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伊朗医护人员接种第一剂卫星五号疫苗后的不良事件。

Adverse events following immunisation with the first dose of sputnik V among Iranian health care providers.

作者信息

Jafarzadeh Esfehani Reza, Zahmatkesh Masood, Goldozian Reza, Farkhonde Javad, Jaripour Ehsan, Hatami Asghar, Bidkhori Hamid Reza, Shamsian Seyyed Khosro, Shamsian Seyyed AliAkbar, Mojahedi Faezeh

机构信息

Blood Borne Infections Research Center, Academic Center for Education, Culture and Research (ACECR)-Khorasan Razavi, Mashhad, Iran.

Mashhad Medical Council, Mashhad, Iran.

出版信息

Clin Exp Vaccine Res. 2023 Jan;12(1):25-31. doi: 10.7774/cevr.2023.12.1.25. Epub 2023 Jan 31.

Abstract

PURPOSE

Since late 2019, the novel coronavirus disease has been a global concern, and alongside preventive strategies, including social distancing and personal hygiene, vaccination is now the primary hope for controlling the pandemic. Sputnik V is an adenovirus vector vaccine used against coronavirus disease 2019 (COVID-19) among Iranian health care providers, and there is a lack of information regarding the Adverse Events Following Immunisation (AEFI) by Sputnik V among the Iranian population. The present study aimed to evaluate AEFI by Sputnik V vaccine among Iranian population.

MATERIALS AND METHODS

Every member of the Islamic Republic of Iran Medical Council received their first dose of the Sputnik V vaccine in Mashhad (Iran) and was referred to receive their second dose enrolled in the present study and asked to fill an English language checklist asking about development of any AEFI following immunization with the first dose of Sputnik V vaccine.

RESULTS

A total number of 1,347 with a mean±standard deviation age of 56.2±9.6 years filled the checklist. Most of the participants were male (838 [62.2%]). The present study demonstrated that immunization with the first dose of Sputnik V results in at least one AEFI in 32.8% of the Iranian medical council members. Most of the AEFI was related to musculoskeletal symptoms, including myalgia. By considering the age of 55 years as a cut-off point, individuals younger than 55 had a higher rate of AEFI (41.3% vs. 22.5%, p=0.0001). Male gender, use of analgesics, beta-blockers, and previous COVID-19 infection have a lower chance of developing AEFI (p<0.05).

CONCLUSION

The present study demonstrated that most of the AEFI was related to musculoskeletal symptoms, including myalgia, and older individuals, male gender and those receiving analgesics and beta-blockers were less likely to develop AEFI following immunization with the first dose of Sputnik V.

摘要

目的

自2019年末以来,新型冠状病毒病一直备受全球关注,除了社交距离和个人卫生等预防策略外,疫苗接种目前是控制疫情的主要希望。“卫星V”疫苗是一种腺病毒载体疫苗,在伊朗医疗保健人员中用于预防2019冠状病毒病(COVID-19),而伊朗人群中关于“卫星V”疫苗接种后不良事件(AEFI)的信息匮乏。本研究旨在评估伊朗人群中“卫星V”疫苗的AEFI情况。

材料与方法

伊朗伊斯兰共和国医学委员会的每一位成员在马什哈德(伊朗)接种了第一剂“卫星V”疫苗,并被纳入本研究以接种第二剂,同时要求他们填写一份英文清单,询问接种第一剂“卫星V”疫苗后是否出现任何AEFI。

结果

共有1347人填写了清单,其平均年龄±标准差为56.2±9.6岁。大多数参与者为男性(838人[62.2%])。本研究表明,32.8%的伊朗医学委员会成员接种第一剂“卫星V”疫苗后出现至少一种AEFI。大多数AEFI与肌肉骨骼症状有关,包括肌痛。以55岁为分界点,55岁以下个体的AEFI发生率更高(41.3%对22.5%,p = 0.0001)。男性、使用镇痛药、β受体阻滞剂以及既往感染过COVID-19的人群发生AEFI的可能性较低(p<0.05)。

结论

本研究表明,大多数AEFI与肌肉骨骼症状有关,包括肌痛,年龄较大者、男性以及使用镇痛药和β受体阻滞剂的人群在接种第一剂“卫星V”疫苗后发生AEFI的可能性较小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f9a/9950228/d87c068739c0/cevr-12-25-g001.jpg

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