Lancet:感染过新冠病毒的人是否还需要接种新冠疫苗?

2021-03-18 Nebula MedSci原创

感染过新冠病毒的人是否还需要接种新冠疫苗?

一般情况下,某种病毒感染后人体内会产生抗体从而不会二次感染同一种病毒。新冠病毒(SARS-CoV-2)肆虐全球一年有余,二次感染新冠病毒的病例时有报道。新冠病毒感染对随后再感染具有怎样的保护作用尚未有很好的定论。

2020年,丹麦推广大规模、免费的PCR检测,约400万(占人口的69%)人接受了1060万次检测。采用这些2020年的PCR检测数据,研究人员评估了预防新冠病毒重复感染的保护作用。

这是一项在人口水平上的观察性研究,收集了2020年在丹麦进行检测的个人水平的数据,比较第一次激增期间(2020年3月-5月)具有阳性和阴性PCR测试的个体之间的感染率。对于主要分析,排除了两次激增之间第一次测试呈阳性的人以及第二次激增之前死亡的人。

PCR确诊新冠病毒感染发生率(每周)

在第一次激增期间(2020年6月前),有533381人进行了检测,其中11727人(2.20%)为PCR阳性;525339位符合第二次激增期间随访要求,其中11068人(2.11%)在第一次激增期间检测阳性。在第一次激增期间中合格的PCR阳性个体中,有72人(0.65%)在第二次激增期间检测又是阳性,相比之下,第一次激增期间检测阴性的514271人中有16819人(3.27%)在第二次激增期间检测为阳性(校正RR 0.195,95%CI 0.155-0.246)。抗重复感染的保护作用为80.5%(95%CI 75.4-84.5)。

个人检测次数

替代队列分析得出相似的估计值(校正RR 0.212[0.179-0.251],估计保护作用为78.8%[74.9-82.1])。在替代队列分析中,在50岁及以上的患者中,观察到的抗重复感染的保护作用只有47.1%(95%CI 24.7-62.8)。

此外,性别或首次感染后时间的长短对估计抗重复感染的保护作用无明显影响(男性 vs 女性:78.4% vs 79.1%;随访 3-6个月 vs ≥7个月:79.3% vs 77.7%)。

综上,感染新冠病毒治愈后,不能百分百的保护不发生重复感染,特别是对于老年人,建议感染过新冠病毒的个体也进行疫苗接种。

原始出处:

Assessment of protection against reinfection with SARS-CoV-2 among 4 million PCR-tested individuals in Denmark in 2020: a population-level observational study. The Lancet. March 17, 2021.

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    2021-09-14 howi
  2. [GetPortalCommentsPageByObjectIdResponse(id=1831078, encodeId=f7f518310e846, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Tue Sep 14 16:00:08 CST 2021, time=2021-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949238, encodeId=0756949238b3, content=还是接种吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fefe5459581, createdName=ms7000001881586700, createdTime=Thu Mar 18 14:17:12 CST 2021, time=2021-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1029253, encodeId=b2921029253d2, content=新冠肺炎,疫情何时才能消失, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=公卫新人, createdTime=Thu Mar 18 14:00:08 CST 2021, time=2021-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1034225, encodeId=0a581034225aa, content=顶刊就是不一样,质量很高,内容精彩!学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=goodbing, createdTime=Thu Mar 18 14:00:08 CST 2021, time=2021-03-18, status=1, ipAttribution=)]
    2021-03-18 ms7000001881586700

    还是接种吧

    0

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    2021-03-18 公卫新人

    新冠肺炎,疫情何时才能消失

    0

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    2021-03-18 goodbing

    顶刊就是不一样,质量很高,内容精彩!学到很多

    0

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