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295991

Impact of COVID-19 Vaccines on Cirrhotic Egyptian Patients: A Prospective Cohort Study

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Last updated: 25 Dec 2024

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Abstract

All SARS-CoV strains have the capacity to lead to life-threatening pneumonia. Patients with chronic liver illness are more prone than the general population to experience deleterious effects from SARS-CoV-2 infection. Acute liver failure occurs more commonly in patients with SARS-CoV-2. Aim of the work: to evaluate impact of COVID-19 vaccines on cirrhotic Egyptian patients. Patients and Methods: This is prospective study, was carried out on 250 patients over 6 months duration. Patients were selected from those visiting the hepato-gastroenterology and infectious diseases outpatient clinics at El-Hussein and Bab-Elshaaria University hospitals, Faculty of Medicine, Al-Azhar University. Five equal groups of patients were formed: Group (1): 50 patients cirrhotic liver Child-Pugh score A, Group (2): 50 patients cirrhotic liver Child-Pugh score B, Group (3): 50 patients cirrhotic liver Child-Pugh score C, Group (4): 50 patients chronic liver disease without liver cirrhosis, Group (5): 50 healthy persons without chronic liver disease. All studied patients subjected to the followings: Full medical history, Clinical examination, Laboratory investigations (CBC, liver and kidney functions, fasting and postprandial blood glucose) and Pelviabdominal ultrasound. These procedures were done three times: One week before receiving vaccine, one to two weeks after receiving first dose of vaccine and one to two weeks after receiving second dose of vaccine (vaccines were administrated: Sinopharm, Sinovac, AstraZeneca, Pfizer and Johnson). Results: There were no significant changes as regard clinical, laboratory and imaging before, after the first dose, and after the second dose of the COVID-19 vaccines in the five groups. Conclusion: In conclusion, it was discovered that COVID-19 vaccination safe for persons with cirrhosis or without cirrhosis who have chronic liver disease. To identify risk factors of adverse events, additional comparison studies with bigger sample sizes and longer follow-up are required.

DOI

10.21608/aujv.2023.295991

Keywords

COVID-19, vaccine, CIRRHOTIC

Volume

5

Article Issue

1

Related Issue

40918

Issue Date

2023-04-01

Receive Date

2022-04-19

Publish Date

2023-04-01

Page Start

42

Page End

55

Print ISSN

3009-7819

Online ISSN

3009-6685

Link

https://aujv.journals.ekb.eg/article_295991.html

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https://aujv.journals.ekb.eg/service?article_code=295991

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4

Type

Original Article

Type Code

1,261

Publication Type

Journal

Publication Title

Al-Azhar University Journal of Medical and Virus Researches and Studies

Publication Link

https://aujv.journals.ekb.eg/

MainTitle

Impact of COVID-19 Vaccines on Cirrhotic Egyptian Patients: A Prospective Cohort Study

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Type

Article

Created At

25 Dec 2024