Characteristics of Symptomatic and Asymptomatic Patients With COVID-19 and Seroprevalence of anti-SARS-CoV-2 Antibodies in Zavidovići, Bosnia and Herzegovina
Article Main Content
Human coronaviruses are agent which cause respiratory illnesses and have been described to be continously emerging. Seroprevalence of IgM/IgG antibodies was determined by lateral flow immunoassay. Study were include data on participants experience of COVID-19 symptoms during the pandemic (including symptoms and health status). Among 443 serum samples for detection seroprevalence, 186 (42.0%) were seropositive on specific antibodies (IgM/IgG) or participants who had COVID-19 with or without symptoms. Of the seropositive the age group 25-50 years old had the highest percentage (32.8%) followed by 51-64 years (30.6%). Ninety seropositive patients (out of 186; 48.4%) were detected with the specific symptoms. The most frequently symptoms were fever (n=54, out of 90; 60.0%), muscle pain (46.7%), dry cough and loss of smell (36.7%) and others. More than one symptoms were detected in 59 cases (65.6%). The most common comorbidities were diabetes mellitus (n=12, out of 186; 6.5%), than hypertension (nine; 4.8%) and heart diseases (seven; 3.8%). More than half of seropositive were asymptomatic (n=96, out of 186; 51.6%). Note: In period March 2020 - June 2021, among 3323 samples, 804 (24.2%) were positive on SARS-CoV-19 with RT-PCR. The results showed that 394 (out of 804; 49.0%) positive samples were collected from female and 410 (51.0%) from male. The most prevalent of SARS-CoV-19 viruses were detected in > 65 years old (n=267, out of 804; 33.2%). Further research on the contribution of symptomatic or asymptomatic individuals to the community spread of COVID-19 is essential for effective control of the pandemic spread of SARS-CoV-2.
References
- 
		                                    
			                                    WHO. Coronavirus Disease 2019 (COVID-19) Situation Report - 61. [Internet] [cited 2020 March 20] Available from at: http://www.who.int/docs/default-source/coronaviruse/situation-reports/20200321 -sitrep-61-covid-19.pdf?sfvrsn=6aa18912_2 
                                                
                                                
 Google Scholar 1
- 
		                                    
			                                    Memish ZA, Cotten M, Meyer B, Watson SJ, Alsahafi AJ, Al Rabeeah AA, et al. Human infection with MERS coronavirus after exposure to infected Camels, Saudi Arabia, 2013. Emerg Infect Dis. 2014; 20(6): 1012–1015. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 2
- 
		                                    
			                                    Song JY, Yun JG, Noh JY, Cheong HJ, Kim WJ. Covid-19 in South Korea - Challenges of subclinical manifestations. N Engl. J Med. 2020; 382; 1858-1859. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 3
- 
		                                    
			                                    Mizumoto K, Kagaya K, Zarebski A, Chowell G. Estimating the asymptomatic proportion of coronavirus disease 2019 (COVID-19) cases on board the Diamond Princess cruise ship, Yokohama, Japan. Euro Surveill. 2020; 25: 2000180. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 4
- 
		                                    
			                                    Nishiura H, Kobayashi T, Suzuki A, Jung S, Hayashi K, Kinoshita R, et al. Estimation of the asymtpomatic ration of novel coronavirus infections (COVID-19). Int J Infectious Dis. 2020; 94: 154-155. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 5
- 
		                                    
			                                    Li Y, Shi J, Xia J, Duan J, Chen L, Yu X, et al. Asymptomatic and symptomatic patients with non-severe coronavirus disease (COVID-19) have similar clinical features and virological courses: A retrospective single center study. Fron Microbiol. 2020; 11; 1570. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 6
- 
		                                    
			                                    Zou L, Ruan F, Huang M, Liang L, Huang H, Hong Z, et al. SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Eng J Med. 2020; 382: 1177-1179. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 7
- 
		                                    
