严重急性呼吸系统综合征冠状病毒2型奥密克戎BA.5.1.3变异株的流行病学特征及灭活疫苗的保护作用。

IF 1.5 4区 医学 Q4 IMMUNOLOGY
Viral immunology Pub Date : 2023-10-01 Epub Date: 2023-09-06 DOI:10.1089/vim.2023.0050
Taoyuan Li, Shaorong Wu, Jiaxiong Tan, Zhengyi Huang, Lijun Li, Wenzhi Luo, Yayun Wu, Jun Lyu, Xujing Liang
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引用次数: 0

摘要

奥密克戎变异株由于其传播性和免疫逃逸能力的增强,已成为严重急性呼吸系统综合征冠状病毒2型的主要变异株。2022年8月,奥密克戎变异株BA.5.1.3在中国三亚爆发。研究奥密克戎变异株可以促进对它们的理解,并进一步有助于管理严重急性呼吸系统综合征冠状病毒2型的流行。这项回顾性研究分析了2022年8月14日至9月4日期间入住中国三亚第一舱医院的258名无症状或轻度严重急性呼吸系统综合征冠状病毒2型患者的数据。258名患者包括128名男性和130名女性,平均年龄36.6岁,平均医学观察时间10.1天。多元线性回归分析表明LMO与年龄呈正相关和负相关(p = 0.036)和疫苗接种情况(p = 0.004)。Cox比例风险模型显示年龄(风险比[HR] = 0.99,p = 0.029)和疫苗接种(HR = 1.23,p = 0.023)分别是LMO的危险因素和保护因素。因果中介分析表明,疫苗接种抑制了年龄增加引起的LMO延长的效果。随着年龄的增长,恢复时间变得更长,这可以通过接种疫苗来抵消。目前的结果表明,疫苗接种干预措施,即使是通过灭活方法开发的干预措施,仍然可以对奥密克戎变异株提供保护。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiologic Characteristics of SARS-CoV-2 Omicron BA.5.1.3 Variant and the Protection Provided By Inactivated Vaccination.

Omicron variants have become the dominant SARS-CoV-2 variants due to their increased transmissibility and immune-escape ability. An outbreak of the Omicron variant BA.5.1.3 occurred in August 2022 in Sanya, China. Studying Omicron variants can promote the understanding of them and further contribute to managing the SARS-CoV-2 prevalence. This retrospective study analyzed the data of 258 patients with asymptomatic or mild SARS-CoV-2 admitted to the First Cabin Hospital of Sanya, China, between August 14 and September 4, 2022. The 258 patients comprised 128 males and 130 females with a mean age of 36.6 years and mean length of medical observation (LMO) of 10.1 days. Multiple linear regression analysis indicated that LMO was positively and negatively associated with age (p = 0.036) and vaccination status (p = 0.004), respectively. A Cox proportional-hazards model revealed that age (hazard ratio [HR] = 0.99, p = 0.029) and vaccination (HR = 1.23, p = 0.023) were risk and protective factors for LMO, respectively. Causal mediation analysis indicated that vaccination suppressed the effect of prolonging LMO caused by increasing age. Recovery times became longer with increasing age, which could be counterbalanced by vaccination. The present results indicate that vaccination interventions, even those developed through inactivated approaches, can still provide protection against Omicron variants.

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来源期刊
Viral immunology
Viral immunology 医学-病毒学
CiteScore
3.60
自引率
0.00%
发文量
84
审稿时长
6-12 weeks
期刊介绍: Viral Immunology delivers cutting-edge peer-reviewed research on rare, emerging, and under-studied viruses, with special focus on analyzing mutual relationships between external viruses and internal immunity. Original research, reviews, and commentaries on relevant viruses are presented in clinical, translational, and basic science articles for researchers in multiple disciplines. Viral Immunology coverage includes: Human and animal viral immunology Research and development of viral vaccines, including field trials Immunological characterization of viral components Virus-based immunological diseases, including autoimmune syndromes Pathogenic mechanisms Viral diagnostics Tumor and cancer immunology with virus as the primary factor Viral immunology methods.
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