全球炎症性肠病患者的COVID-19免疫率:系统性审查和元分析
Francesco Paolo Bianchi1, Rossella Donghia2, Rossella Tatoli2
1Epidemiology Unit, Bari Policlinico General Hospital, 70124 Bari, Italy.
Vaccines
|October 28, 2023
概括
患有炎症性肠病 (IBD) 的个人增加了COVID-19并发症风险. 疫苗接种覆盖率低于最佳水平,这凸显了需要加强策略的必要性,特别是涉及胃肠科医生,以改善对传染病的保护.
科学领域:
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 患有炎症性肠病 (IBD) 的人面临更高的COVID-19严重结局和住院的风险.
- 虽然没有增加SARS-CoV-2感染的风险,但IBD患者更容易受到传染病并发症的影响.
研究的目的:
- 量化评估IBD患者的全球COVID-19疫苗接种覆盖率.
- 确定影响IBD人口接种疫苗的因素.
主要方法:
- 2021年1月至2023年7月期间发表的13项研究的系统审查和元分析.
- 在MEDLINE/PubMed,ISI知识网络和Scopus数据库中搜索相关的科学文章.
主要成果:
- 聚合的COVID-19疫苗接种率为至少一剂量为72%,完整方案为81%,第三剂量为71%.
- 与更高的疫苗接种率相关的因素包括高加索族裔,女性性别,没有免疫抑制疗法,年龄较大,先前接种流感疫苗,没有先前的COVID-19,以及胃肠科医生建议.
结论:
- 在IBD患者中,COVID-19疫苗接种覆盖率是显著的,但不是最佳的.
- 需要多方面的策略来提高疫苗接种率,胃肠科医生在预防传染病并发症方面发挥着关键作用.
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