Use of COVID-19 vaccines in patients with liver disease and post-liver transplantation: Position statement of the Saudi association for the study of liver diseases and transplantation
Patients with chronic liver disease (CLD) and liver transplant recipients are at increased risk of morbidity and mortality from coronavirus disease 2019 (COVID-19). Although several studies demonstrated the safety and efficacy of COVID-19 vaccines in the general population, data in CLD patients and...
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doaj-ebc1e618e80a4808821514348222c9182021-09-08T04:00:26ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492021-01-0127420120710.4103/sjg.sjg_223_21Use of COVID-19 vaccines in patients with liver disease and post-liver transplantation: Position statement of the Saudi association for the study of liver diseases and transplantationSaleh A AlqahtaniMazin BarryZiad MemishAlmoutaz HashimMona A AlfaresSaad A AlghamdiWaleed K Al-HamoudiBandar Al-JudaibiWaleed AlhazzaniJaffar A Al-TawfiqFaisal AbaalkhailPatients with chronic liver disease (CLD) and liver transplant recipients are at increased risk of morbidity and mortality from coronavirus disease 2019 (COVID-19). Although several studies demonstrated the safety and efficacy of COVID-19 vaccines in the general population, data in CLD patients and liver transplant recipients are lacking. Two COVID-19 vaccines were approved by the Saudi Food and Drug Authority and rolled out to several million recipients in Saudi Arabia. These vaccines are mRNA-based vaccine BNT162b2 from Pfizer/BioNTech and adenovirus-based AZD1222 from Oxford/AstraZeneca from three manufacturing sites (EU Nodes, Serum Institute of India, and South Korea Bio). The Saudi Association for the Study of Liver diseases and Transplantation (SASLT) has reviewed the available evidence and issued interim recommendations for COVID-19 vaccination in CLD and liver transplant recipients. Since there is no evidence contradicting the safety and immunogenicity of the currently approved COVID-19 vaccines in patients with CLD and hepatobiliary cancer and liver transplant recipients, the SASLT recommends vaccination in those patient populations. CLD and hepatobiliary cancer patients and liver transplant recipients should be prioritized depending on the risk factors for severe COVID-19. In transplant recipients, the optimal timing of vaccination remains unknown; however, immunization is recommended after the initial immunosuppression phase. Patients with CLD and liver transplant candidates or recipients should be closely monitored after COVID-19 vaccination. These patient populations should be included in future clinical trials to provide further evidence on the efficacy and safety of COVID-19 vaccines.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2021;volume=27;issue=4;spage=201;epage=207;aulast=Alqahtanicirrhosiscovid-19liver diseasesars-cov-2vaccine |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Saleh A Alqahtani Mazin Barry Ziad Memish Almoutaz Hashim Mona A Alfares Saad A Alghamdi Waleed K Al-Hamoudi Bandar Al-Judaibi Waleed Alhazzani Jaffar A Al-Tawfiq Faisal Abaalkhail |
spellingShingle |
Saleh A Alqahtani Mazin Barry Ziad Memish Almoutaz Hashim Mona A Alfares Saad A Alghamdi Waleed K Al-Hamoudi Bandar Al-Judaibi Waleed Alhazzani Jaffar A Al-Tawfiq Faisal Abaalkhail Use of COVID-19 vaccines in patients with liver disease and post-liver transplantation: Position statement of the Saudi association for the study of liver diseases and transplantation The Saudi Journal of Gastroenterology cirrhosis covid-19 liver disease sars-cov-2 vaccine |
author_facet |
Saleh A Alqahtani Mazin Barry Ziad Memish Almoutaz Hashim Mona A Alfares Saad A Alghamdi Waleed K Al-Hamoudi Bandar Al-Judaibi Waleed Alhazzani Jaffar A Al-Tawfiq Faisal Abaalkhail |
author_sort |
Saleh A Alqahtani |
title |
Use of COVID-19 vaccines in patients with liver disease and post-liver transplantation: Position statement of the Saudi association for the study of liver diseases and transplantation |
title_short |
Use of COVID-19 vaccines in patients with liver disease and post-liver transplantation: Position statement of the Saudi association for the study of liver diseases and transplantation |
title_full |
Use of COVID-19 vaccines in patients with liver disease and post-liver transplantation: Position statement of the Saudi association for the study of liver diseases and transplantation |
title_fullStr |
Use of COVID-19 vaccines in patients with liver disease and post-liver transplantation: Position statement of the Saudi association for the study of liver diseases and transplantation |
title_full_unstemmed |
Use of COVID-19 vaccines in patients with liver disease and post-liver transplantation: Position statement of the Saudi association for the study of liver diseases and transplantation |
title_sort |
use of covid-19 vaccines in patients with liver disease and post-liver transplantation: position statement of the saudi association for the study of liver diseases and transplantation |
publisher |
Wolters Kluwer Medknow Publications |
series |
The Saudi Journal of Gastroenterology |
issn |
1319-3767 1998-4049 |
publishDate |
2021-01-01 |
description |
Patients with chronic liver disease (CLD) and liver transplant recipients are at increased risk of morbidity and mortality from coronavirus disease 2019 (COVID-19). Although several studies demonstrated the safety and efficacy of COVID-19 vaccines in the general population, data in CLD patients and liver transplant recipients are lacking. Two COVID-19 vaccines were approved by the Saudi Food and Drug Authority and rolled out to several million recipients in Saudi Arabia. These vaccines are mRNA-based vaccine BNT162b2 from Pfizer/BioNTech and adenovirus-based AZD1222 from Oxford/AstraZeneca from three manufacturing sites (EU Nodes, Serum Institute of India, and South Korea Bio). The Saudi Association for the Study of Liver diseases and Transplantation (SASLT) has reviewed the available evidence and issued interim recommendations for COVID-19 vaccination in CLD and liver transplant recipients. Since there is no evidence contradicting the safety and immunogenicity of the currently approved COVID-19 vaccines in patients with CLD and hepatobiliary cancer and liver transplant recipients, the SASLT recommends vaccination in those patient populations. CLD and hepatobiliary cancer patients and liver transplant recipients should be prioritized depending on the risk factors for severe COVID-19. In transplant recipients, the optimal timing of vaccination remains unknown; however, immunization is recommended after the initial immunosuppression phase. Patients with CLD and liver transplant candidates or recipients should be closely monitored after COVID-19 vaccination. These patient populations should be included in future clinical trials to provide further evidence on the efficacy and safety of COVID-19 vaccines. |
topic |
cirrhosis covid-19 liver disease sars-cov-2 vaccine |
url |
http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2021;volume=27;issue=4;spage=201;epage=207;aulast=Alqahtani |
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