1
|
Thirión-Romero I, Fernández-Plata R, Pérez-Kawabe M, Meza-Meneses PA, Castro-Fuentes CA, Rivera-Martínez NE, Barrón-Palma EV, Sánchez-Sandoval AL, Cornejo-Juárez P, Sepúlveda-Delgado J, Torres-Erazo DS, Pérez-Padilla JR. SARS-CoV-2 Vaccine Effectiveness in Hospitalized Patients: A Multicenter Test-Negative Case-Control Study. Vaccines (Basel) 2023; 11:1779. [PMID: 38140183 PMCID: PMC10747324 DOI: 10.3390/vaccines11121779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 11/12/2023] [Accepted: 11/18/2023] [Indexed: 12/24/2023] Open
Abstract
BACKGROUND Phase III clinical trials have documented the efficacy of the SARS-CoV-2 vaccines in preventing symptomatic COVID-19. Nonetheless, it is imperative to continue analyzing the clinical response to different vaccines in real-life studies. Our objective was to evaluate the effectiveness of five different vaccines in hospitalized patients with COVID-19 during the third COVID-19 outbreak in Mexico dominated by the Delta variant. METHODS A test-negative case-control study was performed in nine tertiary-care hospitals for COVID-19. We estimated odds ratios (OR) adjusted by variables related a priori with the likelihood of SARS-CoV-2 infection and its severity. RESULTS We studied 761 subjects, 371 cases, and 390 controls with a mean age of 53 years (SD, 17 years). Overall, 51% had a complete vaccination scheme, and an incomplete scheme (one dose from a scheme of two), 14%. After adjustment for age, gender, obesity, and diabetes mellitus, we found that the effectiveness of avoiding a SARS-CoV-2 infection when hospitalized with at least one vaccination dose was 71% (OR 0.29, 95% CI 0.19-0.45), that of an incomplete vaccination scheme, 67% (OR 0.33, 95% CI 0.18-0.62), and that of any complete vaccination scheme, 73% (OR 0.27, 95% CI 0.17-0.43). CONCLUSIONS The SARS-CoV-2 vaccination program showed effectiveness in preventing SARS-CoV-2 infection in hospitalized patients during a Delta variant outbreak.
Collapse
Affiliation(s)
- Ireri Thirión-Romero
- Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas (INER), Calz. de Tlalpan 4502, Belisario Domínguez Secc 16, Tlalpan, Mexico City 14080, Mexico; (I.T.-R.); (R.F.-P.)
| | - Rosario Fernández-Plata
- Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas (INER), Calz. de Tlalpan 4502, Belisario Domínguez Secc 16, Tlalpan, Mexico City 14080, Mexico; (I.T.-R.); (R.F.-P.)
| | - Midori Pérez-Kawabe
- Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas (INER), Calz. de Tlalpan 4502, Belisario Domínguez Secc 16, Tlalpan, Mexico City 14080, Mexico; (I.T.-R.); (R.F.-P.)
| | - Patricia A. Meza-Meneses
- Hospital Regional de Alta Especialidad Ixtapaluca (HRAEI), Carretera Federal México-Puebla Km. 34.5, Pueblo de Zoquiapan, Ixtapaluca 56530, Mexico; (P.A.M.-M.); (C.A.C.-F.)
| | - Carlos Alberto Castro-Fuentes
- Hospital Regional de Alta Especialidad Ixtapaluca (HRAEI), Carretera Federal México-Puebla Km. 34.5, Pueblo de Zoquiapan, Ixtapaluca 56530, Mexico; (P.A.M.-M.); (C.A.C.-F.)
| | - Norma E. Rivera-Martínez
- Hospital Regional de Alta Especialidad Oaxaca (HRAEO), C. Aldama s/n, Paraje El Tule, San Bartolo Coyotepec 71294, Oaxaca, Mexico;
| | - Eira Valeria Barrón-Palma
- Hospital General de México (HGM) Eduardo Liceaga, Dr. Balmis 148, Doctores, Cuauhtémoc, Mexico City 06720, Mexico; (E.V.B.-P.)
| | - Ana Laura Sánchez-Sandoval
- Hospital General de México (HGM) Eduardo Liceaga, Dr. Balmis 148, Doctores, Cuauhtémoc, Mexico City 06720, Mexico; (E.V.B.-P.)
| | - Patricia Cornejo-Juárez
- Instituto Nacional de Cancerología (INCAN), Av. San Fernando 22, Belisario Domínguez Secc 16, Tlalpan, Mexico City 14080, Mexico;
| | - Jesús Sepúlveda-Delgado
- Hospital Regional de Alta Especialidad Ciudad Salud (HRAECS), Carretera Tapachula Puerto Madero S/N km. 15 + 200, Carretera Federal 225, Col. Los Toros, Tapachula 30830, Chiapas, Mexico;
| | - Darwin Stalin Torres-Erazo
- Hospital Regional de Alta Especialidad Península de Yucatán (HRAEPY), C. 20 119, Col. Altabrisa, Merida 97130, Yucatán, Mexico;
| | - José Rogelio Pérez-Padilla
- Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas (INER), Calz. de Tlalpan 4502, Belisario Domínguez Secc 16, Tlalpan, Mexico City 14080, Mexico; (I.T.-R.); (R.F.-P.)
