COVID-19异源疫苗接种的有效性:喀麦隆一家地区医院的经验

Princewill Kum Unji, Alex Mambap Tatang, Samuel Angwafor, Loveline Lum Niba, Adji Minette Jaqueline Porro, Denis Nsame Nforniwe, Andreas Chiabi
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引用次数: 0

摘要

背景:由于大多数COVID-19疫苗至少需要2剂,异源疫苗接种将促进疫苗供应波动的疫苗接种计划。然而,在我们的环境中,由于缺乏关于异源疫苗接种效果的数据,人们仍然不愿意混合。目的:我们试图评估异种疫苗接种对发病率和死亡率的影响。方法:对喀麦隆巴门达地区医院管理的COVID-19患者进行为期7个月的回顾性研究,研究时间为2021年8月18日至2022年2月28日。逻辑回归用于评估预测因子与结果之间的关系。结果:1254名参与者的平均年龄为50.1(±19.6)岁,其中24人(1.9%)接种了完全疫苗,7人(29.2%)接种了异源疫苗。721人(57.5%)患有中/重度糖尿病。完全接种疫苗的人患严重疾病的几率较低(p=0.037)。异种疫苗与同源疫苗的发病率差异无统计学意义(p=0.729)。在死亡的患者中,没有人接种过完全疫苗。结论:异种疫苗接种对发病率的保护作用与异种疫苗接种对发病率的保护作用相似。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effectiveness of COVID-19 Heterologous Vaccination: the experience from a Regional Hospital in Cameroon.

Background: With most COVID-19 vaccines requiring at least 2 doses, heterologous vaccination will facilitate vaccination programs where vaccine supplies fluctuate. However, with insufficient data on effects of heterologous vaccination in our setting, people remain reluctant to mix.

Objectives: We seek to assess the effects of heterologous vaccination on morbidity and mortality.

Methods: This was a 7 months retrospective study for COVID-19 patients managed by the Bamenda Regional Hospital, Cameroon, running from the 18th August 2021 to 28th February 2022. Logistic regression used to asses relationship between predictors and outcome.

Results: Our 1254 participants had a mean age of 50.1(±19.6) years, we had 24 (1.9%) being fully vaccinated, where 7 (29.2%) took heterologous vaccines. Also, 721 (57.5%) had the moderate/severe form of the disease. Those fully vaccinated had lower odds of having severe disease (p=0.037). However, heterologous vaccination compared to homologous vaccination had no significant difference on morbidity (p=0.729). Among patients who died, none was fully vaccinated.

Conclusion: The protective effect of vaccination on morbidity was similar in those with heterologous vaccination as well as those who took.

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