Estimating protection afforded by prior infection in preventing reinfection: Applying the test-negative study design

<p dir="ltr">The COVID-19 pandemic has highlighted the need to use infection testing databases to rapidly estimate effectiveness of prior infection in preventing reinfection (PE<sub>s</sub>) by novel SARS-CoV-2 variants. Mathematical modeling was used to demonstrate a the...

Full description

Saved in:
Bibliographic Details
Main Author: Houssein H Ayoub (17704359) (author)
Other Authors: Milan Tomy (17704362) (author), Hiam Chemaitelly (439114) (author), Heba N Altarawneh (17704365) (author), Peter Coyle (787159) (author), Patrick Tang (239534) (author), Mohammad R Hasan (14634173) (author), Zaina Al Kanaani (5018198) (author), Einas Al Kuwari (12024471) (author), Adeel A Butt (17704368) (author), Andrew Jeremijenko (11506565) (author), Anvar Hassan Kaleeckal (11847034) (author), Ali Nizar Latif (11570540) (author), Riyazuddin Mohammad Shaik (11847037) (author), Gheyath K Nasrallah (17704371) (author), Fatiha M Benslimane (17704374) (author), Hebah A Al Khatib (17704377) (author), Hadi M Yassine (17704380) (author), Mohamed G Al Kuwari (17704383) (author), Hamad Eid Al Romaihi (12024477) (author), Hanan F Abdul-Rahim (17704386) (author), Mohamed H Al-Thani (17704389) (author), Abdullatif Al Khal (12024468) (author), Roberto Bertollini (9538620) (author), Laith J Abu-Raddad (11868161) (author)
Published: 2023
Subjects:
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1864513512832761856
author Houssein H Ayoub (17704359)
author2 Milan Tomy (17704362)
Hiam Chemaitelly (439114)
Heba N Altarawneh (17704365)
Peter Coyle (787159)
Patrick Tang (239534)
Mohammad R Hasan (14634173)
Zaina Al Kanaani (5018198)
Einas Al Kuwari (12024471)
Adeel A Butt (17704368)
Andrew Jeremijenko (11506565)
Anvar Hassan Kaleeckal (11847034)
Ali Nizar Latif (11570540)
Riyazuddin Mohammad Shaik (11847037)
Gheyath K Nasrallah (17704371)
Fatiha M Benslimane (17704374)
Hebah A Al Khatib (17704377)
Hadi M Yassine (17704380)
Mohamed G Al Kuwari (17704383)
Hamad Eid Al Romaihi (12024477)
Hanan F Abdul-Rahim (17704386)
Mohamed H Al-Thani (17704389)
Abdullatif Al Khal (12024468)
Roberto Bertollini (9538620)
Laith J Abu-Raddad (11868161)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Houssein H Ayoub (17704359)
Milan Tomy (17704362)
Hiam Chemaitelly (439114)
Heba N Altarawneh (17704365)
Peter Coyle (787159)
Patrick Tang (239534)
Mohammad R Hasan (14634173)
Zaina Al Kanaani (5018198)
Einas Al Kuwari (12024471)
Adeel A Butt (17704368)
Andrew Jeremijenko (11506565)
Anvar Hassan Kaleeckal (11847034)
Ali Nizar Latif (11570540)
Riyazuddin Mohammad Shaik (11847037)
Gheyath K Nasrallah (17704371)
Fatiha M Benslimane (17704374)
Hebah A Al Khatib (17704377)
Hadi M Yassine (17704380)
Mohamed G Al Kuwari (17704383)
Hamad Eid Al Romaihi (12024477)
Hanan F Abdul-Rahim (17704386)
Mohamed H Al-Thani (17704389)
Abdullatif Al Khal (12024468)
Roberto Bertollini (9538620)
Laith J Abu-Raddad (11868161)
author_role author
dc.creator.none.fl_str_mv Houssein H Ayoub (17704359)
Milan Tomy (17704362)
Hiam Chemaitelly (439114)
Heba N Altarawneh (17704365)
Peter Coyle (787159)
Patrick Tang (239534)
Mohammad R Hasan (14634173)
Zaina Al Kanaani (5018198)
Einas Al Kuwari (12024471)
Adeel A Butt (17704368)
Andrew Jeremijenko (11506565)
Anvar Hassan Kaleeckal (11847034)
Ali Nizar Latif (11570540)
Riyazuddin Mohammad Shaik (11847037)
Gheyath K Nasrallah (17704371)
Fatiha M Benslimane (17704374)
Hebah A Al Khatib (17704377)
Hadi M Yassine (17704380)
Mohamed G Al Kuwari (17704383)
Hamad Eid Al Romaihi (12024477)
Hanan F Abdul-Rahim (17704386)
Mohamed H Al-Thani (17704389)
Abdullatif Al Khal (12024468)
Roberto Bertollini (9538620)
Laith J Abu-Raddad (11868161)
dc.date.none.fl_str_mv 2023-12-07T03:00:00Z
dc.identifier.none.fl_str_mv 10.1093/aje/kwad239
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Estimating_protection_afforded_by_prior_infection_in_preventing_reinfection_Applying_the_test-negative_study_design/24906717
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Health sciences
Epidemiology
Public health
reinfection
test-negative design
effectiveness
mathematical model
SARS-CoV-2
COVID-19
dc.title.none.fl_str_mv Estimating protection afforded by prior infection in preventing reinfection: Applying the test-negative study design
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">The COVID-19 pandemic has highlighted the need to use infection testing databases to rapidly estimate effectiveness of prior infection in preventing reinfection (PE<sub>s</sub>) by novel SARS-CoV-2 variants. Mathematical modeling was used to demonstrate a theoretical foundation for applicability of the test-negative, case-control study design to derive PE<sub>s</sub>. Apart from the very early phase of an epidemic, the difference between the test-negative estimate for PE<sub>s</sub> and true value of PE<sub>s</sub> was minimal and became negligible as the epidemic progressed. The test-negative design provided robust estimation of PE<sub>s</sub> and its waning. Assuming that only 25% of prior infections are documented, misclassification of prior infection status underestimated PE<sub>s</sub>, but the underestimate was considerable only when >50% of the population was ever infected. Misclassification of latent infection, misclassification of current active infection, and scale-up of vaccination all resulted in negligible bias in estimated PE<sub>s</sub>. The test-negative design was applied to national-level testing data in Qatar to estimate PE<sub>s</sub> for SARS-CoV-2. PE<sub>s</sub> against SARS-CoV-2 Alpha and Beta variants was estimated at 97.0% (95% CI: 93.6-98.6) and 85.5% (95% CI: 82.4-88.1), respectively. These estimates were validated using a cohort study design. The test-negative design offers a feasible, robust method to estimate protection from prior infection in preventing reinfection.</p><h2>Other Information</h2><p dir="ltr">Published in: American Journal of Epidemiology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1093/aje/kwad239" target="_blank">https://dx.doi.org/10.1093/aje/kwad239</a></p>
