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奥密克戎 COVID-19 变异株在入院时非重症和非危急患者中的结局和疫苗接种情况。

Omicron COVID-19 variant outcomes and vaccination in non-severe and non-critical patients at admission.

机构信息

State Key Laboratory for the Diagnosis and Treatment of Infectious Diseases, Department of Infectious Diseases, Collaborative Innovation Center for the Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Department of Traditional Chinese Internal Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.

出版信息

Front Public Health. 2023 Feb 9;10:974986. doi: 10.3389/fpubh.2022.974986. eCollection 2022.

Abstract

The clinical data of patients infected with the Omicron variant virus in Zhejiang Province from January to 14 May 2022 were collected retrospectively. We analyzed the differences in symptoms, clinical categories of COVID-19, length of hospital stay, and time for clearance of Omicron variant viral RNA in the sputum among the groups receiving a different number of vaccine doses. The analysis showed that as the number of vaccine doses increased, the frequency of clinical symptoms, such as fever and fatigue, decreased and the frequency of patients with moderate infections gradually decreased. At the same time, the length of hospital stay was significantly shortened. Based on the multivariate analysis, one vaccine dose [odds ratio (OR): 0.21, 95% confidence interval (CI): 0.08-0.56, = 0.002], two vaccine doses (OR: 0.54, 95% CI: 0.33-0.88, = 0.013), and three vaccine doses (OR: 0.40, 95% CI: 0.24-0.64, < 0.001) shortened the length of hospitalization than those with no vaccination. The persistence of the virus in the sputum was significantly shortened with one vaccine dose (OR: 0.36, 95% CI: 0.15-0.89, = 0.027), two vaccine doses (OR: 0.46, 95% CI: 0.27-0.78, = 0.004), and three vaccine doses (OR: 0.38, 95% CI: 0.22-0.64, < 0.001) than those with no vaccination. Therefore, we concluded that vaccination was an effective way to protect people against infection with the Omicron variant. Indeed, on the premise of the current routine recommendation of vaccination, three vaccines were necessary for people to be protected against the Omicron variant.

摘要

我们回顾性收集了 2022 年 1 月至 5 月 14 日浙江省感染奥密克戎变异株患者的临床资料。分析了不同剂次疫苗接种人群在发热、乏力等临床症状、COVID-19 临床分型、住院时间、痰液奥密克戎变异株病毒 RNA 清除时间等方面的差异。结果显示,随着疫苗接种剂次的增加,发热、乏力等临床症状的发生频率逐渐降低,中症感染患者的比例逐渐减少,同时住院时间明显缩短。多因素分析显示,接种 1 剂(比值比 OR:0.21,95%置信区间 CI:0.08-0.56, = 0.002)、2 剂(OR:0.54,95% CI:0.33-0.88, = 0.013)和 3 剂(OR:0.40,95% CI:0.24-0.64, < 0.001)疫苗能显著缩短住院时间。接种 1 剂(OR:0.36,95% CI:0.15-0.89, = 0.027)、2 剂(OR:0.46,95% CI:0.27-0.78, = 0.004)和 3 剂(OR:0.38,95% CI:0.22-0.64, < 0.001)疫苗能显著缩短病毒在痰液中清除时间。接种疫苗是预防奥密克戎变异株感染的有效手段。在当前常规疫苗接种推荐方案的基础上,接种 3 剂疫苗对预防奥密克戎变异株感染具有较好的保护效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e180/9948012/13bccfea20bc/fpubh-10-974986-g0001.jpg

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