Comunale Brittany A, Larson Robin J, Hsu Yea-Jen, Jackson-Ward Erin, Azodoh Chisom, Singh Aditi, Engineer Lilly D
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
Geisel School of Medicine at Dartmouth, Hanover, NH 03755, USA.
Vaccines (Basel). 2024 Feb 20;12(3):219. doi: 10.3390/vaccines12030219.
Prior research explores whether seasonal and childhood vaccines mitigate the risk of SARS-CoV-2 infection. Although there are trials investigating COVID-19 infection in response to the effects of the oral poliovirus vaccine (OPV), there has been no prior research assessing COVID-19 outcomes in recently immunized adults with the inactivated poliovirus vaccine (IPV). SARS-CoV-2 infection and COVID-19 symptoms were analyzed across a cohort of 282 adults who received an IPV booster. Bivariate and multivariate regression models explored associations among variables related to vaccination histories and COVID-19 outcomes. One year post-IPV inoculation, participants who had never received OPV were more likely to test positive for SARS-CoV-2 and experience COVID-19 symptoms, compared to those who had previously received OPV (OR = 3.92, 95%CI 2.22-7.03, < 0.001; OR = 4.45, 95%CI 2.48-8.17, < 0.001, respectively). Those who had never received OPV experienced COVID-19 symptoms for 6.17 days longer than participants who had previously received OPV (95%CI 3.68-8.67, < 0.001). Multivariate regression modeling indicated COVID-19 vaccination did not impact SARS-CoV-2 infection or COVID-19 symptoms in this sample of adults who had recently received IPV. Findings suggest IPV may boost mucosal immunity among OPV-primed individuals, and COVID-19 vaccination may not provide additional protection among those who had received IPV. Future, larger-scale studies should measure the extent of protective effects against COVID-19 to inform public health policies in resource-deficient settings.
先前的研究探讨了季节性疫苗和儿童疫苗是否能降低感染新冠病毒的风险。尽管有试验研究口服脊髓灰质炎疫苗(OPV)对新冠病毒感染的影响,但此前尚无研究评估近期接种灭活脊髓灰质炎疫苗(IPV)的成年人的新冠病毒感染结果。对282名接受IPV加强针的成年人队列进行了新冠病毒感染和新冠症状分析。双变量和多变量回归模型探讨了与疫苗接种史和新冠病毒感染结果相关变量之间的关联。在接种IPV一年后,与之前接种过OPV的参与者相比,从未接种过OPV的参与者新冠病毒检测呈阳性以及出现新冠症状的可能性更高(OR分别为3.92,95%CI 2.22 - 7.03,<0.001;OR为4.45,95%CI 2.48 - 8.17,<0.001)。从未接种过OPV的参与者出现新冠症状的时间比之前接种过OPV的参与者长6.17天(95%CI 3.68 - 8.67,<0.001)。多变量回归模型表明,在这个近期接种IPV的成年人样本中,新冠疫苗接种对新冠病毒感染或新冠症状没有影响。研究结果表明,IPV可能会增强经OPV primed个体的黏膜免疫力,并且新冠疫苗接种可能不会为那些已经接种过IPV的人提供额外保护。未来,更大规模的研究应衡量对新冠病毒的保护作用程度,以为资源匮乏地区的公共卫生政策提供依据。