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Omicron infections profile and vaccination status among 1881 liver transplant recipients: a multi-Centre retrospective cohort

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单位: [1]Fudan Univ, Huashan Hosp, Dept Gen Surg, Shanghai, Peoples R China [2]Fudan Univ, Huashan Hosp, Dept Infect Dis, Shanghai, Peoples R China [3]Natl Med Ctr Infect Dis, Shanghai, Peoples R China [4]Second Mil Med Univ, Shanghai Changhai Hosp, Dept Organ Transplantat, Shanghai, Peoples R China [5]Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Dept Gen Surg, Sch Med, Shanghai, Peoples R China [6]Second Mil Med Univ, Shanghai Changzheng Hosp, Organ Transplant Ctr, Shanghai, Peoples R China [7]Shanghai Jiao Tong Univ, Shanghai Ruijin Hosp, Liver Transplantat Ctr, Dept Gen Surg,Sch Med, Shanghai, Peoples R China [8]Capital Med Univ, Beijing Friendship Hosp, Liver Transplantat Ctr, Natl Clin Res Ctr Digest Dis, Beijing, Peoples R China [9]Capital Med Univ, Clin Ctr Pediat Liver Transplantat, Beijing, Peoples R China [10]First Hosp Jilin Univ, Dept Hepatobiliary & Pancreat Surg, Changchun, Peoples R China
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关键词: Omicron SARS-CoV-2 liver transplantation inactivated vaccine protection rate adverse events

摘要:
A wave of Omicron infections rapidly emerged in China in 2022, but large-scale data concerning the safety profile of vaccines and Coronavirus disease 2019 (COVID-19) infection features in liver transplant (LT) recipients have not been collected. Therefore, the aim of this study was to assess the protectiveness and safety profile of the inactivated vaccines in LT patients against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant infections. A multi-centre retrospective study was conducted in a cohort with a history of liver transplantation. A total of 1881 participants (487 vaccinated and 1394 unvaccinated patients) were enrolled from seven centres in China. Fourteen of the participants were infected by Omicron, and 50% patients had over 14 days of viral shedding duration. The protection rate of COVID-19 vaccinations to Omicron was 2.59%. The three breakthrough infections occurred more than 6 months after fully vaccinated. A total of 96 (19.7%) vaccinated patients had adverse events, including fatigue, myalgia, liver dysfunction, swelling, and scleroma. There were more Grade 3 adverse events in the preoperative vaccination group than those in the postoperative vaccination group. Inactivated whole-virion SARS-CoV-2 vaccines are safe in patients with post-liver transplantation. The efficacy of inactivated vaccines decreases after 6 months of vaccination, it is recommended that liver transplant patients get boosted vaccinations as early as possible even when they are fully vaccinated. Although clinical manifestations of Omicron infections were mild in LT patients, unvaccinated patients might have a higher risk of liver dysfunction during infections.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 1 区 传染病学 2 区 免疫学 2 区 微生物学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 传染病学 1 区 微生物学 2 区 免疫学
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出版当年[2020]版:
Q1 INFECTIOUS DISEASES Q1 MICROBIOLOGY Q1 IMMUNOLOGY
最新[2023]版:
Q1 IMMUNOLOGY Q1 INFECTIOUS DISEASES Q1 MICROBIOLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2020版] 出版当年五年平均[2016-2020] 出版前一年[2019版] 出版后一年[2021版]

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第一作者单位: [1]Fudan Univ, Huashan Hosp, Dept Gen Surg, Shanghai, Peoples R China
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通讯机构: [2]Fudan Univ, Huashan Hosp, Dept Infect Dis, Shanghai, Peoples R China [3]Natl Med Ctr Infect Dis, Shanghai, Peoples R China [8]Capital Med Univ, Beijing Friendship Hosp, Liver Transplantat Ctr, Natl Clin Res Ctr Digest Dis, Beijing, Peoples R China [9]Capital Med Univ, Clin Ctr Pediat Liver Transplantat, Beijing, Peoples R China
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