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[免疫抑制状态下的新冠疫苗接种]

[Corona vaccination under immunosuppression].

作者信息

Hasseli-Fräbel R, Kneitz C, Voll R E, Hoyer B F

机构信息

Sektion für Rheumatologie und Klinische Immunologie, Universitätsklinikum Münster, Münster, Deutschland.

Rheumatologische Schwerpunktpraxis Schwerin, Schwerin, Deutschland.

出版信息

Z Rheumatol. 2024 Sep;83(7):544-548. doi: 10.1007/s00393-024-01555-2. Epub 2024 Sep 23.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to play a major role as a severe and potentially fatal airway infection, especially in vulnerable patient groups. In view of the thin data situation on the influence of treatment and response to vaccination, at the beginning of the corona pandemic it was a major challenge to predict the tolerability and effectiveness in patients with inflammatory rheumatic diseases under immunomodulation or immunosuppression. In the meantime, numerous studies have addressed the questions of response and tolerability, at least for the COVID-19 vaccination. Even in the first months of the vaccination campaign, a small study on a single center cohort could show that apart from patients with B‑cell depletion, all included patients showed a seroconversion after the first two vaccinations. This resulted in neither an increased occurrence of exacerbations of the underlying disease nor new autoimmune phenomena. Various studies have since then confirmed these data.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)作为一种严重且可能致命的气道感染,继续发挥着主要作用,尤其是在脆弱的患者群体中。鉴于关于治疗影响和疫苗接种反应的数据稀少,在新冠疫情初期,预测免疫调节或免疫抑制状态下的炎症性风湿性疾病患者的耐受性和有效性是一项重大挑战。与此同时,至少针对新冠疫苗接种,众多研究已经探讨了反应和耐受性问题。即使在疫苗接种运动的最初几个月,一项针对单一中心队列的小型研究也表明,除了B细胞耗竭的患者外,所有纳入的患者在前两剂疫苗接种后均出现了血清转化。这既没有导致基础疾病加重的发生率增加,也没有出现新的自身免疫现象。此后,各种研究证实了这些数据。

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