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ABSTRACT: Background
Many influenza studies assume that symptomatic and asymptomatic cases have equivalent antibody responses.Methods
This study examines the relationship between influenza symptoms and serological response. Influenza-positive index cases and household members in Managua, Nicaragua, during 2012-2017 were categorized by symptom status.Results
Antibody response was assessed using hemagglutination inhibition assays (HAI). Among 510 cases, 74.5% had ≥4-fold increase in HAI antibodies, and 75.3% had febrile illness. In a logistic regression model, febrile cases had 2.17 times higher odds of a ≥4-fold titer rise compared to asymptomatic cases (95% confidence interval, 1.02-4.64).Conclusions
Studies relying on serological assays may not generalize to asymptomatic infections.
SUBMITTER: Tricoche AD
PROVIDER: S-EPMC7938177 | biostudies-literature | 2021 Mar
REPOSITORIES: biostudies-literature
Tricoche Alexandria D AD Wagner Abram L AL Balmaseda Angel A Sanchez Nery N Patel Mayuri M Lopez Roger R Schiller Amy A Ojeda Sergio S Frutos Aaron M AM Kuan Guillermina G Gordon Aubree A
The Journal of infectious diseases 20210301 5
<h4>Background</h4>Many influenza studies assume that symptomatic and asymptomatic cases have equivalent antibody responses.<h4>Methods</h4>This study examines the relationship between influenza symptoms and serological response. Influenza-positive index cases and household members in Managua, Nicaragua, during 2012-2017 were categorized by symptom status.<h4>Results</h4>Antibody response was assessed using hemagglutination inhibition assays (HAI). Among 510 cases, 74.5% had ≥4-fold increase in ...[more]