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接种疫苗后感染新冠病毒。

COVID-19 infection after vaccination.

作者信息

Baziboroun Mana, Hosseinzadeh Sayareh, Gholinia Hemmat, Sadeghi Farzin, Yahyapour Yousef

机构信息

Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Part of Infectious Control, Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.

出版信息

Caspian J Intern Med. 2024 Aug 30;15(4):644-650. doi: 10.22088/cjim.15.4.644. eCollection 2024 Fall.

Abstract

BACKGROUND

Although vaccination is the most effective and specific approach for prevention of infectious diseases, but in a small percentage of vaccinated person's breakthrough infections can occur. This study aimed to determine the effectiveness of different common vaccines in this area.

METHODS

109 COVID-19 vaccinated patients were enrolled, with different types of vaccines (Sinopharm, AstraZeneca, Sputnic, Bharath, CovIran Barkat and Pasto-CoV) and time of administration in 2021 in Babol, Iran. Patients after 14 days of administration of the final dose of corona vaccines with positive COVID-19 RT-PCR test entered to study. Patients' data such as RT-PCR, type of vaccine, age, sex and outcome were collected using electronic medical records.

RESULTS

47 patients were not fully vaccinated, 62 had two vaccine doses and 51 were fully vaccinated and considered to a breakthrough infection. Although, most of the patients with infection were either mild (n=18 [16.56%]), or moderate (n=86 [78.9%]), 5 (4.6%) patients had severe or critical illness, of whom 3 admitted in intensive care unit, 3 intubated, and 4 died. The average age of the participants with COVID-19 infections was 61.23 ± 19.91 years.

CONCLUSION

Based on our results, the breakthrough occurring with two doses of current vaccines were mild and moderate.

摘要

背景

尽管接种疫苗是预防传染病最有效且最具针对性的方法,但仍有一小部分接种疫苗的人会出现突破性感染。本研究旨在确定该领域不同常见疫苗的有效性。

方法

纳入109名接种了新冠疫苗的患者,涉及2021年在伊朗巴博勒使用的不同类型疫苗(国药集团、阿斯利康、卫星V、巴拉特、科维兰·巴尔卡特和帕斯托-新冠疫苗)及接种时间。在接种新冠疫苗最后一剂14天后新冠病毒逆转录聚合酶链反应(RT-PCR)检测呈阳性的患者进入研究。使用电子病历收集患者的RT-PCR、疫苗类型、年龄、性别和结局等数据。

结果

47名患者未完成全程接种,62名患者接种了两剂疫苗,51名患者完成全程接种并被认定为突破性感染。尽管大多数感染患者病情为轻度(n = 18 [16.56%])或中度(n = 86 [78.9%]),但有5名(4.6%)患者患有严重或危重症,其中3名入住重症监护病房,3名接受插管,4名死亡。感染新冠病毒的参与者平均年龄为61.23 ± 19.91岁。

结论

根据我们的研究结果,目前两剂疫苗出现的突破性感染病情为轻度和中度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53a/11444105/7d6938c80b38/cjim-15-644-g001.jpg

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