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Epidemiological and Clinical Features of SARS-CoV-2 Variants Circulating between April–December 2021 in Italy

Title: Epidemiological and Clinical Features of SARS-CoV-2 Variants Circulating between April–December 2021 in Italy
Authors: Lai, Alessia; Bergna, Annalisa; Della Ventura, Carla; Menzo, Stefano; Bruzzone, Bianca; Sagradi, Fabio; Ceccherini-Silberstein, Francesca; Weisz, Alessandro; Clementi, Nicola; Brindicci, Gaetano; Vicenti, Ilaria; Sasset, Lolita; Caucci, Sara; Corvaro, Benedetta; Ippoliti, Silvia; Acciarri, Carla; De Pace, Vanessa; Lanfranchi, Leonardo; Bellocchi, Maria Concetta; Giurato, Giorgio; Ferrarese, Roberto; Lagioia, Antonella; Francisci, Daniela; Colombo, Martina Laura; Lazzarin, Samuel; Ogliastro, Matilde; Cappelletti, Maria Rosa; Iannetta, Marco; Rizzo, Francesca; Santoro, Carmen Rita; Fraccalvieri, Chiara; Testa, Sophie; Carioti, Luca; Rocco, Teresa; Saracino, Annalisa; Cattelan, Annamaria; Clementi, Massimo; Sarmati, Loredana; Riva, Agostino; Antinori, Spinello; Zehender, Gianguglielmo
Contributors: Lai, A; Bergna, A; Della Ventura, C; Menzo, S; Bruzzone, B; Sagradi, F; Ceccherini-Silberstein, F; Weisz, A; Clementi, N; Brindicci, G; Vicenti, I; Sasset, L; Caucci, S; Corvaro, B; Ippoliti, S; Acciarri, C; De Pace, V; Lanfranchi, L; Bellocchi, Mc; Giurato, G; Ferrarese, R; Lagioia, A; Francisci, D; Colombo, Ml; Lazzarin, S; Ogliastro, M; Cappelletti, Mr; Iannetta, M; Rizzo, F; Santoro, Cr; Fraccalvieri, C; Testa, S; Carioti, L; Rocco, T; Saracino, A; Cattelan, A; Clementi, M; Sarmati, L; Riva, A; Antinori, S; Zehender, G
Publisher Information: MDPI
Publication Year: 2022
Collection: Universitá degli Studi di Roma "Tor Vergata": ART - Archivio Istituzionale della Ricerca
Subject Terms: Italy; SARS-CoV-2; epidemiology; variants circulation; Settore MED/07; Settore MED/17 - MALATTIE INFETTIVE; Settore MEDS-10/B - Malattie infettive; Settore MEDS-03/A - Microbiologia e microbiologia clinica
Description: SARS-CoV-2 is constantly evolving, leading to new variants. we analysed data from 4400 SARS-CoV-2-positive samples in order to pursue epidemiological variant surveillance and to evaluate their impact on public health in Italy in the period of april-december 2021. the main circulating strain (76.2%) was the delta variant, followed by the alpha (13.3%), the omicron (5.3%), and the gamma variants (2.9%). the B.1.1 lineages, eta, beta, Iota, mu, and kappa variants, represented around 1% of cases. there were 48.2% of subjects who had not been vaccinated, and they had a lower median age compared to the vaccinated subjects (47 vs. 61 years). an increasing number of infections in the vaccinated subjects were observed over time, with the highest proportion in november (85.2%). the variants correlated with clinical status; the largest proportion of symptomatic patients (59.6%) was observed with the delta variant, while subjects harbouring the gamma variant showed the highest proportion of asymptomatic infection (21.6%), albeit also deaths (5.4%). the omicron variant was only found in the vaccinated subjects, of which 47% had been hospitalised. the diffusivity and pathogenicity associated with the different SARS-CoV-2 variants are likely to have relevant public health implications, both at the national and international levels. our study provides data on the rapid changes in the epidemiological landscape of the SARS-CoV-2 variants in Italy.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/36423117; info:eu-repo/semantics/altIdentifier/wos/WOS:000895623600001; volume:14; issue:11; journal:VIRUSES; https://hdl.handle.net/2108/387626
DOI: 10.3390/v14112508
Availability: https://hdl.handle.net/2108/387626; https://doi.org/10.3390/v14112508
Rights: info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.DD4FB67
Database: BASE