Combined Immunity from Infection and Vaccination Against Confirmed SARS-CoV-2 Infections in a European Multi-Center Prospective Study of Healthcare Workers, 2021–2024 - Summary - MDSpire

Combined Immunity from Infection and Vaccination Against Confirmed SARS-CoV-2 Infections in a European Multi-Center Prospective Study of Healthcare Workers, 2021–2024

  • By

  • Madelyn Rojas-Castro

  • Ranya Mulchandani

  • Kim Brolin

  • Zvjezdana Lovrić Makarić

  • Anneli Uusküla

  • Colm Bergin

  • Catherine Fleming

  • Paolo Bonfanti

  • Rita Murri

  • Viesturs Zvirbulis

  • Dace Zavadska

  • Konstanty Szuldrzynski

  • Vânia Gaio

  • Corneliu Petru Popescu

  • Mihai Craiu

  • Raluca-Maria Hrișcă

  • Maria Cisneros

  • Miriam Latorre-Millán

  • Goranka Petrović

  • Liss Lohur

  • Jonathan McGrath

  • Lauren Ferguson

  • Anna Spolti

  • Katleen De Gaetano Donati

  • Ilze Abolina

  • Dagne Gravele

  • Ausenda Machado

  • Simin Aysel Florescu

  • Mihaela Lazar

  • Pilar Subirats

  • Laura Clusa

  • Gordan Sarajlić

  • Jacklyn Sui

  • Claire Kenny

  • Rosaria Santangelo

  • Dainis Krievins

  • Elza Anna Barzdina

  • Camila Valadas Henriques

  • Alma Gabriela Kosa

  • Săftica-Mariana Pohrib

  • Victor Daniel Miron

  • Carmen Muñoz-Almagro

  • Ana Maria Milagro

  • Sabrina Bacci

  • Camelia Savulescu

  • December 29, 2025

  • 0 min

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Objective:

To measure the effect of hybrid, infection, or vaccine-induced immunity against SARS-CoV-2 infection among healthcare workers during the circulation of various Omicron sub-lineages, specifically BA.1/2, BA.4/5/BQ.1, BA.2/XBB, and XBB.1.5/BA.2.86.

Key Findings:
  • Hybrid immunity provides robust protection against SARS-CoV-2 infections.
  • Healthcare workers showed varying levels of immunity based on vaccination and prior infection status, with implications for tailored vaccination strategies.
  • The study highlights the importance of ongoing vaccination strategies in high-risk groups, emphasizing the need for continuous adaptation to emerging variants.
Interpretation:

The findings underscore the significance of hybrid immunity in protecting healthcare workers against SARS-CoV-2, particularly during the emergence of new variants.

Limitations:
  • Limited real-world evidence on hybrid immunity in the post-pandemic era, particularly among immunocompromised individuals.
  • Exclusion of immunocompromised individuals and those with inconsistent serologic results may affect generalizability, limiting applicability to broader populations.
Conclusion:

Understanding the dynamics of hybrid immunity is crucial for informing future COVID-19 vaccination policies, especially for healthcare workers, and for developing strategies applicable to the general population.

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