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接种和未接种新冠病毒疫苗的感染患者的临床特征及治疗结果评估

Assessment of Clinical Profile and Treatment Outcome in Vaccinated and Unvaccinated SARS-CoV-2 Infected Patients.

作者信息

Korishettar Ganesh, Chikkahonnaiah Prashanth, Tulimilli SubbaRao V, Dallavalasa Siva, Byrappa Shashidhar H, Madhunapantula SubbaRao V, Veeranna Ravindra P

机构信息

Department of Pulmonary Medicine, Mysore Medical College and Research Institute (MMC&RI), Mysuru 570001, Karnataka, India.

Center of Excellence in Molecular Biology and Regenerative Medicine (CEMR) Laboratory (DST-FIST Supported Center), Department of Biochemistry (DST-FIST Supported Department), JSS Medical College, JSS Academy of Higher Education and Research (JSS AHER), Mysuru 570004, Karnataka, India.

出版信息

Vaccines (Basel). 2022 Jul 15;10(7):1125. doi: 10.3390/vaccines10071125.

Abstract

Vaccines against severe acute respiratory syndrome-corona virus-2 (SARS-CoV-2) infection, which causes coronavirus disease-19 (COVID-19) in humans, have been developed and are being tested for safety and efficacy. We conducted the cross-sectional prospective cohort study on 820 patients who were positive for SARS-CoV-2 and were admitted to Princess Krishnajammanni trauma care centre (PKTCC), Mysore, which was converted to a designated COVID hospital between April 2021 to July 2021. After obtaining the informed consent, RT-PCR report, vaccination certificate and patient history, patients were classified according to their vaccination status. Results from the study showed decreases in serum ferritin levels, clinical symptoms, improvement in oxygen saturation, early recovery in patients having diabetes and hypertension, and a substantial reduction in the overall duration of hospital stay in vaccinated patients compared to unvaccinated patients. Further, fully vaccinated patients showed better outcomes compared to single dose vaccinated and nonvaccinated patients. Taken together, our findings reaffirm the vaccine's effectiveness in reducing case fatality and promoting faster recovery compared to nonvaccinated patients. Efforts to increase the number of immunized subjects in the community help to achieve herd immunity and offer protection against the severity of COVID-19 and associated complications while minimizing the public health and economic burden.

摘要

针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染(该病毒可导致人类患冠状病毒病19 [COVID-19])的疫苗已研发出来,并正在进行安全性和有效性测试。我们对820名SARS-CoV-2检测呈阳性且被收治于迈索尔的克里希纳贾曼尼公主创伤护理中心(PKTCC)的患者进行了横断面前瞻性队列研究,该中心在2021年4月至2021年7月期间被改造成了指定的COVID医院。在获得知情同意书、逆转录聚合酶链反应(RT-PCR)报告、疫苗接种证明和患者病史后,根据患者的疫苗接种状况进行分类。研究结果显示,与未接种疫苗的患者相比,接种疫苗患者的血清铁蛋白水平降低、临床症状减轻、血氧饱和度改善、糖尿病和高血压患者恢复提前,且住院总时长大幅缩短。此外,与单剂接种和未接种疫苗的患者相比,全程接种疫苗的患者预后更好。综上所述,我们的研究结果再次证实,与未接种疫苗的患者相比,疫苗在降低病死率和促进更快康复方面具有有效性。在社区中增加免疫接种对象数量的努力有助于实现群体免疫,并提供针对COVID-19严重程度及相关并发症的保护,同时将公共卫生和经济负担降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fd/9321523/0a795c25c89c/vaccines-10-01125-g001.jpg

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