ANTI-SARS-COV-2 ANTIBODY LEVELS AFTER FOURTH DOES OF COVID-19 VACCINE IN PATIENTS WITH END-STAGE RENAL DISEASE
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Abstract
December 2019, seriously affecting the health of everyone, including patients with chronic kidney disease. By 2021, Vietnam has implemented vaccination against Covid-19, and there have been some initial studies evaluating antibody against SARS-CoV-2 virus after vaccination. However, most of the research was conducted on normal people, 1 to 2 doses after vaccination. Objectives: to evaluate levels of antibodies targeting the receptor binding protein (anti-RBD) after 4th dose of Covid-19 vaccine and some related factors in chronic kidney disease patients on hemodialysis at Can Tho General Hospital. Subjects and method: a cross-sectional descriptive study in 52 end-stage renal disease (ESRD) patients on hemodialysis at Can Tho General hospital, at least 4 weeks after 4th dose of Covid-19 vaccine, from July 2022 to January 2023. Results: men were 50%, the mean age was 51,6±12,9, mean time on hemodialysis was 6,77±3,44 years. All patients with ESRD disease had anti-RBD IgG antibodies after receiving 4 doses of Covid-19 vaccine, the average antibodies concentration was 1237.13±6021.96 AU/mL. Patients with multiple comorbidities had lower antibody levels than the group with 1 comorbidity. Anti-RBD IgG antibody concentrations were much lower in the smokers group than in the non-smokers (8182.0±3720.14 AU/mL vs 13505.0±6052.49 AU/mL, p=0.001). There was a moderate inverse correlation between the anti-RBD IgG antibody levels and the age of the patient (r= -0.32, p=0.03). Conclusions: 4 doses of Covid-19 vaccine have high antibody production efficiency in patients with end-stage renal disease.
Article Details
Keywords
: Covid-19, ESRD, vaccine, Can Tho.
References

2. Hoàng Lê Trung Hiếu và cộng sự (2022), “Đặc điểm sinh kháng thể trung hòa kháng vùng liên kết thụ thể (RBD) protein gai của SARS-CoV-2 của nhân viên y tế được tiêm ngừa vaccine Covid-19 tại bệnh viện Mỹ Đức, tạp chí Y Học TP. Hồ Chí Minh, Tập 26 (1), tr.8-15.

3. Anastasia P, et al. (2022), “Factors associated with anti-SARS-CoV-2 antibody titres 3 months post-vaccination with the second dose of BNT162b2 vaccine: a longitudinal observational cohort study in western Greece”, BMI Open, 12:e057084.

4. Bonanad C, et al. “The effect of age on mortality in patients with COVID-19: a meta-analysis with 611,583 subjects”, J Am Med Dir Assoc, 21(7), pp.915-918.

5. Borja Quiroga, et al. (2022), “Long-Term Dynamic Humoral Response to SARS-CoV-2 mRNA Vaccines in Patients on Peritoneal Dialysis”, Vaccines, 10, pp.1738.

6. Patrick Affeldt, et al. (2022), “Immune response to third and fourth Covid-19 vaccination in hemodialysis patients and kidney transplant recipients”, Viruses, 14, pp.2646.

7. Paul Martin, et al. (2022), “Comparison of immunogenicity and clinical effectiveness between BNT162b2 and ChAdOx1 SARS-CoV-2 vaccines in people with end-stage kidney disease receiving haemodialysis: A prospective, observational cohort study”, The Lancet Regional Health – Europe, 21, pp.100478.

8. Roengrudee P. and Stanton A. Glantz (2020), “Smoking is associated with Covid-19 progression: A Meta-analysis”, Nicotine & Tobacco Research, 22(9), pp.1653–1656.
