Evidence map›Paper›PMID 28196715›Full record

ArticleVaccine2017

Safety of the oral cholera vaccine in pregnancy: Retrospective findings from a subgroup following mass vaccination campaign in Dhaka, Bangladesh.

Ashraful Islam Khan, Mohammad Ali, Fahima Chowdhury, Amit Saha, Iqbal Ansary Khan, Arifuzzaman Khan, Afroza Akter, Muhammad Asaduzzaman, Md Taufiqul Islam, Alamgir Kabir and 5 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Vaccine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01339845 (Introduction of Cholera Vaccine in Bangladesh), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 7% 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.

NCT01339845 nacompletednot on this map

Introduction of Cholera Vaccine in Bangladesh: " Impact Evaluation of Cholera Vaccine and Behaviour Change Interventions in Urban Dhaka"

TypeinterventionalSponsorInternational Centre for Diarrhoeal Disease Research, BangladeshRan2009 to 2016Enrolled240,000ConditionsCholeraArmsShanChol, Vaccine and behaviour
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Oral killed cholera vaccines for preventing cholera.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Trial
  3. Review
  4. Review
  5. Diagnosis, Management, and Future Control of Cholera.Clinical microbiology reviews · 2022
    Review
  6. Maternal vaccination: a review of current evidence and recommendations.American journal of obstetrics and gynecology · 2022
    Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Cholera.Current epidemiology reports · 2018
    Article
  13. Review
  14. Article
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

15 authors at 3 institutions in 3 countries.

Ashraful Islam KhanInternational Centre for Diarrheal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
Mohammad AliJohns Hopkins School of Public Health, Baltimore, MD, USA.
Fahima ChowdhuryInternational Centre for Diarrheal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
Amit SahaInternational Centre for Diarrheal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
Iqbal Ansary KhanInternational Centre for Diarrheal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
Arifuzzaman KhanInternational Centre for Diarrheal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
Afroza AkterInternational Centre for Diarrheal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
Muhammad AsaduzzamanInternational Centre for Diarrheal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
Md Taufiqul IslamInternational Centre for Diarrheal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
Alamgir KabirInternational Centre for Diarrheal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
Young Ae YouInternational Vaccine Institute (IVI), Seoul, Republic of Korea.
Nirod Chandra SahaInternational Centre for Diarrheal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
Alejandro CraviotoPrecision Global Health, Seattle, WA, USA.
John D ClemensInternational Centre for Diarrheal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
Firdausi QadriInternational Centre for Diarrheal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh. Electronic address: fqadri@icddrb.org.
International Centre for Diarrhoeal Disease Research · BDInternational Vaccine Institute · KRJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnant women are vulnerable to complications of cholera. Killed oral cholera vaccines (OCV) are not recommended for pregnant women though there is no evidence of harmful effects during pregnancy. We evaluated the effect of a killed OCV, Shanchol™, on pregnancy outcomes during an effectiveness trial of the vaccine in urban Bangladesh. METHODOLOGY: Individuals ⩾1year were invited to participate in the trial, conducted in 2011 in Dhaka, Bangladesh. Pregnancy by history was an exclusion criterion and all women of reproductive age (15-49years) were verbally questioned about pregnancy at enrollment and prior to vaccination. Out of 48,414 women of reproductive age 286 women received the OCV unknowingly while pregnant. Out of these, we could recruit 69 women defined as exposed to OCV. Accordingly, we selected 69 pregnant women randomly from those who did not take the OCV (non-exposed to OCV). We evaluated adverse pregnancy outcome (spontaneous miscarriages, still births, or congenital malformations) between those who were exposed to OCV and those who were not exposed to OCV.

resultsAbout 16% of pregnant women exposed to OCV had pregnancy loss, as compared to 12% of unvaccinated pregnant women (P=0.38). One congenital anomaly was observed and occurred in women non-exposed to OCV group. Models that adjusted for baseline characteristics that were unbalanced between the exposed and non-exposed groups, revealed a no elevation of risk of adverse pregnancy outcomes in vaccinees versus non-vaccinees (Adj. OR (95% CI): 0.45 (0.11-1.88).

conclusionsNo excess of adverse fetal outcomes associated with receipt of OCV was observed in this study.

trial registrationClinical Trials.gov number NCT01339845.

Indexed as

Pregnant PeopleAdolescentAdultBangladeshCholeraCholera VaccinesDrug-Related Side Effects and Adverse ReactionsFemaleHumansMass VaccinationMiddle AgedPregnancyPregnancy OutcomeRetrospective StudiesYoung AdultCholera VaccinesshancholOral cholera vaccinePregnancyShanchol™Vaccination

Identifiers

PMID28196715
PMCPMC5341737
OpenAlexW2587743751

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.