Monitoring and assessment of SARS-CoV-2 evolution

The aim of the study – systematization and analysis of information on the prevalence of SARS-CoV-2 virus variants according to information databases and own cross-sectional studies. Materials and methods. The analysis was conducted in the period 2020–2021 using information databases and research...

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Main Authors: V. V. Miasoiedov, P. V. Nartov, K. V. Yurko, V. M. Lesovoy, V. A. Kapustnyk, A. V. Bondarenko, M. Ye. Cherniak, V. A. Yakushchenko, V. V. Kucheriavchenko, V. S. Maslova, O. V. Bondarenko
Format: Article
Language:English
Published: Zaporizhzhia State Medical and Pharmaceutical University 2022-02-01
Series:Zaporožskij Medicinskij Žurnal
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Online Access:http://zmj.zsmu.edu.ua/article/view/241658/250050
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author V. V. Miasoiedov
P. V. Nartov
K. V. Yurko
V. M. Lesovoy
V. A. Kapustnyk
A. V. Bondarenko
M. Ye. Cherniak
V. A. Yakushchenko
V. V. Kucheriavchenko
V. S. Maslova
O. V. Bondarenko
author_facet V. V. Miasoiedov
P. V. Nartov
K. V. Yurko
V. M. Lesovoy
V. A. Kapustnyk
A. V. Bondarenko
M. Ye. Cherniak
V. A. Yakushchenko
V. V. Kucheriavchenko
V. S. Maslova
O. V. Bondarenko
author_sort V. V. Miasoiedov
collection DOAJ
description The aim of the study – systematization and analysis of information on the prevalence of SARS-CoV-2 virus variants according to information databases and own cross-sectional studies. Materials and methods. The analysis was conducted in the period 2020–2021 using information databases and research resources: Google Scholar, Cochrane Library, Scirus, Springer, Medline, Embase, PubMed, Web of Science. Our own examination included a total of 80 nasopharyngeal swabs (at least two specimens in each case) collected from ARVI symptomatic or suspected COVID-19 patients, who were treated at the MNE KRC “Regional Clinical Infectious Diseases Hospital” from June to October 2021 and tested positive on SARS-CoV-2. The first study was performed in the inter-peak period, and the second one – on the rise of the disease. A real-time polymerase chain reaction (PCR) method was used for primary identification with the diagnostic kit “Biocore® SARS-CoV-2” (LLC “Biocor Technology Ltd.”, Ukraine) in accordance with the manufacturer’s instructions. Multiplex analysis SNPsig® VariPLEX™ Covid-19 (Primerdesign™ Ltd., UK) was used in the first cross-sectional study for secondary identification. Results. Systematization and analysis of the prevalence of SARS-CoV-2 variants according to information databases were performed. According to the results of our cross-sectional studies on SARS-CoV2 variants circulating in the Kharkiv region in June – October 2021, the complete replacement of the alpha variant, which was dominant in June – 87.5 %, with the delta variant – 95.0 %. All patients had signs of respiratory failure, community-acquired pneumonia was visualized instrumentally (computed tomography, radiography, ultrasound) at the first study in 90 % of cases, and at the second – in 100 %. The median age of patients was 60.4 years (minimum – 25 years, maximum – 91 years) during the first study, but during the second – 52.6 years (minimum – 18 years, maximum – 84 years). Thus, the more aggressive and contagious delta variant has become dominant requiring thorough public health anti-epidemic measures. Conclusions. Monitoring and control of the virus evolution using epidemiological studies, viral genetic sequence, as well as laboratory PCR are necessary to prevent the spread of COVID-19, to study the effectiveness of test systems and optimize diagnosis and etiotropic therapy as well as vaccine modifications.
