Evidence map›Paper›PMID 29655624›Full record

Trial reportVaccine2018

Post-immunization leucocytosis and its implications for the management of febrile infants.

Sarah Prentice, Zephyrian Kamushaaga, Stephen B Nash, Alison M Elliott, Hazel M Dockrell, Stephen Cose

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04809948 (Impact of COVID 19 Vaccine on Safety, Blood Elements, and Immunogenicity of the Egyptian Population), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 30% 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.

NCT04809948 unknown statusnot on this mapstarted 2021, after this paper: background citation

Impact of COVID 19 Vaccine on Safety, Blood Elements, and Immunogenicity of the Egyptian Population

TypeobservationalSponsorAssiut UniversityRan2021 to 2021Enrolled800ConditionsCOVID 19 VaccineArmsviral vector vaccine
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

6 authors at 3 institutions in 2 countries.

Sarah PrenticeDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom; MRC/UVRI Uganda Research Unit, 51-59 Nakiwogo Road, Entebbe, PO Box 49, Uganda. Electronic address: sarah.prentice@nhs.net.
Zephyrian KamushaagaMRC/UVRI Uganda Research Unit, 51-59 Nakiwogo Road, Entebbe, PO Box 49, Uganda. Electronic address: zephyrian.kamushaaga@mrcuganda.org.
Stephen B NashDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom. Electronic address: stephen.nash@lshtm.ac.uk.
Alison M ElliottDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom; MRC/UVRI Uganda Research Unit, 51-59 Nakiwogo Road, Entebbe, PO Box 49, Uganda. Electronic address: alison.elliott@lshtm.ac.uk.
Hazel M DockrellDepartment of Immunology and Infection, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom. Electronic address: hazel.dockrell@lshtm.ac.uk.
Stephen CoseMRC/UVRI Uganda Research Unit, 51-59 Nakiwogo Road, Entebbe, PO Box 49, Uganda; Department of Immunology and Infection, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom. Electronic address: stephen.cose@lsthm.ac.uk.
Uganda Virus Research Institute · UGLondon School of Hygiene & Tropical Medicine · GBUniversity of London · GB

Funding

Medical Research Council MC_UU_00027/5Medical Research Council MR/K012126/1Medical Research Council MR/K019708Wellcome Trust 084344Wellcome Trust 095778Wellcome Trust ICTRZB84
6 · The paper itself

Abstract

aimsClinical guidelines for management of infants with fever but no evident focus of infection recommend that those aged 1-3 months with a white cell count >15 × 10

methodsWhite cell counts were measured in 212 healthy infants following routine immunizations (DTwP-HepB-Hib, oral polio and pneumococcal conjugate 7 vaccines) received prior to 3 months of age.

resultsMean leucocyte counts increased from 9.03 × 10

conclusionsIn our study almost half the children <3 months old presenting with fever but no evident focus of infection at one-day post-immunization met commonly used criteria for full septic screen and admission for parenteral antibiotics, despite having no serious bacterial infection. These findings add to the growing body of literature that questions the utility of white blood cell measurement in identification of young infants at risk of serious bacterial infections, particularly in the context of recent immunizations, and suggest that further exploration of the effect of different immunization regimes on white cell counts is needed. This observational work was nested within a clinical trial, registration number ISRCTN59683017.

Indexed as

Disease ManagementDiphtheria-Tetanus-Pertussis VaccineFemaleFeverHaemophilus VaccinesHepatitis B VaccinesHumansImmunizationInfantInfant, NewbornLeukocytosisMalePneumococcal VaccinesPoliovirus VaccinesUgandaDiphtheria-Tetanus-Pertussis VaccineDtwP-HepB-Hib vaccineHaemophilus VaccinesHepatitis B VaccinesPneumococcal VaccinesPoliovirus VaccinesClinical managementFeverImmunizationInfantLeucocytosis

Identifiers

PMID29655624
PMCPMC5937853
OpenAlexW2798254710

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.