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评估医护人员 COVID-19 疫苗接种后早期和晚期的抗体反应:一项关于灭活疫苗、mRNA 疫苗和载体疫苗的多中心横断面研究。

Assessment of early and post COVID-19 vaccination antibody response in healthcare workers: a multicentre cross-sectional study on inactivated, mRNA and vector-based vaccines.

机构信息

Pediatric Infections Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Pediatric Nephrology Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Epidemiol Infect. 2023 Jan 5;151:e12. doi: 10.1017/S0950268822001984.

Abstract

In this multicentre study, we compared the status of antibody production in healthcare personnel (HCP) before and after vaccination using different brands of COVID-19 vaccines between March 2021 and September 2021. Out of a total of 962 HCP enrolled in our study, the antibody against the S1 domain of SARS-CoV-2 was detected in 48.3%, 95.5% and 96.2% of them before, after the first and the second doses of the vaccines, respectively. Our results showed post-vaccination infection in 3.7% and 5.9% of the individuals after the first and second doses of vaccines, respectively. The infection was significantly lower in HCP who presented higher antibody titres before the vaccination. Although types of vaccines did not show a significant difference in the infection rate, a lower infection rate was recorded for AstraZeneca after the second vaccination course. This rate was equal among individuals receiving a second dose of Sinopharm and Sputnik. Vaccine-related side effects were more frequent among AstraZeneca recipients after the first dose and among Sputnik recipients after the second dose. In conclusion, our results showed diversity among different brands of COVID-19 vaccines; however, it seems that two doses of the vaccines could induce an antibody response in most of HCP. The induced immunity could persist for 3-5 months after the second vaccination course.

摘要

在这项多中心研究中,我们比较了 2021 年 3 月至 9 月期间,不同品牌的 COVID-19 疫苗在医护人员(HCP)接种前后的抗体产生情况。在我们研究的总共 962 名 HCP 中,分别有 48.3%、95.5%和 96.2%的人在接种疫苗前、第一剂和第二剂后检测到了针对 SARS-CoV-2 S1 结构域的抗体。我们的结果显示,分别有 3.7%和 5.9%的个体在接种第一剂和第二剂疫苗后发生了感染。接种疫苗前抗体滴度较高的个体感染率明显较低。尽管疫苗类型在感染率方面没有显著差异,但在第二剂接种后,AstraZeneca 的感染率较低。在接受第二剂国药和 Sputnik 疫苗接种的个体中,感染率相等。接种第一剂 AstraZeneca 疫苗后和接种第二剂 Sputnik 疫苗后,疫苗相关副作用更为常见。总之,我们的结果表明,不同品牌的 COVID-19 疫苗存在差异;然而,两剂疫苗似乎可以在大多数 HCP 中诱导出抗体反应。第二次接种后,诱导的免疫力可持续 3-5 个月。

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本文引用的文献

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