Faculty of Medicine of Sousse, Infection Prevention and Control Department, Farhat Hached University Hospital, University of Sousse, Sousse, Tunisia.
Hum Vaccin Immunother. 2024 Dec 31;20(1):2306703. doi: 10.1080/21645515.2024.2306703. Epub 2024 Feb 2.
Background In the absence of a specific treatment for COVID-19, preventive measures have been implemented to control this pandemic and vaccination is one of them. However, it is crucial to verify the safety and efficiency of every vaccine. The aim was to determinate the predictive factors of side effects and reinfection after COVID-19 vaccine. Methods A cross-sectional study was conducted in February 2022 among Tunisians infected with COVID-19 between March 2020 and February 2022, using an online self-administered questionnaire. We conducted univariate and multivariate analyses using binary stepwise logistic regression. Results A total of 1541 was selected from 1911 individuals. Comorbidities affected a quarter of the population (22.3%). Before the initial infection, 39.3% had received full vaccination, and 8.7% had received partial vaccination. By February 2022, the majority (82.9%) had received at least two vaccine doses. The reinfection rate was 30.6%. All vaccines prior to the first infection was identified as a protective factor against reinfection. Inactivated virus vaccinations were less likely to induce adverse effects. Conclusion ach vaccine has its own set of advantages and disadvantages: mRNA-based vaccines had a higher incidence of side effects but all vaccines provided better protection against reinfection.
背景 在缺乏针对 COVID-19 的特定治疗方法的情况下,已采取预防措施来控制这种大流行,其中之一就是疫苗接种。然而,验证每种疫苗的安全性和效率至关重要。本研究旨在确定 COVID-19 疫苗接种后副作用和再感染的预测因素。
方法 2022 年 2 月,对 2020 年 3 月至 2022 年 2 月期间感染 COVID-19 的突尼斯人进行了一项横断面研究,使用在线自我管理问卷。我们使用二元逐步逻辑回归进行了单变量和多变量分析。
结果 从 1911 人中选择了 1541 人。合并症影响了四分之一的人群(22.3%)。在初始感染之前,39.3%的人已完全接种疫苗,8.7%的人已部分接种疫苗。到 2022 年 2 月,大多数人(82.9%)已至少接种了两剂疫苗。再感染率为 30.6%。所有首次感染前的疫苗都被确定为再次感染的保护因素。灭活病毒疫苗接种不太可能引起不良反应。
结论 每种疫苗都有其自身的优势和劣势:基于 mRNA 的疫苗副作用发生率更高,但所有疫苗对再感染的保护作用都更好。