eu_rights_str_mv openAccess
id Manara2_a8dacb2725a9792af54076df2ef86499
identifier_str_mv 10.1093/aje/kwad239
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/24906717
publishDate 2023
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Estimating protection afforded by prior infection in preventing reinfection: Applying the test-negative study designHoussein H Ayoub (17704359)Milan Tomy (17704362)Hiam Chemaitelly (439114)Heba N Altarawneh (17704365)Peter Coyle (787159)Patrick Tang (239534)Mohammad R Hasan (14634173)Zaina Al Kanaani (5018198)Einas Al Kuwari (12024471)Adeel A Butt (17704368)Andrew Jeremijenko (11506565)Anvar Hassan Kaleeckal (11847034)Ali Nizar Latif (11570540)Riyazuddin Mohammad Shaik (11847037)Gheyath K Nasrallah (17704371)Fatiha M Benslimane (17704374)Hebah A Al Khatib (17704377)Hadi M Yassine (17704380)Mohamed G Al Kuwari (17704383)Hamad Eid Al Romaihi (12024477)Hanan F Abdul-Rahim (17704386)Mohamed H Al-Thani (17704389)Abdullatif Al Khal (12024468)Roberto Bertollini (9538620)Laith J Abu-Raddad (11868161)Biomedical and clinical sciencesClinical sciencesHealth sciencesEpidemiologyPublic healthreinfectiontest-negative designeffectivenessmathematical modelSARS-CoV-2COVID-19<p dir="ltr">The COVID-19 pandemic has highlighted the need to use infection testing databases to rapidly estimate effectiveness of prior infection in preventing reinfection (PE<sub>s</sub>) by novel SARS-CoV-2 variants. Mathematical modeling was used to demonstrate a theoretical foundation for applicability of the test-negative, case-control study design to derive PE<sub>s</sub>. Apart from the very early phase of an epidemic, the difference between the test-negative estimate for PE<sub>s</sub> and true value of PE<sub>s</sub> was minimal and became negligible as the epidemic progressed. The test-negative design provided robust estimation of PE<sub>s</sub> and its waning. Assuming that only 25% of prior infections are documented, misclassification of prior infection status underestimated PE<sub>s</sub>, but the underestimate was considerable only when >50% of the population was ever infected. Misclassification of latent infection, misclassification of current active infection, and scale-up of vaccination all resulted in negligible bias in estimated PE<sub>s</sub>. The test-negative design was applied to national-level testing data in Qatar to estimate PE<sub>s</sub> for SARS-CoV-2. PE<sub>s</sub> against SARS-CoV-2 Alpha and Beta variants was estimated at 97.0% (95% CI: 93.6-98.6) and 85.5% (95% CI: 82.4-88.1), respectively. These estimates were validated using a cohort study design. The test-negative design offers a feasible, robust method to estimate protection from prior infection in preventing reinfection.</p><h2>Other Information</h2><p dir="ltr">Published in: American Journal of Epidemiology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1093/aje/kwad239" target="_blank">https://dx.doi.org/10.1093/aje/kwad239</a></p>2023-12-07T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1093/aje/kwad239https://figshare.com/articles/journal_contribution/Estimating_protection_afforded_by_prior_infection_in_preventing_reinfection_Applying_the_test-negative_study_design/24906717CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/249067172023-12-07T03:00:00Z
spellingShingle Estimating protection afforded by prior infection in preventing reinfection: Applying the test-negative study design
Houssein H Ayoub (17704359)
Biomedical and clinical sciences
Clinical sciences
Health sciences
Epidemiology
Public health
reinfection
test-negative design
effectiveness
mathematical model
SARS-CoV-2
COVID-19
status_str publishedVersion
title Estimating protection afforded by prior infection in preventing reinfection: Applying the test-negative study design
title_full Estimating protection afforded by prior infection in preventing reinfection: Applying the test-negative study design
title_fullStr Estimating protection afforded by prior infection in preventing reinfection: Applying the test-negative study design
title_full_unstemmed Estimating protection afforded by prior infection in preventing reinfection: Applying the test-negative study design
title_short Estimating protection afforded by prior infection in preventing reinfection: Applying the test-negative study design
title_sort Estimating protection afforded by prior infection in preventing reinfection: Applying the test-negative study design
topic Biomedical and clinical sciences
Clinical sciences
Health sciences
Epidemiology
Public health
reinfection
test-negative design
effectiveness
mathematical model
SARS-CoV-2
COVID-19