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Prevalência de sintomas característicos de covid-19 no Rio Grande do Sul: resultados de um estudo de base populacional com 18 mil participantes
Author(s) -
Marília Arndt Mesenburg,
Pedro Curi Hallal,
Aluísio J D Barros,
Fernando Pires Hartwig,
Nadège Jacques,
Lúcia Campos Pellanda,
Alice de Medeiros Zelmanowicz,
Daiane Oliveira Pereira Vergani,
Edi Franciele Ries,
Jenifer Härter,
Jeovany Martínez-Mesa,
Marcelo Carneiro,
Sonara Lúcia Estima,
Thiago Gomes Heck,
Mariângela Freitas da Silveira
Publication year - 2021
Publication title -
revista de saúde pública/revista de saúde pública
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.857
H-Index - 77
eISSN - 1518-8787
pISSN - 0034-8910
DOI - 10.11606/s1518-8787.2021055004030
Subject(s) - medicine , asymptomatic , antibody , sore throat , asymptomatic carrier , palpitations , anosmia , covid-19 , immunology , disease , infectious disease (medical specialty)
OBJECTIVE To evaluate the prevalence of reports of symptoms of COVID-19 among individuals with and without antibodies and identify those with greater capability to predict the presence of antibodies against SARS-CoV-2. METHODS The study uses data collected in phases 5 to 8 of Epicovid-19-RS. The presence of antibodies against SARS-CoV-2 was evaluated by a rapid test. The occurrence of cough, fever, palpitations, sore throat, difficulty breathing, changes in taste and smell, vomiting, diarrhea, body pain, shaking, and headache since March 2020 was also evaluated. Then, the capability to predict the evaluated symptoms concerning the presence of antibodies was calculated. RESULTS A total of 18,000 individuals were interviewed and 181 had antibodies against COVID-19 in phases 5 to 8. The proportion of asymptomatic individuals was 19.9% among participants with antibodies and 49.7% among those without antibodies. All symptoms were reported more frequently by individuals with antibodies. The division of the prevalence of symptoms among individuals with antibodies by the prevalence among individuals without antibodies showed the following prevalence ratios: for changes in smell or taste (9.1), fever (4.2), tremors (3.9), breathing difficulty (3.2) and cough (2.8 times). Anosmia and fever were the symptoms with a greater capability to predict the presence of antibodies. CONCLUSION The prevalence of symptoms was higher among individuals with antibodies against SARS-CoV-2. The proportion of asymptomatic individuals was low. Altered smell or taste and fever were the symptoms that most predict the presence of antibodies. These results can help to identify probable cases, contributing to the clinical diagnosis and screening of patients for testing and isolation guidance in positive cases, especially in scenarios of the scarcity of diagnostic COVID-19 tests.

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