Evidence map›Paper›PMID 36976004›Full record

Trial reportmBio2023

BCG Vaccination of Health Care Workers Does Not Reduce SARS-CoV-2 Infections nor Infection Severity or Duration: a Randomized Placebo-Controlled Trial.

Juana Claus, Thijs Ten Doesschate, Cheyenne Gumbs, Cornelis H van Werkhoven, Thomas W van der Vaart, Axel B Janssen, Gaby Smits, Rob van Binnendijk, Fiona van der Klis, Debbie van Baarle and 8 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in mBio, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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  15. Diverse interactions ofFrontiers in tuberculosis · 2024
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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

18 authors at 6 institutions in 2 countries.

Juana ClausJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.ORCID 0000-0002-2258-3900
Thijs Ten DoesschateJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.ORCID 0000-0002-2965-9998
Cheyenne GumbsJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
Cornelis H van WerkhovenJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.ORCID 0000-0002-0626-4635
Thomas W van der VaartJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.ORCID 0000-0002-5873-0474
Axel B JanssenDepartment of Medical Microbiology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.ORCID 0000-0002-9865-447X
Gaby SmitsNational Institute of Public Health and the Environment, Bilthoven, Netherlands.
Rob van BinnendijkNational Institute of Public Health and the Environment, Bilthoven, Netherlands.ORCID 0000-0002-5808-1443
Fiona van der KlisNational Institute of Public Health and the Environment, Bilthoven, Netherlands.ORCID 0000-0002-6759-3539
Debbie van BaarleNational Institute of Public Health and the Environment, Bilthoven, Netherlands.ORCID 0000-0001-5463-818X
Fernanda L PaganelliDepartment of Medical Microbiology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.ORCID 0000-0001-9990-9203
Helen LeavisDepartment of Internal Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.ORCID 0000-0001-8720-3684
Lilly M VerhagenDepartment of Pediatric Infectious Diseases and Immunology, Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands.ORCID 0000-0002-3451-9201
Simone A JoostenDepartment of Infectious Diseases, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0002-9878-0863
Marc J M BontenJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.ORCID 0000-0002-9095-9201
Mihai G NeteaDepartment of Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands.ORCID 0000-0003-2421-6052
Janneke H H M van de WijgertJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.ORCID 0000-0003-2728-4560
BCG-Corona Study Group
Utrecht University · NLNational Institute for Public Health and the Environment · NLLeiden University Medical Center · NLRadboud University Nijmegen · NLUniversity Medical Center Groningen · NLUniversity of Bonn · DE

Funding

ZonMw 10430 01 201 0026
6 · The paper itself

Abstract

Bacillus Calmette-Guerin (BCG) vaccination has been hypothesized to reduce severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, severity, and/or duration via trained immunity induction. Health care workers (HCWs) in nine Dutch hospitals were randomized to BCG or placebo vaccination (1:1) in March and April 2020 and followed for 1 year. They reported daily symptoms, SARS-CoV-2 test results, and health care-seeking behavior via a smartphone application, and they donated blood for SARS-CoV-2 serology at two time points. A total of 1,511 HCWs were randomized and 1,309 analyzed (665 BCG and 644 placebo). Of the 298 infections detected during the trial, 74 were detected by serology only. The SARS-CoV-2 incidence rates were 0.25 and 0.26 per person-year in the BCG and placebo groups, respectively (incidence rate ratio, 0.95; 95% confidence interval, 0.76 to 1.21;

Indexed as

COVID-19AdultBCG VaccineHealth PersonnelHumansSARS-CoV-2VaccinationBCG VaccineBacillus Calmette-Guerin vaccineCOVID-19health care workersrandomized placebo-controlled clinical trialSARS-CoV-2

Identifiers

PMID36976004
PMCPMC10128007
OpenAlexW4361190464

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.