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Clinical and laboratory features of coronavirus infection caused by the Omicron gene variant in outpatients

Abstract

The objective is to study the clinical and laboratory features of a new coronavirus infection in outpatients during the circulation of the Omicron gene variant of SARS–COV-2.

Material and methods. The case histories of 100 outpatients (79 men, 21 women) aged 24 to 59 years with confirmed COVID-19 infection were retrospectively analyzed. The etiology of the disease was verified by the determination of SARS-CoV-2 RNA in nasopharyngeal samples by polymerase chain reaction (PCR). Statistical data analysis was carried out using the IBM SPSS Statistics 26 program. The Student and Pearson criteria were used in the calculations. Differences in indicators were considered statistically significant at p<0.05.

Results. In most outpatients, a new coronavirus infection occurred with a predominant lesion of the upper respiratory tract. At the onset of the disease, the characteristic clinical symptom in young patients was sore throat which was recorded twice as often as in middle-aged patients. An increase in temperature to subfebrile figures was recorded in 50% of cases. Cough syndrome was not typical for young patients. In 42% of patients, the level of acute-phase C-reactive protein was 1.2-1.5 times higher than the reference values.

Conclusion. COVID-19 infection caused by the Omicron gene variant in outpatients in most cases had a smooth course, and was characterized by a predominant lesion of the upper respiratory tract.

About the Authors

S. V. Nikolaeva
ФБУН ЦНИИ Эпидемиологии Роспотребнадзора
Russian Federation


Yu. A. Sharavina
ФБУН ЦНИИ Эпидемиологии Роспотребнадзора; Лечебно-реабилитационный центр ФГКУ «Главный центр обеспечения деятельности войск национальной гвардии Российской Федерации»
Russian Federation


H. G. Omarova
ФБУН ЦНИИ Эпидемиологии Роспотребнадзора
Russian Federation


N. T. Shapieva
ФБУН ЦНИИ Эпидемиологии Роспотребнадзора; ГБУЗ «Московский многопрофильный клинический центр «Коммунарка» департамента здравоохранения города Москвы»
Russian Federation


E. A. Burdakova
ФБУН ЦНИИ Эпидемиологии Роспотребнадзора; ГБУЗ «Московский многопрофильный клинический центр «Коммунарка» департамента здравоохранения города Москвы»
Russian Federation


L. K. Alimova
ФБУН ЦНИИ Эпидемиологии Роспотребнадзора; ГБУЗ «Московский многопрофильный клинический центр «Коммунарка» департамента здравоохранения города Москвы»
Russian Federation


Yu. N. Khlypovka
ФБУН ЦНИИ Эпидемиологии Роспотребнадзора; ГБУЗ «Московский многопрофильный клинический центр «Коммунарка» департамента здравоохранения города Москвы»
Russian Federation


D. V. Usenko
ФБУН ЦНИИ Эпидемиологии Роспотребнадзора
Russian Federation


A. N. Pestova
ФБУН ЦНИИ Эпидемиологии Роспотребнадзора; Лечебно-реабилитационный центр ФГКУ «Главный центр обеспечения деятельности войск национальной гвардии Российской Федерации»
Russian Federation


Zh. B. Ponezheva
ФБУН ЦНИИ Эпидемиологии Роспотребнадзора
Russian Federation


References

1. Lu R, Zhao X, Li J, [et al.] Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020;395(10224):565-574. (in Engl)

2. Zhou P, Yang XL, Wang XG, [et al.] A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020;579(7798):270-273. (in Engl)

3. Ye Q, Wang B, Mao J. The pathogenesis and treatment of the `Cytokine Storm' in COVID-19. J Infect. 2020;80(6):607-613. (in Engl)

4. Ye Q, Wang B, Mao J, [et al.] Epidemiological analysis of COVID-19 and practical experience from China. J Med Virol. 2020;92(7):755-769. (in Engl)

