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印度南部人群新冠疫苗接种的安全性及药物不良反应评估:一项观察性前瞻性横断面研究。

Assessment of safety and adverse drug reactions of COVID vaccination in the South Indian population: An observational prospective cross-sectional study.

作者信息

Manda Anusha, Koya Pranathiya, Pallem Ravali, Mohd Danish, Thatikonda Keerthi, Venkateshwarlu K

机构信息

Department of Pharmacy Practice, St. Pauls College of Pharmacy, Hyderabad, 501510, India.

出版信息

Ann Med Surg (Lond). 2022 Nov 18;84:104948. doi: 10.1016/j.amsu.2022.104948. eCollection 2022 Dec.

Abstract

BACKGROUND

COVID vaccination is now offering a way to transit out of this phase of the pandemic. Two vaccines were approved by the Central Drugs Standard Control Organization (CDSCO) in India: Covishield and Covaxin. However, the vaccines are known to have Adverse Drug Reactions (ADRs) like fever, body pains, headache, pain, and swelling at the injection site.

AIM

To assess the Safety of ADRs with Covid Vaccination in the South Indian Population.

METHOD

This prospective, multi-centric study was carried out for six months (February 2021-July 2021). Subjects vaccinated against COVID were enrolled in the study. Informed consent was taken from the study participants, and required data (age, gender, type of vaccine, and ADRs) was collected through telephonic interviews. The data were analyzed by using the Chi-square test.

RESULTS

A total of 3032 participants were enrolled in the study. The prevalence of ADRs is highly observed after the 2nd dose (51%) of COVID vaccination. ADRs were mainly experienced by females (55%) than males (45%). The incidence of fever and body pains was high in Covishield after dose one and Covaxin after dose 2. The pain at the injection site was high in Covaxin after dose 2. The WHO assessment scale and Naranjo's scale shows that ADRs are higher likely than probable.

CONCLUSION

We concluded that frequent ADRs that occurred with Covaxin and Covishield were fever, body pains, weakness, headache, and pain at the injection site. All the ADRs were mild and manageable with Paracetamol. So, the vaccines are safe to administer.

摘要

背景

新冠疫苗接种目前为走出这一疫情阶段提供了一条途径。印度中央药品标准控制组织(CDSCO)批准了两种疫苗:Covishield和Covaxin。然而,已知这些疫苗会引发不良反应,如发烧、身体疼痛、头痛、疼痛以及注射部位肿胀。

目的

评估南印度人群接种新冠疫苗后不良反应的安全性。

方法

这项前瞻性、多中心研究持续了六个月(2021年2月至2021年7月)。接种新冠疫苗的受试者被纳入研究。研究参与者签署了知情同意书,并通过电话访谈收集所需数据(年龄、性别、疫苗类型和不良反应)。数据采用卡方检验进行分析。

结果

共有3032名参与者被纳入研究。在接种第二剂新冠疫苗后,不良反应的发生率显著升高(51%)。女性(55%)比男性(45%)更容易出现不良反应。接种第一剂后,Covishield组发烧和身体疼痛的发生率较高;接种第二剂后,Covaxin组发烧和身体疼痛的发生率较高。接种第二剂后,Covaxin组注射部位疼痛的发生率较高。世界卫生组织评估量表和纳兰霍量表显示,不良反应很可能高于可能。

结论

我们得出结论,Covaxin和Covishield常见的不良反应是发烧、身体疼痛、虚弱、头痛和注射部位疼痛。所有不良反应均较轻,使用对乙酰氨基酚即可控制。因此,这些疫苗接种是安全的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42a6/9758367/eca6136915dd/gr1.jpg

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