Pineta Grande Hospital, Castel Volturno, Caserta, Italy.
Value-Based Healthcare Unit, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy.
Intern Emerg Med. 2022 Mar;17(2):481-486. doi: 10.1007/s11739-021-02857-y. Epub 2021 Oct 12.
This study investigated the response to BNT162b2 mRNA COVID-19 vaccine among healthcare workers (HCWs) in an Italian teaching hospital. 444 participants were surveyed with either multiple RT-PCR assays for detection of SARS-CoV-2 nucleic acid in nasopharyngeal swabs or serology testing for the research of virus-specific immunoglobulins. Adverse events following immunization (AEFI) were reported. Two weeks after the first dose anti-SARS-CoV-2 antibodies exceeded reactivity cut-off in 82.5% the participants. Four HCWs tested positive at nasopharyngeal swab after 3 months. More than three-quarters reported AEFIs. Our findings offer an insight regarding the vaccine response after 3 months from its administration, with a special focus on effectiveness data, as well as the type and number of AEFIs complained by HCW recipients. The presented study may serve as reference for future research which will be necessary to explore the long-term safety of this vaccine, especially in population at high risk for infection, such as HCWs.
本研究调查了一家意大利教学医院的医护人员(HCWs)对 BNT162b2 mRNA COVID-19 疫苗的反应。444 名参与者接受了鼻咽拭子中 SARS-CoV-2 核酸的多次 RT-PCR 检测或病毒特异性免疫球蛋白的血清学检测。报告了接种后不良反应(AEFI)。第一剂疫苗接种后 2 周,82.5%的参与者的抗 SARS-CoV-2 抗体超过反应临界值。3 个月后,4 名 HCW 的鼻咽拭子检测呈阳性。超过四分之三的人报告了 AEFI。我们的研究结果提供了疫苗接种后 3 个月的疫苗反应的深入了解,特别关注有效性数据,以及 HCW 接种者抱怨的 AEFI 的类型和数量。本研究可作为未来研究的参考,未来研究将有必要探索这种疫苗的长期安全性,特别是在感染风险高的人群中,如 HCWs。