5. Leung K, Shum MH, Leung GM, Lam TT, Wu JT. Early transmissibility assessment of the N501Y mutant strains of SARS-CoV-2 in the United Kingdom, October to November 2020. Euro Surveill. 2021;26(1):2002106. (in Engl)

6. Organization WH. Classification of Omicron (B.1.1.529): SARS-CoV-2 Variant of Concern. https://www.who.int/news/item/26-11-2021-classification-of-omicron-(b.1.1.529)-sars-cov-2-variant-of-concern. (in Engl)

7. Singh J, Rahman SA, Ehtesham NZ, Hira S, Hasnain SE. SARS-CoV-2 variants of concern are emerging in India. Nat Med. 2021;27(7):1131-1133. (in Engl)

8. Tian D, Sun Y, Zhou J, Ye Q. The global epidemic of SARS-CoV-2 variants and their mutational immune escape. J Med Virol. 2021:1-11. (in Engl)

9. Makoni M. South Africa responds to new SARS-CoV-2 variant. Lancet. 2021;397(10271):267. (in Engl)

10. World Health Organization. Update on Omicron 2021. Available online: https://www.who.int/news/item/28-11-2021-updateon-omicron (accessed on 6 December 2021). (in Engl)

11. Abbott, S.; Hellewell, J.; Thompson, R.N.; Sherratt, K.; Gibbs, H.P.; Bosse, N.I.; Munday, J.D.; Meakin, S.; Doughty, E.L.; Chun, J.Y.; [et al.] Estimating the time-varying reproduction number of SARS-CoV-2 using national and subnational case counts. Wellcome Open Res. 2020, 5, 112. (in Engl)

12. Chen Z, Wang B, Mao S, Ye Q. Assessment of global asymptomatic SARS-CoV-2 infection and management practices from China. Int J Biol Sci. 2021;17(4):1119-1124. (in Engl)

13. Han X, Ye Q. Kidney involvement in COVID-19 and its treatments. J Med Virol. 2021;93(3):1387-1395. (in Engl)

14. Tian D, Ye Q. Hepatic complications of COVID-19 and its treatment. J Med Virol. 2020;92(10):1818-1824. (in Engl)

15. Qing Ye DL, Shiqiang Shang, Junfen Fu, Fangqi Gong, Qiang Shu and Jianhua Mao. Crosstalk between coronavirus disease 2019 and cardiovascular disease and its treatment. ESC Heart Fail. 2020;7(6):3464-3472. (in Engl)

16. Luo HC, You CY, Lu SW, Fu YQ. Characteristics of coagulation alteration in patients with COVID-19. Ann Hematol. 2021;100(1):45-52 (in Engl)

17. Ye Q, Wang B, Zhang T, Xu J, Shang S. The mechanism and treatment of gastrointestinal symptoms in patients with COVID-19. Am J Physiol Gastrointest Liver Physiol. 2020;319(2):G245-G252. (in Engl)

18. Zhou X, Ye Q.Cellular Immune Response to COVID-19 and Potential Immune Modulators. Front Immunol. 2021;12:646333. (in Engl)

19. Dyer O. Covid-19: South Africa's surge in cases deepens alarm over omicron variant. BMJ. 2021;375:n3013. (in Engl)

20. Enhancing Readiness for Omicron (B.1.1.529): Technical Brief and Priority Actions for Member States. Dec 10 2021. https://www.who.int/publications/m/item/enhancing-readiness-for-omicron-(b.1.1.529)-technical-brief-and-priority-actions-for-member-states.2021. (in Engl)

21. Omicron Variant: What You Need to Know. Updated Dec 10, 2021. https://www.cdc.gov/coronavirus/2019-ncov/variants/omicron-variant.html.2021. (in Engl)

22. Saxena S.K. [et al.] Characterization of the novelSARS-CoV-2 Omicron (B.1.1.529) variant of concern and its global perspective. J. Med. Virol. 2022;94(4):1738-1744. (in Engl)

