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. 2019 May 22;15(11):2578–2589. doi: 10.1080/21645515.2019.1599677

Table 3.

Summary of findings table for the efficacy of vaccines in HIV-infected, HIV-exposed and HIV-uninfected children (Observational studies).

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