Evidence map›Paper›PMID 38101831›Full record

SynthesisBMJ open2023

Non-specific effects of Pneumococcal and Haemophilus vaccines in children aged 5 years and under: a systematic review.

Keith Geraghty, Darragh Rooney, Chris Watson, Mark T Ledwidge, Liam Glynn, Joe Gallagher

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. 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

6 authors at 3 institutions in 2 countries.

Keith GeraghtySchool of Medicine, University of Limerick, Limerick, Ireland gerokeith@gmail.com.ORCID 0000-0002-1679-4445
Darragh RooneySchool of Medicine, University of Limerick, Limerick, Ireland.
Chris WatsonWellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast, UK.
Mark T LedwidgeHealth Research Institute, University College Dublin College of Health Sciences, Dun Laoghaire, Ireland.
Liam GlynnSchool of Medicine, University of Limerick, Limerick, Ireland.
Joe GallagherGlobal Health, Irish College of General Practitioners, Dublin, Ireland.ORCID 0000-0002-5564-2890
University of Limerick · IEQueen's University Belfast · GBUniversity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the evidence for non-specific effects of the Pneumococcal and Haemophilus influenza vaccine in children aged 5 years and under. DATA SOURCES: A key word literature search of MEDLINE, EMBASE, The Cochrane Central Register of Controlled Trials, the European Union Clinical Trials Register and ClinicalTrials.gov up to June 2023. STUDY ELIGIBILITY CRITERIA: Randomised controlled trials (RCTs), quasi-RCT or cohort studies.

participantsChildren aged 5 or under. STUDY APPRAISAL AND SYNTHESIS

methodsStudies were independently screened by two reviewers, with a third where disagreement arose. Risk of bias assessment was performed by one reviewer and confirmed by a second. Results were tabulated and a narrative description performed.

resultsFour articles were identified and included in this review. We found a reduction in hospitalisations from influenza A (44%), pulmonary tuberculosis (42%), metapneumovirus (45%), parainfluenza virus type 1-3 (44%), along with reductions in mortality associated with pneumococcal vaccine. No data on the Haemophilus vaccine was found. CONCLUSIONS AND IMPLICATIONS: In this systematic review, we demonstrate that there is a reduction in particular viral infections in children aged 5 years and under who received the 9-valent pneumococcal conjugate vaccine which differ from those for which the vaccine was designed to protect against. While limited studies have demonstrated a reduction in infections other than those which the vaccine was designed to protect against, substantial clinical trials are required to solidify these findings. PROSPERO REGISTRATION NUMBER: CRD42020146640.

Indexed as

Haemophilus VaccinesInfluenza, HumanChildCohort StudiesHumansPneumococcal VaccinesStreptococcus pneumoniaeHaemophilus VaccinesPneumococcal VaccinesCommunity child healthPaediatric infectious disease & immunisationPublic healthVIROLOGY

Identifiers

PMID38101831
PMCPMC10729116
OpenAlexW4389789454

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.