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奥地利接种 SARS-CoV-2 疫苗后感染新冠员工的长期新冠症状:一项关于自我报告发病率及相关因素的研究。

Long COVID symptoms in hospital employees after post-vaccination SARS-CoV-2 infection in Austria: A study on self-reported incidence and associated factors.

机构信息

Department of Internal Medicine II, Division of Angiology, Medical University of Vienna, Vienna, Austria.

Department of Internal Medicine II, Division of Angiology, Medical University of Vienna, Vienna, Austria.

出版信息

J Infect Public Health. 2023 Apr;16(4):596-602. doi: 10.1016/j.jiph.2023.02.017. Epub 2023 Feb 23.

Abstract

PURPOSE

Post acute sequelae of SARS-CoV-2 infection are defined by persistence or re-occurrence of symptoms six to 12 weeks after SARS-CoV-2 infections.

METHODS

Twice vaccinated hospital employees after mild to moderate post-vaccination SARS-CoV-2 infection completed a questionnaire on the incidence of general, respiratory, neuropsychiatric, dermatological and gastrointestinal symptoms, experienced during their acute infection and eight weeks after recovery. Post acute sequelae of SARS-CoV-2 infection were analysed in relation to socio-demographic-, health-, virus- and acute infection-related characteristics.

RESULTS

73 participants, 25 women and 48 men with a mean age of 40.9 years, with a post-vaccination SARS-CoV-2 infection completed the survey. Out of these 93 % reported at least one symptom at time of initial SARS-CoV-2 infection, 31.5 %, predominantly women, reported post acute sequelae at least eight weeks after the acute infection stage. Fatigue, dysgeusia and dysosmia, headache or difficulty concentrating and shortness of breath during acute infection, BMI> 25 and pre-existing pulmonary disorders were associated with post acute sequelae of SARS-CoV-2 infection. Participants with initially more than five symptoms were four times more likely to report post acute sequelae.

CONCLUSION

It is suggested that the multiplicity of symptoms during acute SARS-CoV-2 infections increases the risk for post acute symptoms.

摘要

目的

SARS-CoV-2 感染后的急性后遗症是指在 SARS-CoV-2 感染后 6 至 12 周出现症状持续或复发的情况。

方法

两次接种疫苗的医院员工在轻度至中度接种疫苗后的 SARS-CoV-2 感染后,完成了一份关于一般症状、呼吸系统、神经精神、皮肤病和胃肠道症状发生率的问卷,这些症状在他们的急性感染期间和康复后八周内经历过。SARS-CoV-2 感染后的急性后遗症与社会人口统计学、健康、病毒和急性感染相关特征进行了分析。

结果

73 名参与者,25 名女性和 48 名男性,平均年龄为 40.9 岁,在接种疫苗后感染了 SARS-CoV-2,完成了调查。在这些人中,93%的人在初始 SARS-CoV-2 感染时报告了至少一种症状,31.5%的人,主要是女性,在急性感染阶段至少八周后报告了急性后遗症。在急性感染期间出现疲劳、味觉和嗅觉障碍、头痛或注意力不集中以及呼吸急促、BMI>25 和预先存在的肺部疾病与 SARS-CoV-2 感染后的急性后遗症有关。最初有超过五种症状的参与者报告急性后遗症的可能性是四倍。

结论

建议急性 SARS-CoV-2 感染期间症状的多样性增加了急性后遗症的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa16/9946725/183823fffb91/gr1_lrg.jpg

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