[在免疫抑制下进行冠状病毒疫苗接种]
R Hasseli-Fräbel1, C Kneitz2, R E Voll3
1Sektion für Rheumatologie und Klinische Immunologie, Universitätsklinikum Münster, Münster, Deutschland.
Zeitschrift fur Rheumatologie
|September 23, 2024
概括
患有炎症性类风湿性疾病的患者对COVID-19疫苗接种有良好的反应和耐受性. 大多数人实现了血清转化,即使在免疫抑制下,也没有增加疾病爆发或新的自身免疫问题.
科学领域:
- 类风湿病学 类风湿病学
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
背景情况:
- 严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2) 构成重大威胁,特别对免疫功能低下的人来说.
- 关于COVID-19疫苗接种在患有炎性类风湿性疾病 (IRDs) 的患者中耐受性和有效性的数据有限,这些患者在流行病开始时接受免疫调节或免疫抑制.
研究的目的:
- 评估IRD患者COVID-19疫苗接种的反应和耐受性.
- 在这个队列中评估疫苗接种后疾病恶化或新的自身免疫现象的风险.
主要方法:
- 对IRD患者COVID-19疫苗接种现有研究和队列数据的审查.
- 在初始疫苗接种系列后,分析血清转化率.
- 监测疾病爆发和新出现的自身免疫性疾病.
主要成果:
- 大多数IRD患者 (不包括B细胞枯竭患者) 在接种两剂COVID-19疫苗后实现了血清转化.
- 没有观察到潜在的风湿性疾病恶化症的显著增加.
- 接种疫苗后没有报告新的自身免疫现象.
结论:
- COVID-19疫苗接种通常耐受良好,并且在大多数炎症性类风湿性疾病患者中有效诱导免疫反应.
- 这些发现支持对IRD患者的疫苗接种策略,即使是那些接受免疫抑制疗法的人,也要仔细考虑B细胞枯竭的个体.
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