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中国国药疫苗(BBIBP-CorV)在巴基斯坦费萨拉巴德地区老年人群体中的安全性和有效性。

Safety and efficacy of Sinopharm vaccine (BBIBP-CorV) in elderly population of Faisalabad district of Pakistan.

机构信息

Department of Respiratory Medicine, Luton and Dunstable Hospital NHS Foundation Trust, Luton, UK.

District Health Officer, Health Medical Services, Faisalabad, Pakistan.

出版信息

Postgrad Med J. 2023 Jun 8;99(1171):463-469. doi: 10.1136/postgradmedj-2022-141649.

Abstract

INTRODUCTION

The first case of novel SARS-COV-2 (COVID-19) in Pakistan was detected on 26 February 2020. Pharmacological and non-pharmacological strategies have been tried to lessen the mortality and morbidity burden. Various vaccines have been approved. The Drug Regulatory Authority of Pakistan gave emergency approval for Sinopharm (BBIBP-CorV) COVID-19 vaccine in December 2021. The phase 3 trial of BBIBP-CorV included only 612 participants aged 60 years and above. The primary aim of this study was to assess the safety and efficacy of BBIBPP-CorV (Sinopharm) vaccine within the Pakistani adult population aged 60 or above. The study was carried out in the Faisalabad district of Pakistan.

METHODS

A test negative case-control study design was used to assess safety and efficacy of BBIBP-CorV in individuals aged 60 and above against symptomatic infection, hospitalisations and mortality due to SARS-CoV-2 among vaccinated and unvaccinated individuals. ORs were calculated using logistic regression model at 95% CI. ORs were used to calculate the vaccine efficacy (VE) by using the following formula.VE= (1-OR) ×100.

RESULTS

3426 individuals with symptoms of COVID-19 were PCR tested between 5 May 2021 and 31 July 2021. The results showed that Sinopharm vaccine 14 days after the second dose was efficient in reducing the risk of symptomatic COVID-19 infection, hospitalisations and mortality by 94.3%, 60.5% and 98.6%, respectively, among vaccinated individuals with a significant p value of 0.001.

CONCLUSION

Our study showed that BBIBP-CorV vaccine is highly effective in preventing infection, hospitalisations and mortality due to COVID-19.

摘要

简介

巴基斯坦于 2020 年 2 月 26 日首次发现新型 SARS-COV-2(COVID-19)病例。已尝试采用药理学和非药理学策略来减轻死亡率和发病率负担。已批准了各种疫苗。巴基斯坦药品监管局于 2021 年 12 月紧急批准了国药(BBIBP-CorV)COVID-19 疫苗。BBIBP-CorV 的 3 期试验仅纳入了 612 名 60 岁及以上的参与者。本研究的主要目的是评估 BBIBP-CorV(国药)疫苗在 60 岁及以上的巴基斯坦成年人群中的安全性和有效性。该研究在巴基斯坦费萨拉巴德区进行。

方法

本研究采用病例对照研究设计,以评估接种和未接种 BBIBP-CorV 的个体中,疫苗对 60 岁及以上个体因 SARS-CoV-2 引起的症状感染、住院和死亡的安全性和有效性。采用逻辑回归模型在 95%置信区间内计算比值比(OR)。通过以下公式计算疫苗效力(VE),使用 OR 计算 VE:VE=(1-OR)×100。

结果

2021 年 5 月 5 日至 7 月 31 日期间,共有 3426 名有 COVID-19 症状的个体接受了 PCR 检测。结果表明,在接种者中,国药疫苗第二剂接种后 14 天,预防有症状的 COVID-19 感染、住院和死亡的效力分别为 94.3%、60.5%和 98.6%,具有显著的统计学意义(p 值均<0.001)。

结论

本研究表明,BBIBP-CorV 疫苗对预防 COVID-19 感染、住院和死亡具有高度有效性。

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