在西西里完全或增强mRNA接种疫苗的受试者中,SARS-CoV-2再感染的低风险:使用真实世界的数据进行基于人口的研究
Laura Maniscalco1, Dario Genovese1, Barbara Ravazzolo2
1Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties "G. D'Alessandro" (PROMISE), University of Palermo, Via del Vespro 133, 90127 Palermo, Italy.
Vaccines
|December 23, 2023
概括
接种COVID-19疫苗显著降低了SARS-CoV-2再感染的风险,特别是在增强剂量时. 诸如年龄,性别和先前住院等因素也会影响再感染率,老年人表现出更强的保护性.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 由于免疫力下降和新的病毒菌株,SARS-CoV-2的再感染受到驱动.
- 了解影响再感染的因素对于公共卫生战略至关重要.
研究的目的:
- 在意大利西西里研究性别,年龄,COVID-19疫苗接种,先前住院和SARS-CoV-2再感染之间的相关性.
主要方法:
- 基于人口的回顾性队列研究,使用区域疫苗接种和健康监测数据.
- 考克斯回归分析用于计算重新感染的调整危险比率 (adj-HR).
主要成果:
- 与未接种疫苗的人相比,完全接种疫苗 (adj-HR:0.43) 和增强剂量 (adj-HR:0.41) 显著降低了再感染风险.
- 男性 (adj-HR:0.75) 和以前住院的人 (adj-HR:0.78) 的再感染风险较低.
- 较老的成年人 (60岁以上) 显示出统计保护,而30-49岁的人有更高的风险. 在Omicron波期间,再感染更为常见.
结论:
- 接种COVID-19疫苗是防止SARS-CoV-2再感染的关键公共卫生工具,特别是针对Omicron变种.
- 年龄,性别和先前住院是影响再感染风险的重要因素.
- 在老年人和住院患者中,再感染风险较低表明这些群体的保护行为或免疫力得到了增强.
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