Determination of anti-COVID-19 IgG and IgM seroprevalence among pregnant women at Pietersburg Hospital, Limpopo Province, South Africa

Authors

  • I Rukasha Division of Medical Microbiology, Department of Pathology, Faculty of Health Sciences, University of Limpopo, South Africa; Department of Medical Microbiology, National Health Laboratory Services, Polokwane, South Africa
  • S T S Pheeha Division of Medical Microbiology, Department of Pathology, Faculty of Health Sciences, University of Limpopo, South Africa; Department of Haematology, National Health Laboratory Services, Polokwane, South Africa
  • M R Lekalakala Division of Medical Microbiology, Department of Pathology, Faculty of Health Sciences, University of Limpopo, South Africa; Department of Medical Microbiology, National Health Laboratory Services, Polokwane, South Africa
  • P Malope Division of Medical Microbiology, Department of Pathology, Faculty of Health Sciences, University of Limpopo, South Africa

DOI:

https://doi.org/10.7196/SAMJ.2024.v114i3.702

Keywords:

COVID-19, Seroprevalence, pregnant women, Immunoglobulin

Abstract

Background. COVID-19 has been a major public health concern globally, leading to a higher mortality rate, especially among immunosuppressed individuals, who include pregnant women, people with HIV and people living with other comorbidities. Pregnant women are considered to be a special population group owing to their specific susceptibility to some infectious diseases.

Objective. To determine the seroprevalence of anti-SARS-CoV-2 antibodies among pregnant women attending an antenatal clinic. Method. This was a descriptive cross-sectional study that tested blood samples from pregnant women who attended the antenatal clinic from March to July 2022 using the Orient Gene Biotech lateral flow immune-chromatographic assay according to manufacturer instructions. The assay detects IgM and IgG antibodies against SARS-CoV-2.

Results. A total of 2 649 blood samples were tested; 2 039 (77.0%) samples tested positive for IgG, 7 (0.3%) tested positive for IgM, and 100 (3.7%) tested positive for both IgG and IgM. The study found a seroprevalence of 80.7% of IgG.

Conclusion. The study findings showed evidence of acute COVID-19 infection in our patient population despite the consensus that COVID-19 infection is dissipating.

References

Al Mansoori H, Alsaud AB, Yas H. The impact of COVID-19 on increasing the cost of labor and project price in the United Arab Emirates. Artic Int J Pharm Res Sch 2021;13(01):5069-5076. https:// doi.org/10.31838/ijpr/2021.13.01.691

Li H, Cao Y. The bright side of the COVID-19 pandemic: Public coughing weakens the overconfidence bias in non-health domains. Pers Individ Dif 2021;178(2021). https://doi.org/10.1016/j.paid.2021.110861 3. World Health Organization. Coronavirus Disease (COVID-19) Situation Reports. Geneva: WHO, 2022. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports (accessed

November 2022).

NICD. National COVID-19 daily report. Pretoria: NICD, 2022. https://www.nicd.ac.za/diseases-a-

z-index/disease-index-covid-19/surveillance-reports/national-covid-19-daily-report/ (accessed 26

November 2022).

Sanyaolu A, Okorie C, Marinkovic A, et al. Comorbidity and its impact on patients with COVID-19.

SN Compr Clin Med 2020;2(8):1069-1076. https://doi.org/10.1007/s42399-020-00363-4 https://link.

springer.com/article/10.1007/s42399-020-00363-4 (accessed 26 November 2022).

Salma U. Relationship of COVID-19 with pregnancy. Taiwan J Obstet Gynecol 2021;60(3):405-411.

https://doi.org/10.1016/j.tjog.2021.03.005

Reynolds RM, Stock SJ, Denison FC, Maybin JA, Critchley HOD. Pregnancy and the SARS-COV-2 pandemic. Physiol Rev 2022;102(3):1385-1391. https://doi.org/10.1152/physrev.00003.2022

Allotey J, Stallings E, Bonet M, et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: Living systematic review and meta-analysis. BMJ 2020;370(1):1-17. https://doi.org/10.1136/bmj.m3320

Chmielewska B, Barratt I, Townsend R, et al. Effects of the COVID-19 pandemic on maternal and perinatal outcomes: A systematic review and meta-analysis. Lancet Glob Heal 2021;9(6):759-772. https://doi.org/10.1016/S2214-109X(21)00079-6

Tomaselli V, Ferrara P, Cantone GG, et al. The effect of laboratory-verified smoking on SARS-CoV-2 infection: Results from the Troina sero-epidemiological survey. Intern Emerg Med 2022;17(6):1617- 1630. https://doi.org/10.1007/s11739-022-02975-1

Fairlie L, Sawry S, Patel F, et al. COVID-19 in pregnancy in South Africa: Tracking the epidemic and defining the natural history. S Afr Med J 2020;110(8):729-731. https://doi.org/10.7196/SAMJ.2020. v110i9.15012

Demey B, Daher N, François C, et al. Dynamic profile for the detection of anti-SARS-CoV-2 antibodies using four immunochromatographic assays. J Infect 2020;81(2):6-10. https://doi.org/10.1016/j. jinf.2020.04.033

Lucinde R, Mugo D, Bottomley C, et al. Sero-surveillance for IgG to SARS-CoV-2 at antenatal care clinics in two Kenyan referral hospitals. medRxiv 2021;2021.02.05.21250735. https://doi. org/10.1101/2021.02.05.21250735

