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. 2019 Dec 5;2019(12):CD011260. doi: 10.1002/14651858.CD011260.pub2

Summary of findings 3. IPV(3)‐OPV compared to IPV(2)‐OPV for preventing poliomyelitis.

3 IPV‐OPV compared to 2 IPV‐OPV for preventing poliomyelitis
Patient or population: preventing poliomyelitis
 Setting: India
 Intervention: 3 IPV‐OPV
 Comparison: 2 IPV‐OPV
Outcomes Anticipated absolute effects* (95% CI) Relative effect
 (95% CI) № of participants
 (studies) Certainty of the evidence (GRADE) Comments
Risk with IPV(2)‐OPV Risk with IPV(3)‐OPV
Paralytic polio (0 studies) No data available
VAPP cases (0 studies) No data available
Persons with protective humoral response
(Follow‐up 7 months)
P1: 1000 per 1000 980 per 1000
 (930 to 1000) RR 0.98
 (0.93 to 1.03) 137
 (1 RCT) ⊕⊕⊕⊝
 Moderatea
P2: 1000 per 1000 1000 per 1000
 (970 to 1000) RR 1.00
 (0.97 to 1.03) 137
 (1 RCT)
P3: 989 per 1000 998 per 1000
 (959 to 1000) RR 1.01
 (0.97 to 1.05) 137
 (1 RCT)
Neutralising antibodies (0 studies) No data available
Persons with faecal excretion after OPV challenge (0 studies) No data available
Vaccination coverage (0 studies) No data available
Serious adverse events (0 studies) No data available
*The risk in the intervention group (and its 95% Cl) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 
 CI: Confidence interval; RR: Risk ratio
GRADE Working Group grades of evidenceHigh 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

aSerious imprecision: confidence interval limits include clinically important increase or reduction of the effect.