2023
Summary of safety and efficacy of COVID-19 vaccination in patients with multiple sclerosis
PERNICOVÁ, Eva, Petra MACOUNOVA, Martin KRSEK a Rastislav MADARZákladní údaje
Originální název
Summary of safety and efficacy of COVID-19 vaccination in patients with multiple sclerosis
Autoři
PERNICOVÁ, Eva (203 Česká republika, garant, domácí), Petra MACOUNOVA (203 Česká republika), Martin KRSEK (203 Česká republika, domácí) a Rastislav MADAR (203 Česká republika)
Vydání
EUROPEAN NEUROLOGY, SWITZERLAND, KARGER, 2023, 0014-3022
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30210 Clinical neurology
Stát vydavatele
Švýcarsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.400 v roce 2022
Kód RIV
RIV/00216224:14110/23:00130654
Organizační jednotka
Lékařská fakulta
UT WoS
000947309800001
Klíčová slova anglicky
COVID-19 vaccination; multiple sclerosis
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 30. 1. 2024 08:11, Mgr. Tereza Miškechová
Anotace
V originále
Background: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic represents one of the most challenging issues that have recently influenced everyday life in countries all over the world. Understanding the risk of this disease is of high importance in patients with multiple sclerosis (MS) as they represent a vulnerable population through their treatment with disease-modifying therapies (DMTs). Infective episodes may trigger relapses and lead to deterioration of the health condition. Summary: Vaccination is an important preventive measure against infectious diseases. In MS patients concerns have been raised about the effectiveness of vaccines in patients on various immunomodulatory drugs and about their possible adverse effects including impairment of neurological functions. The objective of this article is to summarize the current knowledge on immune responses to the COVID-19 vaccines and their safety in MS patients and to provide practical guidance based on the data available to date.Key Messages: Although MS is not associated with a higher risk of COVID-19, this infection can trigger relapses or pseudo-relapses. Vaccines against SARS-CoV-2 are recommended for all MS patients who are not in the active phase of the disease, despite the fact that there is still a lack of long-term reliable data on the effectiveness and safety of vaccines against COVID-19. Some DMTs can reduce vaccine humoral responses, but might still provide some protection and adequate T cell response. To optimize the effectiveness of vaccination, the ideal timing of vaccine application and DMTs dosing regimen is crucial.