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spelling doaj-art-2af464ee239c4391968ed4416ee9f0252025-08-20T03:17:36ZengZaporizhzhia State Medical and Pharmaceutical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102022-02-0124110911410.14739/2310-1210.2022.1.241658Monitoring and assessment of SARS-CoV-2 evolutionV. V. Miasoiedov0https://orcid.org/0000-0001-7135-4672P. V. Nartov1https://orcid.org/0000-0001-8292-8192K. V. Yurko2https://orcid.org/0000-0002-1226-5431V. M. Lesovoy3https://orcid.org/0000-0002-2301-2229V. A. Kapustnyk4https://orcid.org/0000-0002-4543-8343A. V. Bondarenko5https://orcid.org/0000-0002-2303-8525M. Ye. Cherniak6https://orcid.org/0000-0002-7425-659XV. A. Yakushchenko7https://orcid.org/0000-0002-5967-9228V. V. Kucheriavchenko8https://orcid.org/0000-0001-9360-8258V. S. Maslova9https://orcid.org/0000-0002-5967-9228O. V. Bondarenko10https://orcid.org/0000-0003-1755-925XKharkiv National Medical University, UkraineMunicipal Nonprofit Enterprise of Kharkiv Regional Council “Regional Clinical Infectious Hospital”, UkraineKharkiv National Medical University, UkraineKharkiv National Medical University, UkraineKharkiv National Medical University, UkraineKharkiv National Medical University, UkraineKharkiv National Medical University, UkraineNational University of Pharmacy, Kharkiv, UkraineKharkiv National Medical University, UkraineKharkiv Regional Council “Regional Clinical Infectious Hospital”, UkraineKharkiv Regional Council “Regional Clinical Infectious Hospital”, UkraineThe aim of the study – systematization and analysis of information on the prevalence of SARS-CoV-2 virus variants according to information databases and own cross-sectional studies. Materials and methods. The analysis was conducted in the period 2020–2021 using information databases and research resources: Google Scholar, Cochrane Library, Scirus, Springer, Medline, Embase, PubMed, Web of Science. Our own examination included a total of 80 nasopharyngeal swabs (at least two specimens in each case) collected from ARVI symptomatic or suspected COVID-19 patients, who were treated at the MNE KRC “Regional Clinical Infectious Diseases Hospital” from June to October 2021 and tested positive on SARS-CoV-2. The first study was performed in the inter-peak period, and the second one – on the rise of the disease. A real-time polymerase chain reaction (PCR) method was used for primary identification with the diagnostic kit “Biocore® SARS-CoV-2” (LLC “Biocor Technology Ltd.”, Ukraine) in accordance with the manufacturer’s instructions. Multiplex analysis SNPsig® VariPLEX™ Covid-19 (Primerdesign™ Ltd., UK) was used in the first cross-sectional study for secondary identification. Results. Systematization and analysis of the prevalence of SARS-CoV-2 variants according to information databases were performed. According to the results of our cross-sectional studies on SARS-CoV2 variants circulating in the Kharkiv region in June – October 2021, the complete replacement of the alpha variant, which was dominant in June – 87.5 %, with the delta variant – 95.0 %. All patients had signs of respiratory failure, community-acquired pneumonia was visualized instrumentally (computed tomography, radiography, ultrasound) at the first study in 90 % of cases, and at the second – in 100 %. The median age of patients was 60.4 years (minimum – 25 years, maximum – 91 years) during the first study, but during the second – 52.6 years (minimum – 18 years, maximum – 84 years). Thus, the more aggressive and contagious delta variant has become dominant requiring thorough public health anti-epidemic measures. Conclusions. Monitoring and control of the virus evolution using epidemiological studies, viral genetic sequence, as well as laboratory PCR are necessary to prevent the spread of COVID-19, to study the effectiveness of test systems and optimize diagnosis and etiotropic therapy as well as vaccine modifications. http://zmj.zsmu.edu.ua/article/view/241658/250050covid-19sars-cov-2genetic variability
spellingShingle V. V. Miasoiedov
P. V. Nartov
K. V. Yurko
V. M. Lesovoy
V. A. Kapustnyk
A. V. Bondarenko
M. Ye. Cherniak
V. A. Yakushchenko
V. V. Kucheriavchenko
V. S. Maslova
O. V. Bondarenko
Monitoring and assessment of SARS-CoV-2 evolution
Zaporožskij Medicinskij Žurnal
covid-19
sars-cov-2
genetic variability
title Monitoring and assessment of SARS-CoV-2 evolution
title_full Monitoring and assessment of SARS-CoV-2 evolution
title_fullStr Monitoring and assessment of SARS-CoV-2 evolution
title_full_unstemmed Monitoring and assessment of SARS-CoV-2 evolution
title_short Monitoring and assessment of SARS-CoV-2 evolution
title_sort monitoring and assessment of sars cov 2 evolution
topic covid-19
sars-cov-2
genetic variability
url http://zmj.zsmu.edu.ua/article/view/241658/250050
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