23. Mannar D. et al. SARS-CoV-2 Omicron variant: Antibody evasion and cryo-EM structure of spike protein-ACE2 complex. Science. 2022;375(6582):760-764. (in Engl)

24. European Centre for Disease Prevention and Control. Epidemiological Update: Omicron Variant of Concern (VOC)-Data As of 11 December 2021. Available online: https://www.ecdc.europa.eu/en/news-events/epidemiological-update-omicron-variantconcern-voc-data-11-december-2021 (accessed on 21 January 2022). (in Engl)

25. Kumar S. [et al.] Omicron and Delta variant of SARS-CoV-2: A comparative computational study of spike protein. J. Med. Virol. 2022; 4(4):1641-1649. (in Engl)

26. Song,W.J.; Hui, C.K.M.; Hull, J.H.; Birring, S.S.; Mcgarver, L.; Mazzone, S.B.; Chung, K.F. Confronting COVID-19-associated cough and the post-COVID syndrome: Role of viral neurotropism, neuroinflammation, and neuroimmune responses. Lancet Respir. Med.2021, 9, 533–544. (in Engl)

27. Report from Norway. Available online: https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2021.26.50.2101147#f1 (accessed on 10 January 2022). (in Engl)

28. UK Health Security Agency (UKHSA). SARS-CoV-2 Variants of Concern and Variants Under Investigation in England-Technical Briefing 31. 2021. Available online: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1040076/Technical_Briefing_31.pdf (accessed on 10 January 2022). (in Engl)

29. Ibekwe, T.S.; Fasunla, A.J.; Orimadegun, A.E. Systematic Review and Meta-analysis of Smell and Taste Disorders in COVID-19.OTO Open 2020, 4, 2473974X20957975. (in Engl)

30. Hoffmann, M.; Kleine-Weber, H.; Schroeder, S.; Krüger, N.; Herrler, T.; Erichsen, S.; Schiergens, T.S.; Herrler, G.; Wu, N.-H.; Nitsche, A.; et al. SARS-CoV-2 Cell Entry Depends on ACE2 and TMPRSS2 and Is Blocked by a Clinically Proven Protease Inhibitor. Cell 2020, 181, 271–280. (in Engl)

31. Dong, M.; Zhang, J.; Ma, X.; Tan, J.; Chen, L.; Liu, S.; Xin, Y.; Zhuang, L. ACE2, TMPRSS2 distribution and extrapulmonary organ injury in patients with COVID-19. Biomed. Pharmacother. 2020, 131, 110678. (in Engl)

32. UK Health Security Agency (UKHSA). SARS-CoV-2 Variants of Concern and Variants Under Investigation in England-Technical Briefing 31. 2021. Available online: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1040076/Technical_Briefing_31.pdf (accessed on 10 January 2022). (in Engl)

33. Maslo, C.; Friedland, R.; Toubkin, M.; Laubscher, A.; Akaloo, T.; Kama, B. Characteristics and Outcomes of Hospitalized Patients in South Africa During the COVID-19 OmicronWave Compared with Previous Waves. JAMA 2021, 327, 583–584. (in Engl)

34. UK Health Security Agency (UKHSA). SARS-CoV-2 Variants of Concern and Variants Under Investigation in England-Technical Briefing 31. 2021. Available online: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1040076/Technical_Briefing_31.pdf (accessed on 10 January 2022). (in Engl)

35. Burki, T.K. Omicron variant and booster COVID-19 vaccines. Lancet Respir. Med. 2021, 10, e17. (in Engl)


Review

For citations:


Nikolaeva S.V., Sharavina Yu.A., Omarova H.G., Shapieva N.T., Burdakova E.A., Alimova L.K., Khlypovka Yu.N., Usenko D.V., Pestova A.N., Ponezheva Zh.B. Clinical and laboratory features of coronavirus infection caused by the Omicron gene variant in outpatients. Bashkortostan Medical Journal. 2023;18(2):25-32. (In Russ.)

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ISSN 1999-6209 (Print)