Maryan MA, Dahie HA, Hassan NA, et al. Seroprevalence of SARS-CoV-2 virus antibodies and sociodemographic features of pregnant women in Mogadishu, Somalia: A cross-sectional survey study. BMJ Open 2022;12(6):1-11. https://doi:10.1136/bmjopen-2021-059617

Mansuy JM, Kenfack MT, Burel S, et al. High SARS-CoV-2 IgG seroprevalence among pregnant Cameroun women 14 months after the beginning of the pandemic. Public Health 2022;(April 2020):2020-2022. https://doi.org/10.22541/au.164873379.97139041/v1

Sawry L, Le Roux J, Wolter N, et al. High prevalence of SARS-CoV-2 antibodies in pregnant women after the second wave of infections in the inner-city of Johannesburg, Gauteng Province, South Africa. Int J Infect Dis 2022;125:241-249. https://doi.org/10.1016/j.ijid.2022.10.036

Basu JK, Chauke L, Magoro T. Maternal mortality from COVID 19 among South African pregnant women. J Matern Neonatal Med 2021; 35(25):5932-5934. https://doi.org/10.1080/14767058.2021. 1902501

Madhi SA, Kwatra G, Myers JE, et al. Population immunity and COVID-19 severity with omicron variant in South Africa. N Engl J Med 2022;386(14):1314-1326. https:// doi.org/10.1056/NEJMoa2119658

Bingham J, Cable R, Coleman C, et al. Estimates of prevalence of anti-SARS-CoV-2 antibodies among blood donors in South Africa in March 2022. Res Sq 2022. https://doi.org/10.21203/rs.3.rs-1687679/v2

Lewis HC, Ware H, Whelan M, et al. SARS-CoV-2 infection in Africa: A systematic review and meta- analysis of standardised seroprevalence studies, from January 2020 to December 2021. BMJ Glob Heal

;7(8):e008793. https://doi.org/10.1136/bmjgh-2022-008793

Ferdinands JM, Rao S, Dixon BE, et al. Waning 2-dose and 3-dose effectiveness of mRNA

vaccines against COVID-19–associated emergency department and urgent care encounters and hospitalisations among adults during periods of Delta and Omicron variant predominance – VISION network, 10 states, August 2021 - January 2022. Morb Mortal Weekly Rep 2022;71(7):255. https://doi.org/10.15585%2Fmmwr.mm7107e2

Vale AJM, Fernandes ACL, Guzen FP, Pinheiro FI, de Azevedo EP, Cobucci RN. Susceptibility to COVID-19 in pregnancy, labor, and postpartum period: Immune system, vertical transmission, and breastfeeding. Front Glob Women’s Heal 2021;2:8. https://doi.org/10.3389/fgwh.2021.602572

Cervantes O, Cruz Talavera I, Every E, et al. Role of hormones in the pregnancy and sex-specific outcomes to infections with respiratory viruses. Immunol Rev 2022;308(1):123-148. https://doi. org/10.1111/imr.13078

Vizheh M, Muhidin S, Aghajani F, et al. Characteristics and outcomes of COVID-19 pneumonia in pregnancy compared with infected nonpregnant women. Int J Gynecol Obstet 2021;153(3):462-468. https://doi.org/10.1002/ijgo.13697

Mbombi MO, Muthelo L, Mphekgwane P, et al. Prevalence of COVID-19 vaccine hesitancy in a rural setting: A case study of DIMAMO Health and Demographic Surveillance Site, Limpopo Province of South Africa. J Respir 2022;2(2):101-110. https://doi.org/10.3390/jor2020008

Britton T, Ball F, Trapman P. A mathematical model reveals the influence of population heterogeneity on herd immunity to SARS-CoV-2. Science 2020;369(6505):846-849. https://doi.org/10.1126/ science.abc6810

Ghosh D, Jonathan A, Mersha TB. COVID-19 pandemic: The African paradox. J Glob Health 2020;10(2):1-6. https://doi.org/10.7189%2Fjogh.10.020348

Goldblatt D. SARS-CoV-2: From herd immunity to hybrid immunity. Nat Rev Immunol 2022;22(6):333- 334. https://doi.org/10.1038/s41577-022-00725-0

Goel RR, Painter MM, Apostolidis SA, et al. mRNA vaccines induce durable immune memory to SARS-CoV-2 and variants of concern. Science 2021;374(6572). https://www.science.org/doi/10.1126/ science.abm0829 (accessed 27 November 2022).

Seow J, Graham C, Merrick B, et al. Longitudinal observation and decline of neutralizing antibody responses in the three months following SARS-CoV-2 infection in humans. Nat Microbiol 2020;5(12):1598-1607. https://doi.org/10.1038/s41564-020-00813-8

Li Z, Yi Y, Luo X, et al. Development and clinical application of a rapid IgM-IgG combined antibody test for SARS-CoV-2 infection diagnosis. J Med Virol 2020;92(9):1518-1524. https://doi.org/10.1002/ jmv.25727

George JA, Khoza S, Mayne E, et al. Sentinel seroprevalence of SARS-CoV-2 in Gauteng Province, South Africa, August - October 2020. S African Med J 2021;111(11):1078-1083. https://doi.org/10.7196/ SAMJ.2021.v111i11.15669

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Published

2024-03-18

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Research

How to Cite

1.
Rukasha I, Pheeha STS, Lekalakala MR, Malope P. Determination of anti-COVID-19 IgG and IgM seroprevalence among pregnant women at Pietersburg Hospital, Limpopo Province, South Africa. S Afr Med J [Internet]. 2024 Mar. 18 [cited 2025 Mar. 23];114(3):e702. Available from: https://samajournals.co.za/index.php/samj/article/view/702