Evidence map›Paper›PMID 37885795›Full record

ArticleOpen forum infectious diseases2023

Primary Series and Booster Coronavirus Disease 2019 Vaccine Effectiveness in a Cohort of Healthcare Workers in Albania During a BA.1 and BA.2 Variant Period, January-May 2022.

Iris Finci, Madelyn Yiseth Rojas Castro, Iris Hasibra, Jonilda Sulo, Albana Fico, Rovena Daja, Adela Vasili, Majlinda Kota, Iria Preza, Barbara Mühlemann and 6 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Iris FinciRegional Office for Europe, World Health Organization,Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-7426-2551
Madelyn Yiseth Rojas CastroEpidemiology Department, Epiconcept, Paris, France.
Iris HasibraDepartment for the Control of Infectious Diseases, Institute of Public Health, Tirana, Albania.
Jonilda SuloSoutheast European Center for Surveillance and Control of Infectious Diseases,Tirana, Albania.
Albana FicoDepartment for the Control of Infectious Diseases, Institute of Public Health, Tirana, Albania.
Rovena DajaDepartment for the Control of Infectious Diseases, Institute of Public Health, Tirana, Albania.
Adela VasiliDepartment for the Control of Infectious Diseases, Institute of Public Health, Tirana, Albania.
Majlinda KotaDepartment for the Control of Infectious Diseases, Institute of Public Health, Tirana, Albania.
Iria PrezaCountry Office Albania, World Health Organization, Tirana, Albania.
Barbara MühlemannInstitute of Virology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health,Berlin, Germany.
Christian DrostenInstitute of Virology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health,Berlin, Germany.
Richard PebodyRegional Office for Europe, World Health Organization,Copenhagen, Denmark.
Kathryn E LafondInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Esther KisslingEpidemiology Department, Epiconcept, Paris, France.
Mark A KatzRegional Office for Europe, World Health Organization,Copenhagen, Denmark.
Silvia BinoDepartment for the Control of Infectious Diseases, Institute of Public Health, Tirana, Albania.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: Healthcare workers (HCWs) have experienced high rates of coronavirus disease 2019 (COVID-19) morbidity and mortality. We estimated COVID-19 2-dose primary series and monovalent booster vaccine effectiveness (VE) against symptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron (BA.1 and BA.2) infection among HCWs in 3 Albanian hospitals during January-May 2022. Methods: Study participants completed weekly symptom questionnaires, underwent polymerase chain reaction (PCR) testing when symptomatic, and provided quarterly blood samples for serology. We estimated VE using Cox regression models (1 - hazard ratio), with vaccination status as the time-varying exposure and unvaccinated HCWs as the reference group, adjusting for potential confounders: age, sex, prior SARS-CoV-2 infection (detected by PCR, rapid antigen test, or serology), and household size. Results: At the start of the analysis period, 76% of 1462 HCWs had received a primary series, 10% had received a booster dose, and 9% were unvaccinated; 1307 (89%) HCWs had evidence of prior infection. Overall, 86% of primary series and 98% of booster doses received were BNT162b2. The median time interval from the second dose and the booster dose to the start of the analysis period was 289 (interquartile range [IQR], 210-292) days and 30 (IQR, 22-46) days, respectively. VE against symptomatic PCR-confirmed infection was 34% (95% confidence interval [CI], -36% to 68%) for the primary series and 88% (95% CI, 39%-98%) for the booster. Conclusions: Among Albanian HCWs, most of whom had been previously infected, COVID-19 booster dose offered improved VE during a period of Omicron BA.1 and BA.2 circulation. Our findings support promoting booster dose uptake among Albanian HCWs, which, as of January 2023, was only 20%.

Indexed as

booster doseCOVID-19healthcare workersOmicronvaccine effectiveness

Identifiers

PMID37885795
PMCPMC10599317

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.