Table 2

Adjusted cumulative incidence risk ratios for severe SARS-CoV-2 within 28 days since reinfection, Italy, 24 August 2021–6 February 2022 (n = 206,013a)

Non-severe reinfection

(203,874)
Severe reinfection

(2,139)
Cumulative Incidence per 100,000 IRR adjusted

(95% CI)
p value
n % n %
Epidemic phaseb Delta 5,685 3 345 16 5,721 Reference
Transition 36,111 18 404 19 1,106 0.47 (0.39–0.57) < 0.001
Omicron 162,078 79 1,390 65 850 0.37 (0.3–0.46) < 0.001
Severity first diagnosis No 195,921 96 1,584 74 802 Reference
Yes 7,953 4 555 26 6,523 2.86 (2.55–3.22) < 0.001
Vaccination status At least one dose 131,424 64 1,545 72 1,162 Reference
Unvaccinated 72,450 36 594 28 813 1.07 (0.96–1.19) 0.243
Sex Male 93,239 46 963 45 1,022 Reference
Female 110,635 54 1,176 55 1,052 0.95 (0.86–1.05) 0.285
Age group (years) 0–19 41,597 20 124 6 297 0.55 (0.44–0.68) < 0.001
20–39 69,717 34 378 18 539 0.98 (0.84–1.15) 0.768
40–59 70,516 35 399 19 563 Reference
60–79 16,513 8 643 30 3,748 5.45 (4.72–6.28) < 0.001
≥ 80 5,531 3 595 28 9,713 13.09 (11.21–15.29) < 0.001
Healthcare worker No 193,551 95 2,050 96 1,048 Reference
Yes 10,323 5 89 4 855 1.03 (0.82–1.29) 0.800
Nationality Italian 185,573 91 1,903 89 1,015 Reference
Non-Italian 18,301 9 236 11 1,273 1.68 (1.45–1.96) < 0.001

a See Figure 1 and the Supplement, section 1 for the inclusion criteria. The number of reinfection depends on the study period. To estimate the risk of any reinfection we considered a study period that ranged from 24 August 2021 to 6 March 2022. In order to account for the disease progression within 28 days since reinfection, the study period for the estimation of the risk of SARS-CoV-2 reinfection leading to hospitalisation or death (severe reinfection) was censored on 6 February 2022. From 24 August 2021 to 6 March 2022, 249,121 reinfections were notified, whereas 206,013 is the number of reinfections notified from 24 August 2021 to 6 February 2022.

b Epidemic phases: Delta: 24 Aug–5 Dec 2021; transition: 6 Dec 2021–2 Jan 2022; Omicron: 3 Jan–6 Feb 2022.