Evidence map›Paper›PMID 26509274›Full record

Trial reportPloS one2015

Risk of Injection-Site Abscess among Infants Receiving a Preservative-Free, Two-Dose Vial Formulation of Pneumococcal Conjugate Vaccine in Kenya.

Deron C Burton, Godfrey M Bigogo, Allan O Audi, John Williamson, Kenneth Munge, Jackline Wafula, Dominic Ouma, Sammy Khagayi, Isaac Mugoya, James Mburu and 16 more

Open access · goldAbstract readClinical Trial, Phase IVMulticenter Study
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Cohort Profile: The Kilifi Vaccine Monitoring Study.International journal of epidemiology · 2017
    Article
  4. Sepsis, parenteral vaccination and skin disinfection.Human vaccines & immunotherapeutics · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors at 8 institutions in 4 countries.

Deron C BurtonKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya; International Emerging Infections Program, Global Disease Detection Response Center, CDC, Kisumu and Nairobi, Kenya.
Godfrey M BigogoKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya; International Emerging Infections Program, Global Disease Detection Response Center, CDC, Kisumu and Nairobi, Kenya.
Allan O AudiKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya; International Emerging Infections Program, Global Disease Detection Response Center, CDC, Kisumu and Nairobi, Kenya.
John WilliamsonKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya; Center for Global Health, CDC, Atlanta, Georgia, United States of America.
Kenneth MungeKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Jackline WafulaKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Dominic OumaKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya; International Emerging Infections Program, Global Disease Detection Response Center, CDC, Kisumu and Nairobi, Kenya.
Sammy KhagayiKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya.
Isaac MugoyaDivision of Vaccines and Immunization, Ministry of Public Health and Sanitation, Nairobi, Kenya.
James MburuKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Shadrack MuemaKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya; International Emerging Infections Program, Global Disease Detection Response Center, CDC, Kisumu and Nairobi, Kenya.
Evasius BauniKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Tahreni BwanaaliKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Daniel R FeikinKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya; International Emerging Infections Program, Global Disease Detection Response Center, CDC, Kisumu and Nairobi, Kenya.
Peter M OchiengKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya; International Emerging Infections Program, Global Disease Detection Response Center, CDC, Kisumu and Nairobi, Kenya.
Ondari D MogeniKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya; International Emerging Infections Program, Global Disease Detection Response Center, CDC, Kisumu and Nairobi, Kenya.
George A OtienoKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya; International Emerging Infections Program, Global Disease Detection Response Center, CDC, Kisumu and Nairobi, Kenya.
Beatrice OlackKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya; International Emerging Infections Program, Global Disease Detection Response Center, CDC, Kisumu and Nairobi, Kenya.
Tatu KamauDivision of Vaccines and Immunization, Ministry of Public Health and Sanitation, Nairobi, Kenya.
Melissa K Van DykeGlaxoSmithKline Vaccines, Wavre, Belgium.
Robert ChenNational Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC, Atlanta, Georgia, United States of America.
Paddy FarringtonOpen University, Buckinghamshire, United Kingdom.
Joel M MontgomeryKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya; International Emerging Infections Program, Global Disease Detection Response Center, CDC, Kisumu and Nairobi, Kenya.
Robert F BreimanInternational Emerging Infections Program, Global Disease Detection Response Center, CDC, Kisumu and Nairobi, Kenya; Center for Global Health, CDC, Atlanta, Georgia, United States of America.
J Anthony G ScottKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya; London School of Hygiene & Tropical Medicine, London, United Kingdom.
Kayla F LasersonKenya Medical Research Institute (KEMRI)/Centers for Disease Control and Prevention (CDC) Research and Public Health Collaboration, Kisumu and Nairobi, Kenya; Center for Global Health, CDC, Atlanta, Georgia, United States of America.
Kenya Medical Research Institute · KECenters for Disease Control and Prevention · KECenter for Global Health · USMinistry of Health · KEGlaxoSmithKline (Belgium) · BELondon School of Hygiene & Tropical Medicine · GBNational Center for HIV/AIDS Viral Hepatitis STD and TB Prevention · USThe Open University · GB

Funding

Wellcome Trust 092654Wellcome Trust 098532
6 · The paper itself

Abstract

There is a theoretical risk of adverse events following immunization with a preservative-free, 2-dose vial formulation of 10-valent-pneumococcal conjugate vaccine (PCV10). We set out to measure this risk. Four population-based surveillance sites in Kenya (total annual birth cohort of 11,500 infants) were used to conduct a 2-year post-introduction vaccine safety study of PCV10. Injection-site abscesses occurring within 7 days following vaccine administration were clinically diagnosed in all study sites (passive facility-based surveillance) and, also, detected by caregiver-reported symptoms of swelling plus discharge in two sites (active household-based surveillance). Abscess risk was expressed as the number of abscesses per 100,000 injections and was compared for the second vs first vial dose of PCV10 and for PCV10 vs pentavalent vaccine (comparator). A total of 58,288 PCV10 injections were recorded, including 24,054 and 19,702 identified as first and second vial doses, respectively (14,532 unknown vial dose). The risk ratio for abscess following injection with the second (41 per 100,000) vs first (33 per 100,000) vial dose of PCV10 was 1.22 (95% confidence interval [CI] 0.37-4.06). The comparator vaccine was changed from a 2-dose to 10-dose presentation midway through the study. The matched odds ratios for abscess following PCV10 were 1.00 (95% CI 0.12-8.56) and 0.27 (95% CI 0.14-0.54) when compared to the 2-dose and 10-dose pentavalent vaccine presentations, respectively. In Kenya immunization with PCV10 was not associated with an increased risk of injection site abscess, providing confidence that the vaccine may be safely used in Africa. The relatively higher risk of abscess following the 10-dose presentation of pentavalent vaccine merits further study.

Indexed as

VaccinationAbscessHumansKenyaPneumococcal InfectionsPneumococcal VaccinesPopulation SurveillanceRiskTime FactorsVaccines, ConjugatePneumococcal VaccinesVaccines, Conjugate

Identifiers

PMID26509274
PMCPMC4625023
OpenAlexW1888464293

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.