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Tavakoli, Ali, Lotfi, Farhad, Lotfi, Mehrzad, Bayati, Mohsen, Seif, Mozhgan, Salesi, Mahmood, Emadi, Mehrnoosh, Keshavarz, Khosro, Delavari, Sajad. (1402). COVID-19 Reinfection Rate and Related Risk Factors in Fars Province, Iran: A Retrospective Cohort Study. سامانه مدیریت نشریات علمی, 48(3), 302-312. doi: 10.30476/ijms.2022.94615.2598
Ali Tavakoli; Farhad Lotfi; Mehrzad Lotfi; Mohsen Bayati; Mozhgan Seif; Mahmood Salesi; Mehrnoosh Emadi; Khosro Keshavarz; Sajad Delavari. "COVID-19 Reinfection Rate and Related Risk Factors in Fars Province, Iran: A Retrospective Cohort Study". سامانه مدیریت نشریات علمی, 48, 3, 1402, 302-312. doi: 10.30476/ijms.2022.94615.2598
Tavakoli, Ali, Lotfi, Farhad, Lotfi, Mehrzad, Bayati, Mohsen, Seif, Mozhgan, Salesi, Mahmood, Emadi, Mehrnoosh, Keshavarz, Khosro, Delavari, Sajad. (1402). 'COVID-19 Reinfection Rate and Related Risk Factors in Fars Province, Iran: A Retrospective Cohort Study', سامانه مدیریت نشریات علمی, 48(3), pp. 302-312. doi: 10.30476/ijms.2022.94615.2598
Tavakoli, Ali, Lotfi, Farhad, Lotfi, Mehrzad, Bayati, Mohsen, Seif, Mozhgan, Salesi, Mahmood, Emadi, Mehrnoosh, Keshavarz, Khosro, Delavari, Sajad. COVID-19 Reinfection Rate and Related Risk Factors in Fars Province, Iran: A Retrospective Cohort Study. سامانه مدیریت نشریات علمی, 1402; 48(3): 302-312. doi: 10.30476/ijms.2022.94615.2598

COVID-19 Reinfection Rate and Related Risk Factors in Fars Province, Iran: A Retrospective Cohort Study

Iranian Journal of Medical Sciences
مقاله 8، دوره 48، شماره 3، مرداد 2023، صفحه 302-312    اصل مقاله (381.76 K)
نوع مقاله: Original Article(s)
شناسه دیجیتال (DOI): 10.30476/ijms.2022.94615.2598
نویسندگان
Ali Tavakoli1؛ Farhad Lotfi2، 3؛ Mehrzad Lotfi4؛ Mohsen Bayati2؛ Mozhgan Seif5؛ Mahmood Salesi6؛ Mehrnoosh Emadi7؛ Khosro Keshavarz* 2، 3؛ Sajad Delavari2
1Research Center for Traditional Medicine and History of Medicine, Department of Persian Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
2Health Human Resources Research Center, Department of Health Economics, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
3Emergency Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
4Medical Imaging Research Center, Department of Radiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
5Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
6Chemical Injuries Research Ccenter, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
7Student Research Committee, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
Background: Reinfection with Coronavirus Diseases 2019 (COVID-19) has raised remarkable public health concerns globally. Therefore, the present retrospective cohort study intended to investigate COVID-19 reinfection in registered patients of Fars province in Iran from February 2020 to 
April 2021.
Methods: The patients’ data, including the COVID-19 infection, symptoms, comorbidities, and demographics, were collected using the Health Information Systems (HISs). The patients were divided into three groups in terms of the duration between the initial infection and reinfection, including 28-44, 45-89, and more than 90 days. Following the univariate analysis, logistic regression was used to investigate the factors effective on COVID-19 reinfection. 
Results: A total of 213768 patients had a positive Polymerase Chain Reaction (PCR) test. The reinfection rate was 0.97% (2079 patients). Of these re-infected individuals, 14.9%, 18.5%, and 66.6% had their second positive test 28-45, 45-89, and ≥90 days later, respectively. The mean duration between the initial infection and reinfection was 130.56 days (29-370 days). The chance of reinfection was significantly higher in the youths (Odds Ratio (OR)=2.055; P<0.001), men (OR=1.283; P<0.001), urban population (OR=1.313; P<0.001), and healthcare providers (OR=4.453; P<0.001). The patients with chronic pulmonary diseases, chronic kidney diseases, and malignancy were 1.421 (P=0.036), 2.239 (P<0.001), and 3.437 (P<0.001) times, respectively, more likely prone to reinfection. 
Conclusion: The results of this study showed that there is a higher risk of reinfection in several vulnerable groups including healthcare providers, young individuals, residents of urban areas, men, and individuals with underlying diseases. 
کلیدواژه‌ها
Coronavirus؛ Incidence؛ Reinfection؛ COVID-19؛ Communicable diseases
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