			                                    Rokni M, Ghasemi V, Tavakoli Z. Immune responses and pathogenesis of SARS-CoV-2 during an outbreak in Iran: comparison with SARS and MERS. Rev Med Virol.2020; 30:e2107. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 8
- 
		                                    
			                                    Kim GU, Kim MJ, Ra SH, Lee J, Bae S, Jung J, et al. Clinical characteristics of asymptomatic and symptomatic patients. Clin Microbiol Infect. 2020; 26: 948.e1-948.e3. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 9
- 
		                                    
			                                    Al Qahtani M, Al Ali S, AbdulRahman A, Alsayyad AS, Otoom S, Atkin SL. The prevalence of asymptomatic and symptomatic COVID-19 in a cohort of quarantined subjects. Int J Infect Dis. 2021; 102: 285-288. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 10
- 
		                                    
			                                    Sood N, Simon P, Ebner P, Eichner D, Reynolds J, Bendavid E, et al. Seroprevalence of SARS-CoV-2–specific antibodies among adults in Los Angeles county, California, on April 10-11, 2020. JAMA. 2020; 323(23): 2425–2427. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 11
- 
		                                    
			                                    Valenti L, Bergna A, Pelusi S, Facciotti F, Lai A, Tarkowski M, et al. SARS-CoV-2 seroprevalence trends in healthy blood donors during the COVID-19 Milan outbreak. medRxiv. 2020. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 12
- 
		                                    
			                                    Uyoga S, Adetifa IM, Karanja HK, Nyagwange J, Tuju J, Wanjiku P, et al. Seroprevalence of anti-SARS-CoV-2 IgG antibodies in Kenyan blood donors. Science. 2021; 371(6524): 79-82. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 13
- 
		                                    
			                                    Balou HA, Kalurazi TY, Joukar F, Hassanipour S, Shenagari M, Khoshsorour M, et al. High seroprevalence of SARS-CoV-2 (COVID-19)-specific antibodies among heatlhcare workers: a cross-sectional study in Guilan, Iran. Journal of Environmental and Public Health. 2021. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 14
- 
		                                    
			                                    Shakiba M, Nazari SSH, Mehrabian F, Rezvani SM, Ghasempour Z, Heidarzadeh A. Seroprevalence of COVID-19 virus infection in Guilan province. Emerging Infectious Diseases. 2020; 27: 636-638. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 15
- 
		                                    
			                                    Mulabbi EN, Tweyongyere R, Mangen FW, Mworozi E, Koehlerb J, Kibuuka H, et al. Seroprevalence of human coronaviruses among patients visiting hospital-based sentinel sites in Uganda. BMC Infectious Diseases. 2021; 21: 585. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 16
- 
		                                    
			                                    Rostami A, Sepidarkish M, Fazlzadeh A, Mokdad AH, Sattarnezhad A, Esfandyari S, et al. Update on SARS-CoV-2 seroprevalence: regional and worldwide. Clin Microbiol Infect. 2021; 27: 1762-1771. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 17
- 
		                                    
			                                    Jung CY, Park H, Kim DW, Choi YJ, Kim SW. Clinical characteristics of asymptomatic patients with COVID-19: A nationwide cohort study in South Korea. Int J Infectious Dis. 2020; 99: 266-268. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 18
- 
		                                    
			                                    Gudbjartsson DF, Helgason A, Jonsson H, Magnusson OT, Melsted P, Norddahl GL, et al. Spread of SARSCoV-2 in the Icelandic population. N Engl J Med. 2020; 382(24): 2302-2315. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 19
- 
		                                    
			                                    Lavezzo E, Franchin E, Ciavarella C, Cuomo-Dannenburg G, Barzon L, Vecchio CD, et al. Suppression of COVID-19 outbreak in the municipality of Vo, Italy. medRxiv. 2020. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 20
- 
		                                    
			                                    IU, ISDH release preliminary findings about impact of COVID-19 in Indiana. Indiana University. [Internet] [cited 2020 May 13] Accessed from: https://news.iu.edu/stories/2020/05/iupui/releases/13-preliminary-findings -impact-covid-19-indiana-coronavirus.html 
                                                
