Post-vaccination immunity and pneumonia incidence in medical workers in response to various flu vaccination regimens between the 1st and 2nd peaks of COVID-19 morbidity
- Authors: Kostinov M.P.1,2, Nastaeva N.Y.3, Nikityuk N.F.1,2, Mashilov K.V.1, Khasanova A.A.4, Solovyeva I.L.4, Andreeva N.P.5,6, Li Y.A.7, Polishchuk V.B.1, Linok A.V.1,2, Loktionova M.N.2, Kostinova A.M.2, Khrapunova I.A.2
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Affiliations:
- I. Mechnikov Research Institute of Vaccines and Sera
- I.M. Sechenov First State Medical University (Sechenov University)
- Novorossiysk Clinical Center of Federal Medical Biological Agency
- Ulyanovsk State University
- I.N. Ulyanov Chuvash State University
- City Children’s Clinical Hospital of Cheboksary
- Pacific State Medical University
- Issue: Vol 14, No 4 (2024)
- Pages: 769-780
- Section: ORIGINAL ARTICLES
- URL: https://journals.rcsi.science/2220-7619/article/view/268710
- DOI: https://doi.org/10.15789/2220-7619-PIA-17621
- ID: 268710
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Abstract
Background. In the absence of a vaccine against SARS-CoV-2, seasonal influenza vaccination during the pandemic contributed to lowered COVID-19 susceptibility and severity. The study was aimed to assess the state of post-influenza vaccination immunity, pneumonia frequency and severity in medical workers after using various flu vaccination regimens, between the 1st and 2nd peaks of COVID-19 epidemic rise. Materials and methods. Comparatively analyzed data on the levels of antibodies against influenza virus strains and pneumonia incidence in 487 medical workers was carried out: 1st group — unvaccinated in 2020–2021 (n = 281), 2nd group — vaccinated against influenza (Sovigripp), (n = 98), 3rd group — received combined vaccination against influenza and pneumococcus (Prevenar 13), (n = 108). Results. 6 months after vaccination, the highest rates of influenza virus were detected in the A(H3N2), the level of seroprotection (≥ 1:40) ranged from 49.0% in unvaccinated (1st group) to 53.4–53.2% in those who received combined vaccination (group III), as well as influenza alone (2nd group), p > 0.05; for strain A(H1N1) the level of seroprotection in 1st group is 24.5%, lower (p < 0.04) than in 2nd group — 32.7%, but does not differ from the levels of 40.4% in group III; for strain B the level of seroprotection is the lowest ranging from 19.4% in the group of unvaccinated subjects up to 22.4% in 2nd group and 23.4% in 3rd group. The pneumonia incidence in 1st group (3.9%), 2nd group (3.1%), 3rd group (4.6%) did not differ, however, among all vaccinated subjects severity of pneumonia clinical course was mild, whereas in unvaccinated employees, except for mild course (45.4%, 5 out of 11 people) pneumonia in 36.4% (4 out of 11 people) cases was assessed as moderate and in 18.2% (2 out of 11 people) cases — severe with fatal outcomes. Conclusion. The study showed that 6 months after seasonal influenza immunization between the 1st and 2nd peaks of COVID-19 epidemic rise, the immunogenicity of the vaccine meets the CPMP criterion for the A(H3N2) strain. In vaccinated patients, the proportion of pneumonia with COVID-19 clinical picture was mild in 100% of cases, and in unvaccinated patients in 36.4% of cases — of moderate severity and in 18.2% — severe with fatal outcome.
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##article.viewOnOriginalSite##About the authors
Mikhail Petrovich Kostinov
I. Mechnikov Research Institute of Vaccines and Sera; I.M. Sechenov First State Medical University (Sechenov University)
Email: linok_a_v@staff.sechenov.ru
Honored Scientist of the Russian Federation, RAS Corresponding Member, DSc (Medicine), Professor, Head of the Department of Epidemiology and Modern Vaccination Technologies; Head of the Laboratory for Vaccine Prevention and Immunotherapy of Allergic Diseases
Russian Federation, Moscow; MoscowN. Yu. Nastaeva
Novorossiysk Clinical Center of Federal Medical Biological Agency
Email: linok_a_v@staff.sechenov.ru
Epidemiologist
Russian Federation, NovorossiyskN. F. Nikityuk
I. Mechnikov Research Institute of Vaccines and Sera; I.M. Sechenov First State Medical University (Sechenov University)
Email: linok_a_v@staff.sechenov.ru
DSc (Medicine), Professor, Leading Researcher, Laboratory for Vaccine Prevention and Immunotherapy of Allergic Diseases; Lecturer, Department of Epidemiology and Modern Vaccination Technologies
Russian Federation, Moscow; MoscowK. V. Mashilov
I. Mechnikov Research Institute of Vaccines and Sera
Email: linok_a_v@staff.sechenov.ru
PhD (Medicine), Associate Professor, Senior Researcher, Laboratory for Vaccine Prevention and Immunotherapy of Allergic Diseases
Russian Federation, MoscowA. A. Khasanova
Ulyanovsk State University
Email: linok_a_v@staff.sechenov.ru
PhD Student, Department of Infectious Diseases
Russian Federation, UlyanovskI. L. Solovyeva
Ulyanovsk State University
Email: linok_a_v@staff.sechenov.ru
DSc (Medicine), Professor, Head of the Department of Pediatrics, faculty of medicine named after T.Z. Biktimirov Institute of Medicine, Ecology and Physical Education
Russian Federation, UlyanovskN. P. Andreeva
I.N. Ulyanov Chuvash State University; City Children’s Clinical Hospital of Cheboksary
Email: linok_a_v@staff.sechenov.ru
PhD (Medicine), Associate Professor, Department of Healthcare Organization and Information Technologies in Medicine; Allergologist-Immunologist
Russian Federation, Cheboksary; CheboksaryYu. A. Li
Pacific State Medical University
Email: linok_a_v@staff.sechenov.ru
PhD (Medicine), Infectious Diseases Doctor, Major of Medical Service, Lecturer of the Military Training Center
Russian Federation, VladivostokV. B. Polishchuk
I. Mechnikov Research Institute of Vaccines and Sera
Email: linok_a_v@staff.sechenov.ru
PhD (Medicine), Leading Researcher, Laboratory of Vaccine Prophylaxis and Immunotherapy
Russian Federation, MoscowAndrey V. Linok
I. Mechnikov Research Institute of Vaccines and Sera; I.M. Sechenov First State Medical University (Sechenov University)
Author for correspondence.
Email: linok_a_v@staff.sechenov.ru
PhD (Medicine), Associate Professor, Department of Epidemiology and Modern Vaccination Technologies; Researcher, Laboratory for Epidemiological Analysis and Monitoring of Infectious Diseases
Russian Federation, Moscow; MoscowM. N. Loktionova
I.M. Sechenov First State Medical University (Sechenov University)
Email: linok_a_v@staff.sechenov.ru
PhD (Medicine), Associate Professor, Department of Epidemiology and Modern Vaccination Technologies
Russian Federation, MoscowA. M. Kostinova
I.M. Sechenov First State Medical University (Sechenov University)
Email: linok_a_v@staff.sechenov.ru
Assistant Professor, Department of Epidemiology and Modern Vaccination Technologies; Allergist-Immunologist
Russian Federation, MoscowI. A. Khrapunova
I.M. Sechenov First State Medical University (Sechenov University)
Email: linok_a_v@staff.sechenov.ru
DSc (Medicine), Professor of the Department of Epidemiology and Modern Vaccination Technologies
Russian Federation, MoscowReferences
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