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医护人员接种科兴疫苗和BNT162b2疫苗后抗体反应的比较。

Comparison of Antibody Responses After CoronaVac and BNT162b2 Vaccines in Healthcare Workers.

作者信息

Oktay Gultekin Efdal, Gultekin Onur

机构信息

Department of Medical Services and Techniques, Toros University, Mersin, Turkey.

Infectious Diseases, and Clinical Microbiology, Tarsus State Hospital, Mersin, Turkey.

出版信息

Indian J Microbiol. 2023 Sep;63(3):361-368. doi: 10.1007/s12088-023-01098-1. Epub 2023 Sep 4.

Abstract

Since the initial outbreak in late December 2019, the coronavirus disease 2019 (COVID-19) pandemic has become a significant healthcare issue worldwide. Despite patients getting the total recommended doses of the COVID-19 vaccine, it is still unable to stop the spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Our study aimed to evaluate the antibody response in the 3rd month after two doses of the CoronaVac vaccine and after a single dose of the BNT162b2 vaccine. One hundred thirty-five people from Tarsus State Hospital health workers were included in the study. We collected serum samples from healthcare workers 3 months post-vaccination, and the Anti-SARS-CoV-2 Quanti-Vac ELISA IgG kit coated with recombinant S1 antigen was used to test for SARS-CoV-2 antibodies. Antibody levels of BNT162b2 (last vaccine) patients are significantly higher than CoronaVac ones ( < 0.05). It was determined that those who do not have a concomitant disease and those who do not smoke have higher antibody levels after CoronaVac than the others ( < 0.05). It was determined that 53.1% of 32 patients with pain, swelling, redness at the vaccination site after CoronaVac did not have pain/swelling/redness at the vaccination site after BNT162b2 ( < 0.05). Headache was also more common after CoronaVac compared to the BNT162b2 vaccine ( < 0.05). In conclusion, IgG seropositivity was lower after CoronaVac than BNT162b2, and the antibody level for CoronaVac recipients has decreased over time since vaccination, but not for BNT162b2 recipients.

摘要

自2019年12月下旬首次爆发以来,2019冠状病毒病(COVID-19)大流行已成为全球重大的医疗保健问题。尽管患者接种了推荐的全部剂量的COVID-19疫苗,但仍无法阻止严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染的传播。我们的研究旨在评估接种两剂科兴疫苗和一剂BNT162b2疫苗后第3个月的抗体反应。来自塔尔苏斯州立医院的135名医护人员参与了该研究。我们在医护人员接种疫苗3个月后采集血清样本,并使用包被重组S1抗原的抗SARS-CoV-2定量Vac ELISA IgG试剂盒检测SARS-CoV-2抗体。BNT162b2(最后一剂疫苗)接种者的抗体水平显著高于科兴疫苗接种者(<0.05)。研究发现,没有合并症且不吸烟的人接种科兴疫苗后的抗体水平高于其他人(<0.05)。研究发现,32名接种科兴疫苗后出现接种部位疼痛、肿胀、发红的患者中,有53.1%在接种BNT162b2后接种部位没有疼痛/肿胀/发红(<0.05)。与BNT162b2疫苗相比,接种科兴疫苗后头痛也更常见(<0.05)。总之,科兴疫苗接种后的IgG血清阳性率低于BNT162b2,科兴疫苗接种者的抗体水平自接种以来随时间下降,但BNT162b2接种者没有。

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