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. 2019 May 28;2019(5):CD001480. doi: 10.1002/14651858.CD001480.pub5

3. Effect of pneumococcal conjugate vaccination on frequency of recurrent acute otitis media.

  Intention‐to‐treat Per‐protocol
VE expressed as relative reduction in risk (95% CI) VE expressed as relative reduction in risk (95% CI)
PCV administered in infancy
CRM197‐PCV7
Black 2000
Fireman 2003
9% (4 to 14)
10% (7 to 13)
9% (3 to 15)
Eskola 2001 9% (−12 to 27) 16% (−6 to 35)
O'Brien 2008a
OMPC‐PCV7
Kilpi 2003
PHiD‐PC10/11
Tregnaghi 2014
Sáez‐Llorens 2017
Vesikari 2016a
Prymula 2006 56% (−2 to 81)
PCV administered at a later age
CRM197‐PCV7 followed by PPV23
Veenhoven 2003
van Kempen 2006
CRM197‐PCV7/TIV
Jansen 2008
CRM197‐PCV9
Dagan 2001

CI: confidence interval
 CRM197‐PCV7: 7‐valent pneumococcal conjugate vaccine conjugated to carrier protein CRM197
 CRM197‐PCV7/TIV: trivalent influenza vaccine plus 7‐valent pneumococcal conjugate vaccine conjugated to carrier protein CRM197
 CRM197‐PCV9: 9‐valent pneumococcal conjugate vaccine conjugated to carrier protein CRM197
 OMPC‐PCV7: 7‐valent pneumococcal conjugate vaccine conjugated to the outer membrane protein complex of Neisseria meningitidis serogroup B
 PCV: pneumococcal conjugate vaccine
 PHiD‐CV10: 10‐valent pneumococcal conjugate vaccine conjugated to protein D (surface lipoprotein of non‐typeable Haemophilus influenzae)
 PHiD‐CV11: 11‐valent pneumococcal conjugate vaccine conjugated to protein D (surface lipoprotein of non‐typeable Haemophilus influenzae)
 PPV23: 23‐valent pneumococcal polysaccharide vaccine
 TIV: trivalent influenza vaccine
 VE: vaccine efficacy
 aCluster‐randomised controlled trial
 Note: negative values represent an increase in the risk of recurrent AOM