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278305

PULMONARY FUNCTIONS AND IMMUNOLOGICAL RESPONSE AMONG HEALTH CARE WORKERS RECOVERED FROM COVID-19 INFECTION COMPARED TO THEIR COUNTERPARTS WITHOUT PREVIOUS INFECTION

Article

Last updated: 22 Jan 2023

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Abstract

Introduction: COVID-19 infection is the most critical ongoing global health problem
with more outstanding effects on health care workers (HCWs) as they are the first
line of defense against any disease outbreak. Aim of Work: To assess the ventilatory
pulmonary functions and the immunological response by detection of SARS-CoV-2
specific immunoglobulins (IgM and IgG) among HCWs recovered from COVID-19
infection and compare the results with those of their counterparts with no previous
infection. Materials and Methods: The exposed group involved 60 previously infected
COVID-19 HCWs confirmed by positive Polymerase Chain Reaction (PCR) tests from
March till June 2020. A matched control group was selected to involve 60 PCR-negative
HCWs from the same clinical departments and during the same period. Ventilatory
pulmonary function tests (PFTs) were carried out together with the detection of specific
serum IgM and IgG antibodies. Results: All clinical manifestations of COVID-19
infection were significantly prevalent among previously infected HCWs compared to
their controls with a significant continuation of dyspnea and fatigue 3 months after
infection. Restrictive and obstructive patterns were significantly observed among
previously infected HCWs. IgM and IgG were detected in previously infected HCWs
3 months after infection with a significant prevalence of IgG. The study also showed
statistically significant negative correlations between all parameters of ventilatory PFTs
and PCR conversion duration. Conclusion: Previously infected HCWs with COVID-19
are at higher risk to develop complications in the form of continuation of some clinical
manifestations (as dyspnea and fatigue) and ventilatory impairment mainly; in the form
of restrictive patterns. Serum IgG antibodies could also persist for several months after
COVID-19 infection reflecting the development of humoral immunity against the novel
virus.

DOI

10.21608/ejom.2022.134720.1273

Keywords

COVID-19 Infection, Health Care Workers, Ventilatory pulmonary function, tests and Immunological response

Authors

First Name

Shaker

Last Name

DA

MiddleName

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Affiliation

Department of Occupational and Environmental Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.

Email

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City

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Orcid

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First Name

Zaky

Last Name

RA

MiddleName

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Affiliation

Department of Occupational and Environmental Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.

Email

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City

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Orcid

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First Name

Salem

Last Name

ST

MiddleName

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Affiliation

Department of Clinical and Chemical Pathology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Email

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City

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Orcid

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First Name

Mourad

Last Name

BH

MiddleName

-

Affiliation

Department of Occupational and Environmental Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.

Email

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City

-

Orcid

-

Volume

47

Article Issue

1

Related Issue

38671

Issue Date

2023-01-01

Receive Date

2022-04-19

Publish Date

2023-01-01

Page Start

79

Page End

95

Print ISSN

1110-1881

Online ISSN

2357-058X

Link

https://ejom.journals.ekb.eg/article_278305.html

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https://ejom.journals.ekb.eg/service?article_code=278305

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6

Type

Original Article

Type Code

577

Publication Type

Journal

Publication Title

Egyptian Journal of Occupational Medicine

Publication Link

https://ejom.journals.ekb.eg/

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Article

Created At

22 Jan 2023