Convalescent plasma treatment for SARS-CoV-2 infection: analysis of the first 436 donors in England, 22 April to 12 May 2020

Eurosurveillance - Tập 25 Số 28 - 2020
Heli Harvala1, Jennifer Mehew2, Matthew Robb2, Samreen Ijaz3, Steve Dicks1,3, Monika Patel4, Nicholas A. Watkins5, Peter Simmonds6, Tim Brooks7, Rachel Johnson2, Robin Gopal4, David J. Roberts8,9, Maria Zambon3
1Microbiology Services, NHS Blood and Transplant, London, United Kingdom
2Statistics and Clinical Studies, NHS Blood and Transplant, Bristol, United Kingdom
3Virology Reference Department, National Infection Service, Public Health England, Colindale Avenue, London, United Kingdom
4High Containment Microbiology, National Infection Service, Public Health England, Colindale Avenue, London, United Kingdom
5NHS Blood and Transplant, Cambridge, United Kingdom
6Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom
7Rare & Imported Pathogens Laboratory, Public Health England, Porton Down, United Kingdom
8NHS Blood and Transplant, Oxford, John Radcliffe Hospital, Oxford, United Kingdom
9Radcliffe Department of Medicine and BRC Haematology Theme, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom

Tóm tắt

Serological reactivity was analysed in plasma from 436 individuals with a history of disease compatible with COVID-19, including 256 who had been laboratory-confirmed with SARS-CoV-2 infection. Over 99% of laboratory-confirmed cases developed a measurable antibody response (254/256) and 88% harboured neutralising antibodies (226/256). Antibody levels declined over 3 months following diagnosis, emphasising the importance of the timing of convalescent plasma collections. Binding antibody measurements can inform selection of convalescent plasma donors with high neutralising antibody levels.

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