Impact of vaccination on infection or death from COVID-19 in individuals with laboratory-confirmed cases: Case-control study.

Autor: Hernández Bautista PF; Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico., Grajales Muñiz C; Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico., Cabrera Gaytán DA; Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico., Rojas Mendoza T; Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico., Vallejos Parás A; Instituto Mexicano del Seguro Social, Coordinación de Vigilancia Epidemiológica, Coahuila, Mexico., Santacruz Tinoco CE; Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico., Alvarado Yaah JE; Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico., Anguiano Hernández YM; Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico., Sandoval Gutiérrez N; Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados, Coahuila, Mexico., Jaimes Betancourt L; Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 7., Coahuila, Mexico.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Aug 03; Vol. 18 (8), pp. e0265698. Date of Electronic Publication: 2023 Aug 03 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0265698
Abstrakt: Objectives: The objective of this study is to estimate the effectiveness of COVID-19 vaccines in people treated within the social security system whose vaccination status was reported to the epidemiological surveillance system.
Study Design: Case-control study.
Methods: This was a case-control study conducted. The records of individuals with suspected cases of COVID-19 registered in the epidemiological surveillance system between February 1 and June 30, 2021, were studied. RT-qPCR was performed to determine SARS-CoV-2 infection; those with a positive result were considered cases, and those with a negative result were considered controls. The ratio between cases and controls was 1:1.3. The crude and adjusted vaccine effectiveness was considered the prevention of symptomatic infection and death and calculated as the difference between the dose and the risk, with a survival analysis among vaccinated people.
Results: A total of 94,416 individuals were included, of whom 40,192 were considered cases and 54,224 controls; 3,781 (4.00%) had been vaccinated against COVID-19. Vaccination also proved to be a protective factor against COVID-19, especially in the population who received a second dose (OR = 0.31; 95% CI 0.28-0.35). With the application of the vaccine, there was a protective effect against mortality (OR = 0.76; 95% CI 0.66-0.87). Disease prevention was higher for the BNT162-2 mRNA vaccine (82%) followed by the ChAdOx1 vaccine (33%). In the survival analysis, vaccination provided a protective effect.
Conclusions: There was a positive impact of vaccines for the prevention of symptomatic COVID-19, with a second dose generating greater efficacy and a reduction in deaths.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Hernández Bautista et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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