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重症监护病房医护人员接种疫苗后体内的严重急性呼吸综合征冠状病毒2抗体

Severe Acute Respiratory Syndrome Coronavirus 2 Antibodies Among Healthcare Workers After Vaccine Administration in an Intensive Care Unit.

作者信息

Lemos Cláudia, Ferreira Sofia, Gouveia Cláudio, Mendonça Érica, Mota Ana Marta, Rodrigues Mariana, Alves José, Chaves Susana, Andrade Graça, Nóbrega José J

机构信息

Intensive Care Department, Hospital Central do Funchal, Funchal, PRT.

Internal Medicine, Centro Hospitalar Lisboa Ocidental, Lisbon, PRT.

出版信息

Cureus. 2021 Dec 21;13(12):e20579. doi: 10.7759/cureus.20579. eCollection 2021 Dec.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease 2019 (COVID-19) emerged in China in December 2019. Healthcare workers (HCWs) are one of the high-risk groups of infection and knowledge of the seroprevalence of SARS-CoV-2 antibodies among this class is very important, not only to understand the spread of COVID-19 among health institutions but also to assess the success of public health interventions. The objective of this prospective study was to determine the seroprevalence of COVID-19 immunoglobulin G (IgG) antibodies after vaccine administration and assess the symptomatology associated with the number of IgG antibodies. A total of 75 HCWs from an intensive care unit were studied three and six months after the second administration of the COVID-19 vaccine. They were divided into three groups: IgG antibodies between 4,160 and 6,350 (group one), greater than 6,350 (group two), and less than 4,160 (group three). After the first administration of the vaccine, 80% had symptoms in both groups one and two, whereas only 13.8% had symptoms in group three. After the second dose of the vaccine, all elements of group one and 80% of group two developed symptoms, but only 40% of group three manifested symptoms. With the exception of one, all professionals showed a decrease in the number of IgG antibodies from three to six months. Our findings show that professionals with a higher number of IgG antibodies had more symptoms and that these rapidly declined over the three-to-six-month period.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)和2019冠状病毒病(COVID-19)于2019年12月在中国出现。医护人员是感染的高危群体之一,了解该群体中SARS-CoV-2抗体的血清流行率非常重要,这不仅有助于了解COVID-19在医疗机构中的传播情况,还能评估公共卫生干预措施的成效。这项前瞻性研究的目的是确定接种疫苗后COVID-19免疫球蛋白G(IgG)抗体的血清流行率,并评估与IgG抗体数量相关的症状表现。对一家重症监护病房的75名医护人员在第二次接种COVID-19疫苗后的三个月和六个月进行了研究。他们被分为三组:IgG抗体在4160至6350之间(第一组)、大于6350(第二组)和小于4160(第三组)。在首次接种疫苗后,第一组和第二组中80%的人出现了症状,而第三组中只有13.8%的人出现了症状。在接种第二剂疫苗后,第一组的所有人和第二组的80%出现了症状,但第三组只有40%出现了症状。除一人外,所有专业人员的IgG抗体数量在三个月至六个月期间都有所下降。我们的研究结果表明,IgG抗体数量较多的专业人员症状更多,且这些症状在三至六个月期间迅速减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56f8/8695690/75641b8e8ec8/cureus-0013-00000020579-i01.jpg

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