牛津-阿斯利康(Covishield)疫苗在孟加拉国的副作用报告

Zahin Arefin, A.H.M Golam Kibria, Md. Tareq Khan Tipu
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摘要

目的:本研究的目的是确定孟加拉国医生首次接种ChAdOx1-S重组COVID-19 (Covishield)疫苗后自我报告的副作用(局部和全身)。材料与方法:采用非概率抽样方法,对首次接种ChAdOx1-S重组COVID-19疫苗并自愿参与研究的医生进行横断面在线调查。通过谷歌表格链接,采用半结构化问卷方式进行反馈。采用Logistic回归分析,探讨不同参数在疫苗副反应发生过程中的相关性。结果:在2021年3月至4月期间,接受过一剂疫苗的1265名孟加拉国医生参加了调查。超过95%(1203)的参与者在接种疫苗后出现了一些副作用。超过80%(1077)的参与者经历了疼痛,12.8%的参与者报告注射部位肿胀。超过一半的参与者感到不适、发烧和头痛。然而,大多数症状在强度上是轻到中度的。调整后的多变量logistic回归分析显示,接种疫苗后发生不良反应的风险与应答者年龄的增加有关(OR: 1.1;置信区间:1.0—-1.1;p = 0.001)和性别(女性OR: 2.2;置信区间:1.2—-4.0;P = 0.013)。结论:我们的研究结果表明,孟加拉国医生对牛津阿斯利康疫苗的耐受性良好,这可能会鼓励医生向患者推广该疫苗,并增加普通人群对COVID-19疫苗的吸收。
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Side-Effects of Oxford-Astra Zeneca (Covishield) Vaccine Reported by Medical Doctors in Bangladesh
Objective: The aim of this study was to determine self-reported side effects (local and systemic) after 1 st dose of ChAdOx1-S recombinant COVID-19 (Covishield) vaccine among medical doctors in Bangladesh. Materials and Methods : A cross sectional online survey was conducted among medical doctors who received 1 st dose of ChAdOx1-S recombinant COVID-19 vaccine and willingly volunteered to take part were included in the study using non probability sampling. Responses were received using semi structured questionnaire through Google form link. Logistic regression analysis was done to investigate the association between different parameters in the development of side effects of the vaccine. Result: During March-April 2021, 1265 Bangladeshi doctors who have received one dose of the vaccine participated in the survey. More than 95% (1203) of participants experienced some side effects after vaccination. Over 80% (1077) of participants experienced pain and 12.8% reported swelling at injection site. Above half of the participants experienced malaise, fever, and headache. However, most of the symptoms were mild to moderate in intensity. Adjusted multivariable logistic regression analysis showed that the risk of developing side effects after vaccination was associated with respondents increasing age (OR: 1.1; CI: 1.0-1.1; p = 0.001) and gender (OR for female: 2.2; CI: 1.2-4.0; p = 0.013). Conclusions: Our findings suggest that the Oxford AstraZeneca vaccine was well tolerated by Bangladeshi doctors, which may encourage doctors to promote the vaccine to their patients and increase COVID-19 vaccine uptake in the general population.
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