Publications by authors named "Tomas Karel"

BackgroundThe sensitivity and specificity of selected antigen detection rapid diagnostic tests (AG-RDTs) for SARS-CoV-2 were determined in the unvaccinated population when the Delta variant was circulating. Viral loads, dynamics, symptoms and tissue tropism differ between Omicron and Delta.AimWe aimed to compare AG-RDT sensitivity and specificity in selected subgroups during Omicron vs Delta circulation.

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Aims: Mucosal Associated Invariant T (MAIT) cells are unconventional T cells with anti-infective potential. MAIT cells detect and fight against microbes on mucosal surfaces and in peripheral tissues. Previous works suggested that MAIT cells survive exposure to cytotoxic drugs in these locations.

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Article Synopsis
  • The study analyzed the diagnostic performance of SARS-CoV-2 antigen rapid diagnostic tests (AG-RDTs) using data from over 346,000 test results in Czechia, focusing on various subgroups like age, test reason, and vaccination status.
  • Overall sensitivity and specificity of AG-RDTs were found to be 72.4% and 96.7%, respectively, with variability based on factors such as age and the presence of symptoms.
  • The research concluded that using AG-RDTs listed on approved health organization lists is crucial, especially for cases with lower viral loads, while the findings were specifically applicable to the delta variant of SARS-CoV-2.
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Patients treated with B-cell-targeting therapies like Rituximab or Ibrutinib have decreased serological response to various vaccines. In this study, we tested serological and cellular response to SARS-CoV-2 mRNA vaccines in 16 patients treated with Ibrutinib, 16 treated with maintenance Rituximab, 18 patients with chronic lymphocytic leukaemia (CLL) with watch and wait status and 21 healthy volunteers. In comparison with the healthy volunteers, where serological response was achieved by 100% subjects, patients on B-cell-targeting therapy (Ibrutinib and Rituximab) had their response dramatically impaired.

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