Jatoi Hafsa Nazir, Abbas Samina, Abbasi Muhammad Saif, Tauni Misha Asif, Ghazanfar Shamas, Zafar Malick Mohammad Daniyal, Umar Muhammad Faiq, Tahir Muhammad Junaid, Asghar Muhammad Sohaib, Ahmed Ali
Dow Medical College, Karachi, Pakistan.
Mayo Hospital, Lahore, Pakistan.
Ann Med Surg (Lond). 2022 Jun;78:103796. doi: 10.1016/j.amsu.2022.103796. Epub 2022 May 17.
With the emergence of COVID-19 vaccines, individuals with comorbidities and immunosuppression require particular attention and should be prioritized for vaccination. However, the majority of vaccine clinical trials excluded people with comorbidities, resulting in a lack of data regarding vaccine efficacy in this demographic. Along with more inclusivity in clinical trials, reaching a definitive conclusion regarding vaccine efficacy in these patients is also crucial. In our review, we highlight the BNT162b2 vaccine safety and efficacy based on the limited number of clinical trials which included this demographic. We also provide vaccine considerations for individuals with cancer, autoimmune diseases, HIV, obesity, diabetes, organ transplant recipients and those undergoing maintenance haemodialysis to help them govern their decision regarding vaccine administration. In conclusion, further studies are required to alleviate any insecurities in patients with comorbidities regarding vaccination and it is recommended that patients are monitored post-vaccination to make sure sufficient immunity is achieved.
随着新冠疫苗的出现,患有合并症和免疫抑制的个体需要特别关注,应优先接种疫苗。然而,大多数疫苗临床试验排除了患有合并症的人群,导致缺乏该人群中疫苗有效性的数据。除了临床试验要有更高的包容性外,就这些患者的疫苗有效性得出明确结论也至关重要。在我们的综述中,我们基于纳入该人群的有限数量的临床试验,强调了BNT162b2疫苗的安全性和有效性。我们还为患有癌症、自身免疫性疾病、艾滋病毒、肥胖症、糖尿病的个体、器官移植受者以及接受维持性血液透析的患者提供疫苗相关考量,以帮助他们做出关于疫苗接种的决定。总之,需要进一步研究以减轻合并症患者对疫苗接种的任何不安,建议对患者接种疫苗后进行监测,以确保获得足够的免疫力。