                                                
 Google Scholar 21
- 
		                                    
			                                    Zeng H, Ma Y, Zhou Z, Liu W, Huang P, Jiang M, et al. Spectrum and clinical characteristics of symptomatic and asymptomatic coronavirus disease 2019 (COVID-19) with and without pneumonia. Front Med. 2021; 8: 645651. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 22
- 
		                                    
			                                    Gostić K, Gomez AC, Mummah RO, Kucharski AJ, Lloyd-Smith JO. Estimated effectiveness of symptom and risk screening to prevent the spread of COVID-19. Elife. 9: e55570. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 23
- 
		                                    
			                                    Aziz NA, Corman VM, Echterhoff AKC, Richter A, Schmandke A, Schmidt ML, et al. Seroprevalence and correlates of SARS-CoV-2 neutralizing antibodies: Results from a population-based study in Bonn, Germany. medRxiv. 2020. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 24
- 
		                                    
			                                    Iwuji K, Islam E, Berdine G, Nugent K, Test V, Tijerina A. Prevalence of coronavirus antibody among first responders in Lubbock, Texas. J Prim Care Community Health. 2020; 11: 2150132720971390. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 25
- 
		                                    
			                                    Ladage D, Höglinger Y, Ladage D, Adler C, Yalcin I, Braun RJ. SARS-CoV-2 antibody prevalence and symptoms in a local Austrian population. Front. Med. 2021. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 26
- 
		                                    
			                                    Stringhini S, Wisniak A, Piumatti G, Azman AS, Lauer SA, Baysson H, et al. Seroprevalence of anti-SARS-CoV-2 IgG antibodies in Geneva, Switzerland (SEROCoV-POP): a population-based study. Lancet. 2020; 396(10247): 313–319. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 27
- 
		                                    
			                                    Signorelli C, Scognamiglio T, Odone A. COVID-19 in Italy: impact of containment measures and prevalence estimates of infection in the general population. Acta Biomedica: Atenei Parmensis. 2020; 91: 175-179. 
                                                
                                                
 Google Scholar 28
- 
		                                    
			                                    Rostami A, Sepidarkish M, Leeflang MMG, Riahi SM, Shiadeh MN, Esfandyari S, et al. SARS-CoV-2 seroprevalence worldwide: a systematic review and meta-analysis. Clin Microbiol Infect. 2021; 27(3): 331–340. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 29
- 
		                                    
			                                    Garcia-Basteiro AL, Moncunill G, Tortajada M, Vidal M, Guinovart C, Jimenez A, et al. Seroprevalence of antibodies against SARS-CoV-2 among health care workers in a large Spanish reference hospital. Nat Commun. 2020; 11: 3500. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 30
- 
		                                    
			                                    Song SK, Lee DH, Nam JH, Kim KT, Do JS, Kang DW, et al. IgG Seroprevalence of COVID-19 among Individuals without a History of the Coronavirus Disease Infection in Daegu, Korea. J Korean Med Sci. 2020; 35(29): e269. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 31
- 
		                                    
			                                    Streeck H, Schulte B, Kuemmerer B, Richter E, Höller T, Fuhrmann C, et al. Infection fatality rate of SARS-CoV2 in a super-spreading event in Germany. Nature Communications. 2020; 11: 5829. 
                                                
                                                
  DOI
 | DOI
 |Google Scholar 32
Most read articles by the same author(s)
- 
													Amir Ibrahimagić,
													Jasmin Durmišević,
													Selma Bečić,
													Iman Kovač,
													Dejana Kasapović,
						                        
 Detection, Distribution and Prevalence of Toxigenic Zearalenone in Food for Human and Animal Consumption in Bosnia and Herzegovina , European Journal of Medical and Health Sciences: Vol. 7 No. 4 (2025)
 
					 
								 
  
						 
						 
						




