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논문 기본 정보

자료유형
학술저널
저자정보
Kim Yong Chan (Division of Infectious Disease Department of Internal Medicine Yongin Severance Hospital Yonsei University College of Medicine Yongin Korea.) Kim Bongyoung (Department of Internal Medicine Hanyang University College of Medicine Seoul Korea.) Son Nak-Hoon (Department of Statistics Keimyung University Daegu Korea.) Heo Namwoo (Division of Infectious Disease Department of Internal Medicine Yongin Severance Hospital Yonsei University College of Medicine Yongin Korea.) Nam Yooju (Department of Hospital Medicine Yongin Severance Hospital Yonsei University College of Medicine Yongin Korea.) Shin Areum (Department of Hospital Medicine Yongin Severance Hospital Yonsei University College of Medicine Yongin Korea.) Yang Andrew Jihoon (Department of Hospital Medicine Yongin Severance Hospital Yonsei University College of Medicine Yongin Korea.) Kim Min Hyung (Division of Infectious Disease Department of Internal Medicine Yongin Severance Hospital Yonsei University College of Medicine Yongin Korea.) Kyong Taeyoung (Department of Hospital Medicine Yongin Severance Hospital Yonsei University College of Medicine Yongin Korea.) Kang Eawha (Department of Hospital Medicine Yongin Severance Hospital Yonsei University College of Medicine Yongin Korea.) Park Yoon Soo (Division of Infectious Disease Department of Internal Medicine Yongin Severance Hospital Yonsei University College of Medicine Yongin Korea.) Kim Heejung (Department of Laboratory Medicine Yongin Severance Hospital Yonsei University College of Medicine Yongin Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.38 No.1
발행연도
2023.1
수록면
1 - 12 (12page)
DOI
10.3346/jkms.2023.38.e9

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초록· 키워드

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Background: We evaluated the household secondary attack rate (SAR) of the omicron and delta severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants, according to the vaccination status of the index case and household contacts; further, in vaccinated index cases, we evaluated the effect of the antibody levels on household transmission. Methods: A prospective cross-sectional study of 92 index cases and 197 quarantined household contacts was performed. Tests for SARS-CoV-2 variant type and antibody level were conducted in index cases, and results of polymerase chain reaction tests (during the quarantine period) were collected from contacts. Association of antibody levels in vaccinated index cases and SAR was evaluated by multivariate regression analysis. Results: The SAR was higher in households exposed to omicron variant (42%) than in those exposed to delta variant (27%) (P = 0.040). SAR was 35% and 23% for unvaccinated and vaccinated delta variant exposed contacts, respectively. SAR was 44% and 41% for unvaccinated and vaccinated omicron exposed contacts, respectively. Booster dose immunisation of contacts or vaccination of index cases reduced SAR of vaccinated omicron variant exposed contacts. In a model with adjustment, anti-receptor-binding domain antibody levels in vaccinated index cases were inversely correlated with household transmission of both delta and omicron variants. Neutralising antibody levels had a similar relationship. Conclusion: Immunisation of household members may help to mitigate the current pandemic.

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