Table 3.
Patient or population: HIV-infected, HIV-exposed and HIV-uninfected children Intervention: Vaccine Comparison: Placebo | |||||
---|---|---|---|---|---|
Anticipated absolute effects* (95% CI) |
|||||
Outcomes | Risk with placebo | Risk with vaccines | Relative effect (95% CI) |
№ of participants (studies) |
Certainty of the evidence (GRADE) |
HBV/Hepatitis B vaccine | 3 per 1,000 |
18 per 1,000 (3 to 103) |
OR 6.02 (0.93 to 38.83) |
594 (2 observational studies) |
⊕◯◯◯ VERY LOW a,b |
HI/BCG/Tuberculosis | Low |
OR 1.00 (0.22 to 4.56) |
36 cases 18 controls (1 observational study) |
⊕◯◯◯ VERY LOW b,c |
|
0 per 1,000 |
0 per 1,000 (0 to 0) |
||||
HU/BCG/Tuberculosis | Low |
OR 0.41 (0.18 to 0.92) |
60 cases 116 controls (1 observational study) |
⊕◯◯◯ VERY LOW b,c |
|
0 per 1,000 |
0 per 1,000 (0 to 0) |
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: Confidence interval; OR: Odds ratio; BCG: Bacillus Calmette–Guérin
Explanations: a. Confounders were not taken into account and unclear about the selection of study participants; b. A wide confidence interval around the estimate of the effects; c. Confounders not taken into account
GRADE Working Group grades of evidence
High certainty: We are very confident that the true effect lies close to that of the estimate of the effect
Moderate certainty: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low certainty: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
Very low certainty: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect