Skip to main content
Top
Published in: Journal of Community Health 4/2022

25-03-2022 | COVID-19 Vaccination | Original Paper

A SARS-CoV-2 Outbreak Among Nursing Home Residents Vaccinated with a Booster Dose of mRNA COVID-19 Vaccine

Authors: Giancarlo Ripabelli, Michela Lucia Sammarco, Giovanni Rezza, Antonio D’Amico, Roberta De Dona, Mariagrazia Iafigliola, Albino Parente, Nicandro Samprati, Arturo Santagata, Carmen Adesso, Anna Natale, Michela Anna Di Palma, Fabio Cannizzaro, Cosimo Dentizzi, Paola Stefanelli, Manuela Tamburro

Published in: Journal of Community Health | Issue 4/2022

Login to get access

Abstract

This study describes a SARS-CoV-2 outbreak caused by the Delta (B.1.617.2) variant in a nursing home in Central Italy during October–November 2021. Trained interviewers collected data from residents, staff, and administration officers with an agreed informed consent procedure. Thirty-two (44.5%) out of 72 residents (median age 89 years) and six (26.1%) of 23 healthcare workers were found to be infected with SARS-CoV-2. Infections occurred more often among residents with a higher index of independence in daily living activities, suggesting an increased risk for those with more interactions. Twenty-five infected residents (78.1%) received the booster dose of mRNA anti-COVID-19 vaccine > 7 days before SARS-CoV-2 onset. Half of the infected residents had mild symptoms, and only three required hospitalisation, one of whom died from COVID-19 complications. The study underlines the effectiveness of a booster dose in providing a high protection against severe disease and hospitalisation even among vulnerable individuals infected with the Delta variant of concern.
Literature
3.
go back to reference Lopez Bernal, J., Andrews, N., Gower, C., Gallagher, E., Simmons, R., Thelwall, S., Stowe, J., Tessier, E., Groves, N., Dabrera, G., Myers, R., Campbell, C. N. J., Amirthalingam, G., Edmunds, M., Zambon, M., Brown, K. E., Hopkins, S., Chand, M., & Ramsay, M. (2021). Effectiveness of Covid-19 vaccines against the B.1.617.2 (Delta) variant. The New England Journal of Medicine, 385(7), 585–594. https://doi.org/10.1056/NEJMoa2108891CrossRefPubMed Lopez Bernal, J., Andrews, N., Gower, C., Gallagher, E., Simmons, R., Thelwall, S., Stowe, J., Tessier, E., Groves, N., Dabrera, G., Myers, R., Campbell, C. N. J., Amirthalingam, G., Edmunds, M., Zambon, M., Brown, K. E., Hopkins, S., Chand, M., & Ramsay, M. (2021). Effectiveness of Covid-19 vaccines against the B.1.617.2 (Delta) variant. The New England Journal of Medicine, 385(7), 585–594. https://​doi.​org/​10.​1056/​NEJMoa2108891CrossRefPubMed
7.
go back to reference Pouwels, K. B., Pritchard, E., Matthews, P. C., Stoesser, N., Eyre, D. W., Vihta, K.-D., House, T., Hay, J., Bell, J. I., Newton, J. N., Farrar, J., Crook, D., Cook, D., Rourke, E., Studley, R., Peto, T. E. A., Diamond, I., & Walker, A. S. (2021). Effect of delta variant on viral burden and vaccine effectiveness against new SARS-CoV-2 infections in the UK. Nature Medicine, 27(12), 2127–2135. https://doi.org/10.1038/s41591-021-01548-7CrossRefPubMedPubMedCentral Pouwels, K. B., Pritchard, E., Matthews, P. C., Stoesser, N., Eyre, D. W., Vihta, K.-D., House, T., Hay, J., Bell, J. I., Newton, J. N., Farrar, J., Crook, D., Cook, D., Rourke, E., Studley, R., Peto, T. E. A., Diamond, I., & Walker, A. S. (2021). Effect of delta variant on viral burden and vaccine effectiveness against new SARS-CoV-2 infections in the UK. Nature Medicine, 27(12), 2127–2135. https://​doi.​org/​10.​1038/​s41591-021-01548-7CrossRefPubMedPubMedCentral
10.
go back to reference Ministero della Salute. (2021). Aggiornamento delle indicazioni sulla somministrazione di dosi addizionali e di dosi “booster” nell’ambito della campagna di vaccinazione anti SARS-CoV-2/COVID-19. Ordinanza n.45886, 8 ottobre 2021. Ministero della Salute. (2021). Aggiornamento delle indicazioni sulla somministrazione di dosi addizionali e di dosi “booster” nell’ambito della campagna di vaccinazione anti SARS-CoV-2/COVID-19. Ordinanza n.45886, 8 ottobre 2021.
14.
go back to reference Ripabelli, G., Tamburro, M., Buccieri, N., Adesso, C., Caggiano, V., Cannizzaro, F., Di Palma, M. A., Mantuano, G., Montemitro, V. G., Natale, A., Rodio, L., & Sammarco, M. L. (2022). Active surveillance of adverse events in healthcare workers recipients after vaccination with COVID-19 BNT162b2 vaccine (Pfizer-BioNTech, Comirnaty): A cross-sectional study. Journal of Community Health, 47(2), 211–225. https://doi.org/10.1007/s10900-021-01039-3CrossRefPubMed Ripabelli, G., Tamburro, M., Buccieri, N., Adesso, C., Caggiano, V., Cannizzaro, F., Di Palma, M. A., Mantuano, G., Montemitro, V. G., Natale, A., Rodio, L., & Sammarco, M. L. (2022). Active surveillance of adverse events in healthcare workers recipients after vaccination with COVID-19 BNT162b2 vaccine (Pfizer-BioNTech, Comirnaty): A cross-sectional study. Journal of Community Health, 47(2), 211–225. https://​doi.​org/​10.​1007/​s10900-021-01039-3CrossRefPubMed
15.
go back to reference Bar-On, Y. M., Goldberg, Y., Mandel, M., Bodenheimer, O., Freedman, L., Kalkstein, N., Mizrahi, B., Alroy-Preis, S., Ash, N., Milo, R., & Huppert, A. (2021). Protection of BNT162b2 vaccine booster against Covid-19 in Israel. The New England Journal of Medicine, 385(15), 1393–1400. https://doi.org/10.1056/NEJMoa2114255CrossRefPubMed Bar-On, Y. M., Goldberg, Y., Mandel, M., Bodenheimer, O., Freedman, L., Kalkstein, N., Mizrahi, B., Alroy-Preis, S., Ash, N., Milo, R., & Huppert, A. (2021). Protection of BNT162b2 vaccine booster against Covid-19 in Israel. The New England Journal of Medicine, 385(15), 1393–1400. https://​doi.​org/​10.​1056/​NEJMoa2114255CrossRefPubMed
16.
go back to reference Gilboa, M., Mandelboim, M., Indenbaum, V., Lustig, Y., Cohen, C., Rahav, G., Asraf, K., Amit, S., Jaber, H., Nemet, I., Kliker, L., Bar-Haim, E., Mendelson, E., Doolman, R., Rubin, C., Regev-Yochay, G., & Kreiss, Y. (2022). Early immunogenicity and safety of the third dose of BNT162b2 mRNA Covid-19 vaccine among adults older than 60 years: Real-world experience. The Journal of Infectious Diseases, 225(5), 785–792. https://doi.org/10.1093/infdis/jiab584CrossRefPubMed Gilboa, M., Mandelboim, M., Indenbaum, V., Lustig, Y., Cohen, C., Rahav, G., Asraf, K., Amit, S., Jaber, H., Nemet, I., Kliker, L., Bar-Haim, E., Mendelson, E., Doolman, R., Rubin, C., Regev-Yochay, G., & Kreiss, Y. (2022). Early immunogenicity and safety of the third dose of BNT162b2 mRNA Covid-19 vaccine among adults older than 60 years: Real-world experience. The Journal of Infectious Diseases, 225(5), 785–792. https://​doi.​org/​10.​1093/​infdis/​jiab584CrossRefPubMed
17.
go back to reference Tenforde, M. W., Patel, M. M., Gaglani, M., Ginde, A. A., Douin, D. J., Talbot, H. K., Casey, J. D., Mohr, N. M., Zepeski, A., McNeal, T., Ghamande, S., Gibbs, K. W., Files, D. C., Hager, D. N., Shehu, A., Prekker, M. E., Erickson, H. L., Gong, M. N., Mohamed, A.,…IVY Network. (2022). Effectiveness of a third dose of Pfizer-BioNTech and moderna vaccines in preventing COVID-19 hospitalization among immunocompetent and immunocompromised adults—United States, August-December 2021. MMWR Morbidity and Mortality Weekly Report, 71(4), 118–1124. https://doi.org/10.15585/mmwr.mm7104a2CrossRefPubMed Tenforde, M. W., Patel, M. M., Gaglani, M., Ginde, A. A., Douin, D. J., Talbot, H. K., Casey, J. D., Mohr, N. M., Zepeski, A., McNeal, T., Ghamande, S., Gibbs, K. W., Files, D. C., Hager, D. N., Shehu, A., Prekker, M. E., Erickson, H. L., Gong, M. N., Mohamed, A.,…IVY Network. (2022). Effectiveness of a third dose of Pfizer-BioNTech and moderna vaccines in preventing COVID-19 hospitalization among immunocompetent and immunocompromised adults—United States, August-December 2021. MMWR Morbidity and Mortality Weekly Report, 71(4), 118–1124. https://​doi.​org/​10.​15585/​mmwr.​mm7104a2CrossRefPubMed
18.
go back to reference Barda, N., Dagan, N., Cohen, C., Hernán, M. A., Lipsitch, M., Kohane, I. S., Reis, B. Y., & Balicer, R. D. (2021). Effectiveness of a third dose of the BNT162b2 mRNA COVID-19 vaccine for preventing severe outcomes in Israel: An observational study. The Lancet, 398(10316), 2093–2100. https://doi.org/10.1016/S0140-6736(21)02249-2CrossRef Barda, N., Dagan, N., Cohen, C., Hernán, M. A., Lipsitch, M., Kohane, I. S., Reis, B. Y., & Balicer, R. D. (2021). Effectiveness of a third dose of the BNT162b2 mRNA COVID-19 vaccine for preventing severe outcomes in Israel: An observational study. The Lancet, 398(10316), 2093–2100. https://​doi.​org/​10.​1016/​S0140-6736(21)02249-2CrossRef
19.
go back to reference Nicolay, N., Innocenti, F., Beauté, J., Učakar, V., GrgičVitek, M., Poukka, E., Hannila-Handelberg, T., Gauci, C., Melillo, T., Georgakopoulou, T., Jarkovsky, J., Slezak, P., Delgado-Sanz, C., Olmedo-Lucerón, C., Suija, H., Liausediene, R., O’Lorcain, P., Murphy, N., Peralta-Santos, A.,…Ravasi, G. (2021). Initial assessment of the COVID-19 vaccination’s impact on case numbers, hospitalisations and deaths in people aged 80 years and older, 15 EU/EEA countries, December 2020 to May 2021. Eurosurveillance, 6(48), 2101030. https://doi.org/10.2807/1560-7917.ES.2021.26.48.2101030CrossRef Nicolay, N., Innocenti, F., Beauté, J., Učakar, V., GrgičVitek, M., Poukka, E., Hannila-Handelberg, T., Gauci, C., Melillo, T., Georgakopoulou, T., Jarkovsky, J., Slezak, P., Delgado-Sanz, C., Olmedo-Lucerón, C., Suija, H., Liausediene, R., O’Lorcain, P., Murphy, N., Peralta-Santos, A.,…Ravasi, G. (2021). Initial assessment of the COVID-19 vaccination’s impact on case numbers, hospitalisations and deaths in people aged 80 years and older, 15 EU/EEA countries, December 2020 to May 2021. Eurosurveillance, 6(48), 2101030. https://​doi.​org/​10.​2807/​1560-7917.​ES.​2021.​26.​48.​2101030CrossRef
20.
go back to reference Thompson, M. G., Natarajan, K., Irving, S. A., Rowley, E. A., Griggs, E. P., Gaglani, M., Klein, N. P., Grannis, S. J., DeSilva, M. B., Stenehjem, E., Reese, S. E., Dickerson, M., Naleway, A. L., Han, J., Konatham, D., McEvoy, C., Rao, S., Dixon, B. E., Dascomb, K.,…Ong, T. C. (2022). Effectiveness of a third dose of mRNA vaccines against COVID-19-associated emergency department and urgent Care encounters and hospitalizations among adults during periods of delta and omicron variant predominance—VISION network, 10 states, August 2021-January 2022. MMWR Morbidity and Mortality Weekly Report, 71(4), 139–145. https://doi.org/10.15585/mmwr.mm7104e3CrossRefPubMed Thompson, M. G., Natarajan, K., Irving, S. A., Rowley, E. A., Griggs, E. P., Gaglani, M., Klein, N. P., Grannis, S. J., DeSilva, M. B., Stenehjem, E., Reese, S. E., Dickerson, M., Naleway, A. L., Han, J., Konatham, D., McEvoy, C., Rao, S., Dixon, B. E., Dascomb, K.,…Ong, T. C. (2022). Effectiveness of a third dose of mRNA vaccines against COVID-19-associated emergency department and urgent Care encounters and hospitalizations among adults during periods of delta and omicron variant predominance—VISION network, 10 states, August 2021-January 2022. MMWR Morbidity and Mortality Weekly Report, 71(4), 139–145. https://​doi.​org/​10.​15585/​mmwr.​mm7104e3CrossRefPubMed
Metadata
Title
A SARS-CoV-2 Outbreak Among Nursing Home Residents Vaccinated with a Booster Dose of mRNA COVID-19 Vaccine
Authors
Giancarlo Ripabelli
Michela Lucia Sammarco
Giovanni Rezza
Antonio D’Amico
Roberta De Dona
Mariagrazia Iafigliola
Albino Parente
Nicandro Samprati
Arturo Santagata
Carmen Adesso
Anna Natale
Michela Anna Di Palma
Fabio Cannizzaro
Cosimo Dentizzi
Paola Stefanelli
Manuela Tamburro
Publication date
25-03-2022
Publisher
Springer US
Published in
Journal of Community Health / Issue 4/2022
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-022-01082-8

Other articles of this Issue 4/2022

Journal of Community Health 4/2022 Go to the issue