Safety and effectiveness of SARS-CoV-2 vaccines for patients with intractable hepatobiliary diseases : A multicenter, questionnaire-based, cross-sectional study

© 2024 Japan Society of Hepatology..

AIM: There are few data regarding the safety and effectiveness of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines in patients with intractable hepatobiliary diseases. We conducted a multicenter, questionnaire-based, cross-sectional study to determine the safety and effectiveness of the SARS-CoV-2 vaccines in Japanese patients with intractable hepatobiliary disease.

METHODS: Patients aged ≥18 years with autoimmune hepatitis (AIH), primary biliary cholangitis, primary sclerosing cholangitis, Budd-Chiari syndrome, idiopathic portal hypertension, and extrahepatic portal vein obstruction at each center were consecutively invited to join the study. Participants were asked to complete a questionnaire regarding their characteristics, vaccination status, post-vaccination adverse effects, and SARS-CoV-2 infection. Additionally, liver disease status, treatment regimens, and liver function test values pre- and post-vaccination were collected.

RESULTS: The survey was conducted from September 2021 to May 2022, and 528 patients (220 AIH, 251 primary biliary cholangitis, 6 AIH- primary biliary cholangitis/primary sclerosing cholangitis overlap, 39 primary sclerosing cholangitis, 4 Budd-Chiari syndrome, 5 idiopathic portal hypertension, and 3 extrahepatic portal vein obstruction) participated in the study. Post-vaccination adverse effects were comparable to those observed in the general population. Post-vaccination liver injuries classified as grade 1 or higher were observed in 83 cases (16%), whereas grades 2 and 3 were observed in only six cases (1.1%); AIH-like liver injury requiring treatment was not observed. Overall, 12 patients (2.3%) were infected with SARS-CoV-2, and only one patient was infected 6 months after the second vaccination.

CONCLUSION: SARS-CoV-2 vaccines demonstrated satisfactory safety and effectiveness in Japanese patients with intractable hepatobiliary diseases.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Hepatology research : the official journal of the Japan Society of Hepatology - (2024) vom: 01. Feb.

Sprache:

Englisch

Beteiligte Personen:

Tanifuji, Ayaka [VerfasserIn]
Ohfuji, Satoko [VerfasserIn]
Matsumoto, Kosuke [VerfasserIn]
Abe, Masanori [VerfasserIn]
Komori, Atsumasa [VerfasserIn]
Takahashi, Atsushi [VerfasserIn]
Kawata, Kazuhito [VerfasserIn]
Sato, Ken [VerfasserIn]
Joshita, Satoru [VerfasserIn]
Umemura, Takeji [VerfasserIn]
Ueno, Masayuki [VerfasserIn]
Nakayama, Nobuaki [VerfasserIn]
Kakisaka, Keisuke [VerfasserIn]
Arinaga-Hino, Teruko [VerfasserIn]
Ito, Koichi [VerfasserIn]
Kanai, Sachiko [VerfasserIn]
Miura, Ryo [VerfasserIn]
Arizumi, Toshihiko [VerfasserIn]
Asaoka, Yoshinari [VerfasserIn]
Ito, Takanori [VerfasserIn]
Shimizu, Tetsuya [VerfasserIn]
Yoshida, Hiroshi [VerfasserIn]
Ohta, Masayuki [VerfasserIn]
Mizuno, Suguru [VerfasserIn]
Isayama, Hiroyuki [VerfasserIn]
Morimoto, Youichi [VerfasserIn]
Mochida, Satoshi [VerfasserIn]
Ohira, Hiromasa [VerfasserIn]
Tanaka, Atsushi [VerfasserIn]

Links:

Volltext

Themen:

Adverse effect
Autoimmune liver disease
Journal Article
Liver enzyme
Vaccination

Anmerkungen:

Date Revised 01.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1111/hepr.14018

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36789971X