| |
Collapse
|
2
|
Ochoa-Hein E, Gutiérrez-López EN, Torres-Erazo DS, Núñez-Caamal NJ, Martínez-Longoria CA, García-Bonilla LA, Rivera-Fernández Galán B, Monroy-Colín VA, Prado-González TDJ, Vilar-Compte D, Huertas-Jiménez MA, Chávez-Ríos AR, Haro-Osnaya A, Colín-González KK, de Paz-García R, Vázquez-Andrade A, Romero-Oliveros C, Galindo-Fraga A. Factors associated with influenza vaccination acceptance in Mexican healthcare workers: A multicenter cross-sectional study. Prev Med 2021; 148:106560. [PMID: 33864859 DOI: 10.1016/j.ypmed.2021.106560] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 02/22/2021] [Accepted: 04/11/2021] [Indexed: 10/21/2022]
Abstract
Adherence of healthcare workers (HCWs) to influenza vaccination is far from optimal despite its being the most effective intervention for preventing influenza. In order to evaluate factors associated with influenza vaccination acceptance among Mexican HCWs during the 2017-2018 influenza season, a multicenter cross-sectional study spanning public and private hospitals was conducted. Participants were consecutively invited to answer a self-administered questionnaire. A total of 1513 out of 1553 questionnaires were evaluated. The median age of the participants was 32 (26-44) years and 65.8% were women. Nurses and physicians comprised 53.0% of the surveyed population. Total self-reported adherence to influenza vaccination among HCWs during the 2017-2018 season was 63.5% and varied across participating hospitals (P < 0.001). Factors positively associated with influenza vaccination were incremental doses of influenza vaccine received within the last 5 years (aOR = 1.94, 95% CI = 1.78-2.10), City 3 (aOR = 1.62, 95% CI = 1.19-2.20) and City 1 (aOR = 1.39, 95% CI = 1.02-1.91), whereas factors negatively associated were lack of a previous dose of influenza vaccine (aOR = 0.03, 95% CI = 0.01-0.08) and unawareness of the vaccination campaign (aOR = 0.57, 95% CI = 0.44-0.72). Lack of information and poor communication were barriers identified by both vaccinated and unvaccinated personnel. This study concluded that adherence to influenza vaccination in Mexican HCWs is suboptimal and that the factors associated with receipt of influenza vaccine are similar to those reported in other studies.
Collapse
Affiliation(s)
- Eric Ochoa-Hein
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Col. Belisario Domínguez Sección XVI, Tlalpan, Mexico City 14080, Mexico.
| | - Erika Noemi Gutiérrez-López
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Col. Belisario Domínguez Sección XVI, Tlalpan, Mexico City 14080, Mexico
| | - Darwin Stalin Torres-Erazo
- Hospital Regional de Alta Especialidad de la Península de Yucatán, Calle 22, Col. Altabrisa, Mérida, Yucatán 97133, Mexico
| | - Nelda Judith Núñez-Caamal
- Hospital Regional de Alta Especialidad de la Península de Yucatán, Calle 22, Col. Altabrisa, Mérida, Yucatán 97133, Mexico
| | - César Adrián Martínez-Longoria
- Hospital San José, Sistema Tec Salud, Tecnologico de Monterrey, Av. Ignacio Morones Prieto 3000, Col. Doctores, Monterrey, Nuevo León 64710, Mexico; Hospital Zambrano Hellion, Sistema Tec Salud, Tecnologico de Monterrey, Av. Batallón de San Patricio 112, Col. Real San Agustín, San Pedro Garza García, Nuevo León 66278, Mexico
| | - Lyzette Alejandra García-Bonilla
- Hospital San José, Sistema Tec Salud, Tecnologico de Monterrey, Av. Ignacio Morones Prieto 3000, Col. Doctores, Monterrey, Nuevo León 64710, Mexico; Hospital Zambrano Hellion, Sistema Tec Salud, Tecnologico de Monterrey, Av. Batallón de San Patricio 112, Col. Real San Agustín, San Pedro Garza García, Nuevo León 66278, Mexico
| | - Barbara Rivera-Fernández Galán
- Hospital Regional de Alta Especialidad Materno Infantil, Secretaría de Salud de Nuevo León, Aldama 460, Col. San Rafael, Guadalupe, Nuevo León 67140, Mexico
| | - Víctor Antonio Monroy-Colín
- Centenario Hospital Miguel Hidalgo, Av. Gómez Morín S/N, Col. La Estación La Alameda, Aguascalientes, Aguascalientes 20259, Mexico; Universidad Autónoma de Aguascalientes, Av. Universidad 940, Ciudad Universitaria, Aguascalientes, Aguascalientes 20130, Mexico
| | | | - Diana Vilar-Compte
- Instituto Nacional de Cancerología. Av. San Fernando 22, Col. Belisario Domínguez Sección XVI, Tlalpan, Mexico City 14080, Mexico
| | - Martha Asunción Huertas-Jiménez
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Col. Belisario Domínguez Sección XVI, Tlalpan, Mexico City 14080, Mexico
| | - Alma Rosa Chávez-Ríos
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Col. Belisario Domínguez Sección XVI, Tlalpan, Mexico City 14080, Mexico
| | - Anabel Haro-Osnaya
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Col. Belisario Domínguez Sección XVI, Tlalpan, Mexico City 14080, Mexico
| | - Karla Karina Colín-González
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Col. Belisario Domínguez Sección XVI, Tlalpan, Mexico City 14080, Mexico
| | - Roxana de Paz-García
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Col. Belisario Domínguez Sección XVI, Tlalpan, Mexico City 14080, Mexico
| | - Alejandra Vázquez-Andrade
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Col. Belisario Domínguez Sección XVI, Tlalpan, Mexico City 14080, Mexico
| | - Carmen Romero-Oliveros
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Col. Belisario Domínguez Sección XVI, Tlalpan, Mexico City 14080, Mexico
| | - Arturo Galindo-Fraga
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Col. Belisario Domínguez Sección XVI, Tlalpan, Mexico City 14080, Mexico
| |
Collapse
|