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Naji, M. |
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Motta, Antonella |
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Aletan, Dirar |
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Mohamed, Tarek |
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Ertürk, Emre |
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Taccardi, Nicola |
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Kononenko, Denys |
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Petrov, R. H. | Madrid |
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Alshaaer, Mazen | Brussels |
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Bih, L. |
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Casati, R. |
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Muller, Hermance |
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Kočí, Jan | Prague |
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Kalteremidou, Kalliopi-Artemi | Brussels |
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Azam, Siraj |
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Ospanova, Alyiya |
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Blanpain, Bart |
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Ali, M. A. |
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Popa, V. |
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Rančić, M. |
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Ollier, Nadège |
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Azevedo, Nuno Monteiro |
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Landes, Michael |
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Rignanese, Gian-Marco |
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Singh, Urvashi B.
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article
Breakthrough infection among healthcare personnel following exposure to COVID-19: Experience after one year of the world’s largest vaccination drive
Abstract
<jats:title>A<jats:sc>BSTRACT</jats:sc></jats:title><jats:sec><jats:title>Context:</jats:title><jats:p>The COVID-19 vaccination drive globally was supposedly a game-changing event. However, the emerging variants of the virus and waning immunity over time posed new challenges for breakthrough infections. Standing at the frontline of defense against COVID-19, healthcare personnel (HCP) were vulnerable to such infections.</jats:p></jats:sec><jats:sec><jats:title>Aims:</jats:title><jats:p>This study estimates i) the vaccine breakthrough infections (VBI) among HCP following exposure to COVID-19 cases, and ii) the mean interval between the second dose of vaccine and laboratory-confirmed SARS-CoV-2 infection</jats:p></jats:sec><jats:sec><jats:title>Materials and Methods:</jats:title><jats:p>A cross-sectional study was conducted including 385 HCP with a history of exposure to COVID-19 cases during January and February 2022. Demographic details and clinical and vaccination history were collected from the test forms and the Web-based hospital management system. Laboratory testing of COVID-19 was carried out by real-time RT-PCR test.</jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p>The majority of the HCP were males (262; 68.05%) and nurses (180; 46.75%) by occupation. Two doses of vaccines were received by 278 (87.7%) HCP. VBI was confirmed in 185 (66.55%) HCP. No significant difference in VBI between the COVAXIN and COVISHIELD recipients (<jats:italic toggle="yes">P</jats:italic> = 0.69) was observed. The interval between the second dose and confirmed SARS-CoV-2 infection was significantly higher (<jats:italic toggle="yes">P</jats:italic> < 0.00001) in COVAXIN recipients (median 228 days) than in COVISHIELD recipients (median 95 days).</jats:p></jats:sec><jats:sec><jats:title>Conclusions:</jats:title><jats:p>The incidence of VBI was very high among the HCP, but not statistically different among the COVAXIN and COVISHIELD-recipients. Waning immunity over time suggests boosting immunity with a third dose because of emerging variants.</jats:p></jats:sec>