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评价 BNT162b2 COVID-19 疫苗在 Fondazione Policlinico Universitario Agostino Gemelli IRCCS 卫生工作者疫苗接种活动中的有效性和安全性。

Evaluation of the Effectiveness and Safety of the BNT162b2 COVID-19 Vaccine in the Vaccination Campaign among the Health Workers of Fondazione Policlinico Universitario Agostino Gemelli IRCCS.

机构信息

Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.

出版信息

Int J Environ Res Public Health. 2021 Oct 22;18(21):11098. doi: 10.3390/ijerph182111098.

Abstract

Health workers, especially those in patient-facing roles, had a significantly increased risk of COVID-19 infection, having serious outcomes, and risking spreading the virus to patients and staff. Vaccination campaign planning suggests allocating initial supplies of BNT162b2 vaccine to health workers given the importance of early protection to safeguard the continuity of care to patients. The aim of the study is to assess the effectiveness and safety of BNT162b2 vaccine among the health workers of Fondazione Policlinico Universitario Agostino Gemelli IRCCS (FPG). The retrospective cohort study was conducted among health staff working at the FPG. Vaccination data were collected from hospital records. The primary end points were vaccine effectiveness and safety. A total of 6649 health workers were included, of whom 5162 received injections. There were 14 cases of COVID-19 with onset at least 14 days after the second dose among vaccinated health workers and 45 cases among unvaccinated ones. BNT162b2 was 91.5% effective against COVID-19 (95% credible interval, 84.7% to 95.3%). The safety profile of BNT162b2 vaccine consisted of short-term, non-serious events. The promotion and boost of the COVID-19 vaccination campaign represents a key public health measure useful to curb the spread of the pandemic especially in vulnerable contexts, such as hospitals, where health workers carry out a paramount role for the entire community, and requires further protection with a possible booster dose in view of autumn-winter 2021.

摘要

医护人员,尤其是直接面对患者的医护人员,感染 COVID-19 的风险显著增加,面临严重后果,并有可能将病毒传播给患者和工作人员。疫苗接种规划表明,鉴于早期保护对保障患者护理连续性的重要性,应将 BNT162b2 疫苗的初始供应分配给医护人员。本研究旨在评估 BNT162b2 疫苗在 Fondazione Policlinico Universitario Agostino Gemelli IRCCS(FPG)医护人员中的有效性和安全性。这是一项回顾性队列研究,在 FPG 工作的医护人员中进行。疫苗接种数据从医院记录中收集。主要终点是疫苗的有效性和安全性。共纳入 6649 名医护人员,其中 5162 人接受了注射。在接种疫苗的医护人员中,有 14 例 COVID-19 病例在第二剂后至少 14 天发病,而未接种疫苗的医护人员中有 45 例。BNT162b2 对 COVID-19 的有效性为 91.5%(95%可信区间,84.7%至 95.3%)。BNT162b2 疫苗的安全性特征为短期、非严重事件。促进和加强 COVID-19 疫苗接种运动是遏制大流行传播的一项重要公共卫生措施,特别是在医院等脆弱环境中,医护人员对整个社区发挥着至关重要的作用,需要进一步通过可能的加强针来提供保护,以应对 2021 年秋冬。

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