae Ik Chang
                      Cited in Scopus: 36
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                        In South Korea, the first coronavirus disease 2019 (COVID-19) case was confirmed on January 20, 2020 (Korea Ministry of Health and Welfare and Center for Disease Control and Prevention, 2020). With proactive containment efforts, comprehensive contact tracing, and extensive testing of symptomatic or high risk individuals for COVID-19, South Korea was able to flatten the curve of new COVID-19 infections by mid-March (Korea Ministry of Health and Welfare and Center for Disease Control and Prevention, 2020; Song et al., 2020).
                        Clinical Characteristics of Asymptomatic Patients with COVID-19: A Nationwide Cohort Study in South Korea
                      • Research Article
                        Open Access

                        Patterns of viral clearance in the natural course of asymptomatic COVID-19: Comparison with symptomatic non-severe COVID-19

                        International Journal of Infectious Diseases
                        Vol. 99p279–285Published online: August 4, 2020
                        • Jae-Sun Uhm
                        • Jin Young Ahn
                        • JongHoon Hyun
                        • Yujin Sohn
                        • Jung Ho Kim
                        • Su Jin Jeong
                        • and others
                        Cited in Scopus: 22
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                          The first cases of coronavirus disease 2019 (COVID-19) were reported in Wuhan, China in December 2019 (Chen et al., 2020; Huang et al., 2020). The pathogen has been identified as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Lu et al., 2020; Zhu et al., 2020). COVID-19 has rapidly become widespread across the world. In March 2020, the World Health Organization declared the COVID-19 outbreak a pandemic. From the end of February through March 2020, Daegu—the fourth largest city in South Korea—was emerging as an epicenter of COVID-19 in South Korea.
                          Patterns of viral clearance in the natural course of asymptomatic COVID-19: Comparison with symptomatic non-severe COVID-19
                        • Research Article
                          Open Access

                          Asymptomatic infection by SARS-CoV-2 in healthcare workers: A study in a large teaching hospital in Wuhan, China

                          International Journal of Infectious Diseases
                          Vol. 99p219–225Published online: August 3, 2020
                          • Dong Zhao
                          • Mengmei Wang
                          • Ming Wang
                          • Yang Zhao
                          • Zhishui Zheng
                          • Xiaochen Li
                          • and others
                          Cited in Scopus: 30
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                            Coronavirus Disease 2019 (COVID-19) has caused a large number of related deaths and multiple healthcare-associated outbreaks (Zhu et al., 2019; Wang et al., 2020a; Huang et al., 2020; Chen et al., 2020a). Investigators have summarised the clinical characteristics of initial onset in cases (Huang et al., 2020; Chen et al., 2020a): some had atypical clinical manifestations (e.g. severe cases only had moderate or low fever or even no fever), while some mild cases did not have pneumonia and only had low fever or mild fatigue (NHC, 2020; Guan et al., 2020).
                            Asymptomatic infection by SARS-CoV-2 in healthcare workers: A study in a large teaching hospital in Wuhan, China
                          • Research Article
                            Open Access

                            Asymptomatic patients as a source of COVID-19 infections: A systematic review and meta-analysis

                            International Journal of Infectious Diseases
                            Vol. 98p180–186Published online: June 17, 2020
                            • Andreas Kronbichler
                            • Daniela Kresse
                            • Sojung Yoon
                            • Keum Hwa Lee
                            • Maria Effenberger
                            • Jae Il Shin
                            Cited in Scopus: 210
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                              Coronavirus Disease 2019 (COVID-19), caused by severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2), emerged as a global threat; it was declared a pandemic by the WHO on 11 March 2020. As of 12 June 2020, over 7,200,000 infected cases and 400,000 deaths have been reported by the World Health Organization (WHO).
                              Asymptomatic patients as a source of COVID-19 infections: A systematic review and meta-analysis
                            • Short Communication
                              Open Access

                              Duration of viral shedding in asymptomatic or mild cases of novel coronavirus disease 2019 (COVID-19) from a cruise ship: A single-hospital experience in Tokyo, Japan

                              International Journal of Infectious Diseases
                              Vol. 97p293–295Published online: June 11, 2020
                              • Yuka Miyamae
                              • Toshiya Hayashi
                              • Hitoshi Yonezawa
                              • Jin Fujihara
                              • Yousuke Matsumoto
                              • Takafumi Ito
                              • and others
                              Cited in Scopus: 27
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                                The novel coronavirus (severe acute respiratory syndrome coronavirus 2; SARS-CoV-2), which is the cause of novel coronavirus disease 2019 (COVID-19), first reported in Wuhan, China, has spread across the world and has been characterized by the World Health Organization as a global pandemic (Bedford et al., 2020). In February 2020, at the port of Yokohama, Japan, an outbreak of COVID-19 among passengers and crew of the Diamond Princess cruise ship occurred, with approximately 700 confirmed cases.
                                Duration of viral shedding in asymptomatic or mild cases of novel coronavirus disease 2019 (COVID-19) from a cruise ship: A single-hospital experience in Tokyo, Japan
                              • Short Communication
                                Open Access

                                The proportion of COVID-19 cases that are asymptomatic in South Korea: Comment on Nishiura et al.

                                International Journal of Infectious Diseases
                                Vol. 96p398Published online: May 14, 2020
                                • Joseph Workman
                                Cited in Scopus: 12
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                                  In a recent paper, Nishiura et al. (2020) estimated the asymptomatic rate of COVID-19 cases among Japanese nationals who were tested upon returning to Japan from abroad. The authors estimated the proportion of positive COVID-19 cases that were asymptomatic to be 30.8% (95% confidence interval: 7.7%, 53.8%).
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