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Putri ND, Zhafira AS, Wicaksana P, Sinto R, Hanafi G, Wiyono L, Prayitno A, Karyanti MR, Naibaho ML, Febrina F, Sukandar H, Setiawaty V, Mursinah M, Putra AR, Wibowo H, Sundoro J, Satari HI, Oktavia D, Multihartina P, Harbuwono DS, Hadinegoro SR. Immunogenicity and Safety of Half-Dose Heterologous mRNA-1273 Booster Vaccination for Adults Primed with the CoronaVac ® and ChAdOx1-S Vaccines for SARS-CoV-2. Vaccines (Basel) 2024; 12:344. [PMID: 38675727 PMCID: PMC11053985 DOI: 10.3390/vaccines12040344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Revised: 03/09/2024] [Accepted: 03/18/2024] [Indexed: 04/28/2024] Open
Abstract
Coronavirus disease 2019 (COVID-19) has been extensively researched, particularly with regard to COVID-19 vaccines. However, issues with logistics and availability might cause delays in vaccination programs. Thus, the efficacy and safety of half-dose heterologous mRNA should be explored. This was an open-label observational study to evaluate the immunogenicity and safety of half-dose mRNA-1273 as a booster vaccine among adults aged >18 years who underwent a complete primary SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccination regimen with CoronaVac® and ChAdOx1-S. Adverse events (AEs), seropositivity rate, seroconversion, geometric mean titer (GMT) of SARS-CoV-2 antibodies, neutralizing antibodies, and T cells (CD4+ and CD8+) specific for SARS-CoV-2 were analyzed. Two hundred subjects were included in the final analysis, with 100 subjects in each priming vaccine group. Most of the AEs were mild, with systemic manifestations occurring between 1 and 7 days following vaccination. A significant difference was observed in the GMT and seropositivity rate following booster dose administration between the two groups. CD8+/CD3+, IFN (interferon)-producing CD8+, and TNF (tumor necrosis factor)-producing CD8+ cells showed significant increases in both groups. The administration of the half-dose mRNA-1273 booster is safe and effective in increasing protection against SARS-CoV-2 infection.
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Affiliation(s)
- Nina Dwi Putri
- Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia; (A.S.Z.); (P.W.); (R.S.); (G.H.); (L.W.); (A.P.); (M.R.K.); (H.S.); (H.I.S.); (S.R.H.)
| | - Aqila Sakina Zhafira
- Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia; (A.S.Z.); (P.W.); (R.S.); (G.H.); (L.W.); (A.P.); (M.R.K.); (H.S.); (H.I.S.); (S.R.H.)
| | - Pratama Wicaksana
- Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia; (A.S.Z.); (P.W.); (R.S.); (G.H.); (L.W.); (A.P.); (M.R.K.); (H.S.); (H.I.S.); (S.R.H.)
| | - Robert Sinto
- Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia; (A.S.Z.); (P.W.); (R.S.); (G.H.); (L.W.); (A.P.); (M.R.K.); (H.S.); (H.I.S.); (S.R.H.)
| | - Gryselda Hanafi
- Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia; (A.S.Z.); (P.W.); (R.S.); (G.H.); (L.W.); (A.P.); (M.R.K.); (H.S.); (H.I.S.); (S.R.H.)
| | - Lowilius Wiyono
- Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia; (A.S.Z.); (P.W.); (R.S.); (G.H.); (L.W.); (A.P.); (M.R.K.); (H.S.); (H.I.S.); (S.R.H.)
| | - Ari Prayitno
- Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia; (A.S.Z.); (P.W.); (R.S.); (G.H.); (L.W.); (A.P.); (M.R.K.); (H.S.); (H.I.S.); (S.R.H.)
| | - Mulya Rahma Karyanti
- Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia; (A.S.Z.); (P.W.); (R.S.); (G.H.); (L.W.); (A.P.); (M.R.K.); (H.S.); (H.I.S.); (S.R.H.)
| | | | - Febrina Febrina
- Cempaka Putih Public Health Center, Jakarta 10520, Indonesia; (M.L.N.); (F.F.)
| | - Hadyana Sukandar
- Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia; (A.S.Z.); (P.W.); (R.S.); (G.H.); (L.W.); (A.P.); (M.R.K.); (H.S.); (H.I.S.); (S.R.H.)
| | - Vivi Setiawaty
- National Institute of Health Research & Development, Jakarta 14530, Indonesia; (V.S.); (M.M.); (P.M.)
| | - Mursinah Mursinah
- National Institute of Health Research & Development, Jakarta 14530, Indonesia; (V.S.); (M.M.); (P.M.)
| | - Ahmat Rediansya Putra
- Diagnostic and Research Center, Faculty of Medicine, Universitas Indonesia, Jakarta 10430, Indonesia; (A.R.P.); (H.W.)
| | - Heri Wibowo
- Diagnostic and Research Center, Faculty of Medicine, Universitas Indonesia, Jakarta 10430, Indonesia; (A.R.P.); (H.W.)
| | - Julitasari Sundoro
- The Indonesian Technical Advisory Group on Immunization, Jakarta 10430, Indonesia;
| | - Hindra Irawan Satari
- Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia; (A.S.Z.); (P.W.); (R.S.); (G.H.); (L.W.); (A.P.); (M.R.K.); (H.S.); (H.I.S.); (S.R.H.)
| | - Dwi Oktavia
- Jakarta Health Agency, Jakarta 10160, Indonesia;
| | - Pretty Multihartina
- National Institute of Health Research & Development, Jakarta 14530, Indonesia; (V.S.); (M.M.); (P.M.)
| | | | - Sri Rezeki Hadinegoro
- Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia; (A.S.Z.); (P.W.); (R.S.); (G.H.); (L.W.); (A.P.); (M.R.K.); (H.S.); (H.I.S.); (S.R.H.)
