SARS-CoV-2 Vaccination in Solid-Organ Transplant Recipients

The coronavirus disease 2019 (COVID-19) pandemic has posed significant global challenges for solid organ transplant (SOT) recipients. Mortality rates of COVID-19 in this patient population remain high, despite new available therapeutic options and Severe Acute Respiratory Syndrome Coronavirus 2 (SAR...

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Main Authors: Maddalena Peghin, Elena Graziano, Paolo Antonio Grossi
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/9/1430
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author Maddalena Peghin
Elena Graziano
Paolo Antonio Grossi
author_facet Maddalena Peghin
Elena Graziano
Paolo Antonio Grossi
author_sort Maddalena Peghin
collection DOAJ
description The coronavirus disease 2019 (COVID-19) pandemic has posed significant global challenges for solid organ transplant (SOT) recipients. Mortality rates of COVID-19 in this patient population remain high, despite new available therapeutic options and Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) vaccination. Priority access to SARS-CoV-2 vaccination for waitlisted candidates and for SOT patients and their family members is recommended since the advantage from vaccination reduces the risk of COVID-19-related complications. However, immunogenicity and efficacy of COVID-19 vaccines are lower in waitlisted candidates and SOT recipients than in the general population. Routine systematic assessment of humoral and cellular immune responses after SARS-CoV-2 vaccination is controversial, although highly recommended for investigation and improvement of knowledge. SOT recipients should continue to adhere to preventive protective measures despite vaccination and may undergo passive antibody prophylaxis. This article seeks to provide an update on SARS-CoV-2 vaccination and preventive measures in SOT recipients based on existing literature and international guidelines.
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spelling doaj.art-9d7dff91c9ba447f95d63cbf581ca03c2023-11-23T19:20:55ZengMDPI AGVaccines2076-393X2022-08-01109143010.3390/vaccines10091430SARS-CoV-2 Vaccination in Solid-Organ Transplant RecipientsMaddalena Peghin0Elena Graziano1Paolo Antonio Grossi2Infectious and Tropical Diseases Unit, Department of Medicine and Surgery, University of Insubria-ASST-Sette Laghi, 21100 Varese, ItalyInfectious and Tropical Diseases Unit, Department of Medicine and Surgery, University of Insubria-ASST-Sette Laghi, 21100 Varese, ItalyInfectious and Tropical Diseases Unit, Department of Medicine and Surgery, University of Insubria-ASST-Sette Laghi, 21100 Varese, ItalyThe coronavirus disease 2019 (COVID-19) pandemic has posed significant global challenges for solid organ transplant (SOT) recipients. Mortality rates of COVID-19 in this patient population remain high, despite new available therapeutic options and Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) vaccination. Priority access to SARS-CoV-2 vaccination for waitlisted candidates and for SOT patients and their family members is recommended since the advantage from vaccination reduces the risk of COVID-19-related complications. However, immunogenicity and efficacy of COVID-19 vaccines are lower in waitlisted candidates and SOT recipients than in the general population. Routine systematic assessment of humoral and cellular immune responses after SARS-CoV-2 vaccination is controversial, although highly recommended for investigation and improvement of knowledge. SOT recipients should continue to adhere to preventive protective measures despite vaccination and may undergo passive antibody prophylaxis. This article seeks to provide an update on SARS-CoV-2 vaccination and preventive measures in SOT recipients based on existing literature and international guidelines.https://www.mdpi.com/2076-393X/10/9/1430SARS-CoV-2transplantCOVID-19vaccineimmunity
spellingShingle Maddalena Peghin
Elena Graziano
Paolo Antonio Grossi
SARS-CoV-2 Vaccination in Solid-Organ Transplant Recipients
Vaccines
SARS-CoV-2
transplant
COVID-19
vaccine
immunity
title SARS-CoV-2 Vaccination in Solid-Organ Transplant Recipients
title_full SARS-CoV-2 Vaccination in Solid-Organ Transplant Recipients
title_fullStr SARS-CoV-2 Vaccination in Solid-Organ Transplant Recipients
title_full_unstemmed SARS-CoV-2 Vaccination in Solid-Organ Transplant Recipients
title_short SARS-CoV-2 Vaccination in Solid-Organ Transplant Recipients
title_sort sars cov 2 vaccination in solid organ transplant recipients
topic SARS-CoV-2
transplant
COVID-19
vaccine
immunity
url https://www.mdpi.com/2076-393X/10/9/1430
work_keys_str_mv AT maddalenapeghin sarscov2vaccinationinsolidorgantransplantrecipients
AT elenagraziano sarscov2vaccinationinsolidorgantransplantrecipients
AT paoloantoniogrossi sarscov2vaccinationinsolidorgantransplantrecipients