Title
Confirmed Severe Acute Respiratory Syndrome Coronavirus 2 Reinfections After a Second Wave With Predominance of Lambda in Lima and Callao, Peru
Date Issued
01 June 2022
Access level
open access
Resource Type
journal article
Author(s)
Pampa-Espinoza L.
Silva-Valencia J.
Silva I.
Lope Pari P.
Bailón-Calderón H.
Bárcena-Flores L.
García Mendoza M.
Palomino Rodriguez M.
Rios Monteza P.
Ordoñez L.
Fernandez-Navarro M.
Vargas-Herrera N.
Publisher(s)
Oxford University Press
Abstract
Background. Coronavirus disease 2019 (COVID-19) infection is a major public health problem in the world and reinfections are becoming more frequent. Our main objective was to describe the epidemiological, clinical, and genomic characteristics of the confirmed cases of reinfection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the capital of Lima and Callao, Peru. Methods. We searched in the Peruvian laboratory information system from April 2020 up to May 2021, looking for cases having 2 positive molecular tests for SARS-CoV-2 with more than 90 days between them. We performed genomic sequencing to the available pairs of samples and described the clinical characteristics, epidemiological impact, and genomic analysis of the confirmed reinfections. Results. There were 1 694 164 people with a positive diagnostic test for SARS-CoV-2 in Lima/Callao during the study period. Of these, 1695 had 2 positive molecular tests with more than 90 days between them. Two hundred eleven had both samples available for genomic analysis according to our selection criteria, and these were retrieved and submitted to sequencing. Thirty cases were confirmed to be SARS-CoV-2 reinfections with 2 different lineages in the 2 episodes. The variant Lambda (C.37) was the most common during the second infection and accounted for 19 (63.3%) of the 30 cases. Conclusions. We report 30 cases of confirmed SARS-CoV-2 reinfections. The Lambda variant was the most common cause of the second infections, in concordance with its predominant circulation during Peru's second wave. This report describes the largest series of confirmed reinfections by SARS-CoV-2 in Latin America.
Volume
9
Issue
6
Language
English
OCDE Knowledge area
Epidemiología
Sistema respiratorio
Subjects
Scopus EID
2-s2.0-85133000396
Source
Open Forum Infectious Diseases
ISSN of the container
23288957
Sponsor(s)
This study was funded by the Instituto Nacional de Salud del Peru. The results of this study were sent in November 2021 to the Ministry of Health of Peru for decision making.
Sources of information:
Directorio de Producción Científica
Scopus