Five successive waves of SARS-CoV-2 infection in the Central African Republic: a prospective observational study from 2020-2022

中非共和国五波连续 SARS-CoV-2 感染:2020-2022 年的一项前瞻性观察研究

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作者:Clotaire Donatien Rafaï, Luc Salva Heredeibona, Ernest Lango-Yaya, Roseline Darnicka Belizaire, Oscar Senzongo, Placide Mbala, Maurel Ouoko Fa-Ti-Gbia, Javan Allon Bengba, Simon Pounguinza, Jephté Estimé Kaleb Kandou, Daniel Yvon Gonessa, Wilfried Koyaweda, Ulrich Vickos, Ginette Claude Kalla, Wilfr

Conclusion

this prospective study over a period of 3 years, marked by 5 successive waves, made it possible to report that age, sex and the presence of clinical symptoms are associated with RT-PCR positivity. Among the different variants identified during successive waves, the Omicron variant predominated during the last two waves.

Methods

this is an observational study on the variations in the prevalence of detection of SARS-CoV-2 by RT-PCR at the NLCBPH from nasopharyngeal samples taken prospectively over a period of 3 years since the beginning of the COVID-19 epidemic. A subgroup of SARS-CoV-2 positive samples was selected for molecular sequencing performed by Illumina® and MinIon® at the National Institute for Biomedical Research in Kinshasa, Democratic Republic of the Congo.

Results

from March 2020 to December 31th, 2022, 88,442 RT-PCR tests were carried out (4/5 of the country) and detected 9,156 cases of SARS-CoV-2 infection in 5 successive waves. The average age of the patients was 39.8 years (extremes ranging from to 92 years). Age(P=0.001), sex(P=0.001) and symptom presentation(P=0.001) were significantly associated with RT-PCR test positivity. Among the different variants identified during successive waves, the Omicron variant predominated during the last two waves.

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