[过敏史患者接种COVID-19疫苗的经验]

Revista espanola de salud publica Pub Date : 2023-10-02
Juan Antonio García Vicente, Cristina Vedia Urgell, Roser Vallès Fernández, Cristina Morgado Ramos, Esther Moral Roldán, Soraya Marchal Torralbo, Magda Lladó Blanch, Anna Marchal Torralbo, Thatiana Vértiz Guidotti, Josep Sorribes López
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摘要

目的:自COVID-19疫苗接种运动开始以来,常见的会诊与药物或其他疫苗过敏史有关。该研究的目的是描述在初级保健急救中心(PCEC)接种COVID-19疫苗后,有中度和重度过敏史的人接种了COVID-19疫苗后发生的情况。方法:在初级保健药理学家和药剂师评估后,于2021年5月至10月在巴塞罗那省的barcelon Nord和Maresme接种了PCEP疫苗,对64名有中度和重度过敏史的人进行了观察性描述性研究。计算疫苗接种后不良事件发生的人群百分比,检测到的类型和严重程度。随后,进行了电话调查,以确定患者的满意度。进行描述性分析(比例计算)。结果:平均年龄49.7岁(12 ~ 94岁),女性占90.6%。87.5%的接种疫苗为Comirnaty®。疫苗接种后发生不良事件15例(23.4%),其中超敏反应4例(6.25%),均为轻度。接种原因依次为非甾体抗炎药过敏史(45.3%)、抗生素过敏史(32.8%)、止痛药过敏史(17.2%)、疫苗过敏史(28.1%)、其他过敏史(40.6%)和过敏史(26.6%)。总体满意度为9.11(满分10分)。结论:有过敏反应和药物过敏反应史的患者对COVID-19疫苗出现超敏反应的比例为6.25%,均为轻度反应。
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[Experiencia en la vacunación frente a la COVID-19 en personas con antecedentes de alergia.]

Objective: A common consultation since the beginning of the vaccination campaign against COVID-19 was related to people with a history of allergy to drugs or other vaccines. The objective of the study was to describe what happened after the administration of the vaccine against COVID-19 in people with a history of moderate and severe allergy, vaccinated against COVID-19 in a Primary Care Emergency Center (PCEC).

Methods: Observational descriptive study with sixty-four people with a history of moderate and severe allergy was carried out, vaccinated in PCEP, between May and October 2021, in the Barcelonés Nord and Maresme (Barcelona province), after assessment by primary care pharmacologists and pharmacists. The percentage of people with adverse events that occurred after vaccination during their stay in the PCEP, the types detected and severity were calculated. Subsequently, a telephone survey was conducted to determine patient satisfaction. A descriptive analysis (calculation of proportions) was performed.

Results: The mean age of 49.7 years (from twelve to ninety-four years) and 90.6% were women. 87.5% of the administered vaccines were Comirnaty®. Adverse events occurring after vaccination were detected in fifteen patients (23.4%), of whom four (6.25%) were manifestations of hypersensitivity, all classified as mild. The reasons for vaccination were a history of allergy to NSAIDs (45.3%), antibiotics (32.8%), analgesics (17.2%), vaccines (28.1%), other substances (40.6%) and anaphylaxis (26.6%). The degree of general satisfaction was 9.11 (out of 10).

Conclusions: The percentage of patients with a history of anaphylaxis and allergic drug reactions who present hypersensitivity reactions to COVID-19 vaccines is 6.25% and all are mild.

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