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Puspandari N, Sunarno S, Febrianti T, Febriyana D, Saraswati RD, Rooslamiati I, Amalia N, Nursofiah S, Hartoyo Y, Herna H, Mursinah M, Muna F, Aini N, Risniati Y, Dhewantara PW, Allamanda P, Wicaksana DN, Sukoco R, Efadeswarni, Nelwan EJ, Cahyarini, Haryanto B, Sihombing B, Soares Magalhães RJ, Kakkar M, Setiawaty V, Matheu J. Extended spectrum beta-lactamase-producing Escherichia coli surveillance in the human, food chain, and environment sectors: Tricycle project (pilot) in Indonesia. One Health 2021; 13:100331. [PMID: 34632041 PMCID: PMC8493575 DOI: 10.1016/j.onehlt.2021.100331] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Revised: 09/12/2021] [Accepted: 09/21/2021] [Indexed: 11/05/2022] Open
Abstract
The World Health Organization (WHO) has been implementing antimicrobial surveillance with a "One Health" approach, known as the Global Surveillance ESBL E. coli Tricycle Project. We describe the implementation of the Tricycle Project (pilot) in Indonesia, focusing on its results, challenges and recommendations. The samples were 116 patients with bloodstream infections caused by ESBL E. coli, 100 rectal swabs collected from pregnant women, 240 cecums of broiler, and 119 environmental samples, using the standardized method according to the guidelines. ESBL-producing E. coli was found in 40 (40%) of the 100 pregnant women, while the proportion of ESBL-producing E. coli was 57.7% among the total E. coli-induced bloodstream infections. ESBL-producing E. coli was isolated from 161 (67.1%) out of 240 broilers. On the other hand, the average concentration of E. coli in the water samples was 2.0 × 108 CFU/100 mL, and the ratio of ESBL-producing E. coli was 12.8% of total E. coli. Unfortunately, 56.7% of questionnaires for patients were incomplete. The Tricycle Project (pilot) identified that the proportion of ESBL-producing E. coli was very high in all types of samples, and several challenges and obstacles were encountered during the implementation of the study in Indonesia. The finding of this study have implication to health/the antimicrobial resistance (AMR) surveillance. We recommend continuing this project and extending this study to other provinces to determine the AMR burden as the baseline in planning AMR control strategies in Indonesia. We also recommend improving the protocol of this study to minimize obstacles in the field.
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Affiliation(s)
- Nelly Puspandari
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Sunarno Sunarno
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Tati Febrianti
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Dwi Febriyana
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Ratih Dian Saraswati
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Indri Rooslamiati
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Novi Amalia
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Sundari Nursofiah
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Yudi Hartoyo
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Herna Herna
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Mursinah Mursinah
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Fauzul Muna
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Nurul Aini
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Yenni Risniati
- Centre for Research and Development of Health Resources and Services, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Pandji Wibawa Dhewantara
- Centre for Research and Development of Public Health Efforts, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | | | | | - Rinto Sukoco
- Disease Investigation Center Subang, West Java, Indonesia
| | - Efadeswarni
- Research and Development for Environmental Quality and Laboratory Center, Banten, Indonesia
| | | | - Cahyarini
- Persahabatan Hospital, Jakarta, Indonesia
| | | | | | | | | | - Vivi Setiawaty
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
| | - Jorge Matheu
- WHO Food Safety and Zoonoses Department, Geneva, Switzerland
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Mursinah M, Ibrahim F, Wahid MH. Risk Factors and Scoring Systems for Patients with Candidemia at a Tertiary Hospital in Jakarta, Indonesia. Acta Med Indones 2016; 48:193-199. [PMID: 27840353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
AIM to identify the risk factors of candidemia and to develop a scoring system that could be implemented in Cipto Mangunkusumo Hospital (RSCM), Jakarta, Indonesia. METHODS this study was a retrospective study with case control design using the medical records of patients since 2011 to 2014. All sepsis patients hospitalized in the RSCM with a positive blood culture for Candida were included in this study as a case group. The control group was all of the sepsis patients without candidemia. The ratio for case and control groups was equal (1:1). RESULTS from 234 patients who were analyzed, the risk factors that influenced the study were length of stay of 8-14 days (OR 3.464; 95% CI 1.458-7.800), length of stay of more than 14 days (OR 6.844; 95% CI 3.0-15.330), severe sepsis (OR 16.407; 95% CI 1.458-7.800), and surgery (OR 3.03; 95% CI 1.492-6.152). The predictors for candidemia in RSCM were length of stay in hospital for 8-14 days (score 1), a length of stay ≥14 days (score 2), severe sepsis (score 3), and surgery (score 1), with a cut off score of 3.5. CONCLUSION the results of this study have indicated that a scoring system in order to guide an empirical treatment for candidemia can be developed by using the risk factors for candidemia from patients who have been identified as patients with risk at Cipto Mangunkusumo Hospital.
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Affiliation(s)
- Mursinah Mursinah
- Department of Microbiology, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
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