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Epidemiologic characteristics of cases with reinfection, recurrence, and hospital readmission due to COVID-19: A systematic review and meta-analysis

Journal

JOURNAL OF MEDICAL VIROLOGY
Volume 94, Issue 1, Pages 44-53

Publisher

WILEY
DOI: 10.1002/jmv.27281

Keywords

COVID-19; hospital readmission; meta-analysis; recurrence; reinfection; systematic review

Categories

Funding

  1. School of public health and safety, shahid beheshti university of medical sciences, Tehran, Iran

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Studies have shown cases of COVID-19 patients testing positive for the virus again after recovery, with higher reinfection rates in males and more frequent recurrence in females. Uncertainty regarding long-term immunity after SARS-Cov-2 infection indicates the possibility of reinfection and recurrence post-recovery. Efforts like mass vaccination and proper disease management can help control the frequent occurrence of the disease.
Recent studies reported that some recovered COVID-19 patients have tested positive for virus nucleic acid again. A systematic search was performed in Web of Science, PubMed, Scopus, and Google Scholar up to March 6, 2021. The pooled estimation of reinfection, recurrence, and hospital readmission among recovered COVID-19 patients was 3, 133, and 75 per 1000 patients, respectively. The overall estimation of reinfection among males compared to females was greater. The prevalence of recurrence in females compared to males was more common. Also, hospital readmission between sex groups was the same. There is uncertainty about long-term immunity after SARS-Cov-2 infection. Thus, the possibility of reinfection and recurrence after recovery is not unexpected. In addition, there is a probability of hospital readmission due to adverse events of COVID-19 after discharge. However, with mass vaccination of people and using the principles of prevention and appropriate management of the disease, frequent occurrence of the disease can be controlled.

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