Evidence map›Paper›PMID 33341305›Full record

ArticleVaccine2021

BCG vaccine: Worrying proposal for COVID-19.

Emanuel Sarinho, Ekaterini Goudouris, Dirceu Solé

Open access · greenAbstract readComment
In one paragraph

Article in Vaccine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. COVID-19 Severity and Neonatal BCG Vaccination among Young Population in Taiwan.International journal of environmental research and public health · 2021
    Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Emanuel SarinhoFederal University of Pernambuco (UFPE), Avenida Parnamirim n° 327 ap 1303, ZC 52060-000 Recife, Pernambuco, Brazil.
Ekaterini GoudourisFederal University of Rio de Janeiro (UFRJ), Rua Professor Luis Cantanhede n° 77 ap 101, ZC 22245-040 Rio de Janeiro, RJ, Brazil. Electronic address: egoudouris@ufrj.br.
Dirceu SoléFederal University of São Paulo State (UNIFESP), Rua Mirassol n° 236 ap72, ZC 04044-010 São Paulo, SP, Brazil.
Universidade Federal de Pernambuco · BRUniversidade Federal de São Paulo · BRUniversidade Federal do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bacille Calmette-Guérin (BCG) vaccine is proven to be effective in protecting against severe tuberculosis. It has been suggested to be able to exert a non-specific beneficial effect as protection against other infectious diseases. The duration of protection against tuberculosis is estimated to be from 10 to 15 years, but the duration of the protection against other infections is not known, maybe up to 20 years, maybe much shorter than that. We don't know it for sure. BCG induced trained immunity paradigm is based on experimental models, cohort studies with low number of individuals, and some epidemiological data in which other possible interfering factors are not controlled. The titles and scopes of scientific articles should be cautiously considered as they can promote indications of getting vaccinated or revaccinated with BCG, before its effectiveness is confirmed and recommendations are published. Besides, revaccination with BCG can put at serious risk patients with primary or secondary immunodeficiency. Maybe BCG vaccine is effective in preventing COVID-19 deaths or reducing its severity, but may the effect of this vaccine be relevant even with poor health politics and assistance? It is very difficult to compare the epidemiologic data about COVID-19 in different countries. There are countless factors, mainly social and related to the healthcare system, which can be more decisive than the hypothesis of trained immunity induced by BCG. Until now, we can say that BCG's protective role is, at least, insufficient, given many other factors that corroborate SARS-CoV-2 infection and/or its severity.

Indexed as

COVID-19TuberculosisBCG VaccineHumansImmunization, SecondarySARS-CoV-2BCG VaccineBCG vaccineCOVID-19ImmunityInnate

Identifiers

PMID33341305
PMCPMC7745307
OpenAlexW3113263506

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.