评估维持性血液透析患者对不同 COVID-19 疫苗的体液免疫反应。

Ayman Abd El-Hameed, Mohammed Fouad Ahmed, Ali Omar Ahmed Ehmemeed, Ahmad Mokhtar, Walid Ahmed Ragab Abdelhamid
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引用次数: 0

摘要

导言:在终末期肾病(ESKD)患者中,尤其是在中东和北非地区,对不同的冠状病毒病2019(COVID-19)疫苗的免疫反应研究不足。我们开展了这项研究,以估算定期接受血液透析(HD)的 ESKD 患者接种 COVID-19 疫苗的效果:在这项前瞻性观察研究中,我们招募了 60 名完成 COVID-19 疫苗接种的定期接受血液透析的 ESKD 患者和 30 名接种过疫苗的健康参与者。在完成疫苗接种1个月后,对血清中严重急性呼吸系统综合征冠状病毒2免疫球蛋白G(SARS-COV2 IgG)水平进行定量检测,并从2021年10月至2022年3月对所有参与者进行随访。研究中使用的疫苗分别来自辉瑞生物、阿斯利康和国药集团:结果:HD 患者的 SARS-COV2 IgG 中位数水平低于健康参与者(P < 0.001)。在接种 COVID-19 疫苗的类型方面,HD 患者的 SARS-COV2 IgG 水平没有统计学差异。在观察期间,没有一名 HD 患者接种过 COVID-19:结论:接种 COVID-19 疫苗似乎对 HD 患者有 6 个月的保护作用,而且疫苗的副作用是可以忍受的。
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Assessment of humoral immune response to different COVID-19 vaccines in patients undergoing maintenance hemodialysis.

Introduction: The immune response to different Coronavirus Disease 2019 (COVID-19) vaccines is under-investigated in end-stage kidney disease (ESKD) patients, especially in the Middle East and North Africa. We carried out this research to estimate the effectiveness of COVID-19 immunization in ESKD patients on regular hemodialysis (HD).

Methods: In this prospective observational study, we enrolled 60 ESKD patients on regular HD who had completed COVID-19 vaccination and 30 vaccinated healthy participants. Serum levels of severe acute respiratory syndrome coronavirus 2 immunoglobulin G (SARS-COV2 IgG) were quantified 1 month after completing the vaccination schedule, and all participants were followed up from October 2021 to March 2022. The vaccines used in the study were from Pfizer-BioNTech, AstraZeneca, and Sinopharm.

Results: The median level of SARS-COV2 IgG was lower in HD patients than in healthy participants (p < 0.001). Regarding the type of COVID-19 vaccination, there was no statistical difference in SARS-COV2 IgG levels among HD patients. During the observation period, none of the HD patients had COVID-19.

Conclusion: COVID-19 vaccination appeared to be protective in HD patients for 6 months and the side effects of vaccines were tolerable.

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来源期刊
CiteScore
2.20
自引率
16.70%
发文量
208
审稿时长
16 weeks
期刊最新文献
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