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. 2021 Jul;21(7):993–1003. doi: 10.1016/S1473-3099(20)30653-8

Table 2.

Clinical outcome events comparing infants BCG-vaccinated at birth with infants BCG-vaccinated at age 6 weeks, overall and by sex and birthweight

Before delayed BCG (age 0–6 weeks)*
After delayed BCG (age 6–10 weeks)
Total follow-up period
Frequency in BCG at birth group Frequency in BCG at 6 weeks group Hazard ratio (95% CI) p value Frequency in BCG at birth group Frequency in BCG at 6 weeks group Hazard ratio p value Frequency in BCG at birth group Frequency in BCG at 6 weeks group Hazard ratio p value
Infectious presentations
Total 98 129 0·71 (0·53–0·95) 0·023 88 76 1·10 (0·87–1·40) 0·43 186 205 0·91 (0·76–1·10) 0·33
Male 42 62 0·57 (0·36–0·89) 0·013 41 33 1·11 (0·78–1·59) 0·56 83 95 0·84 (0·63–1·11) 0·22
Female 56 67 0·87 (0·59–1·27) 0·47 47 43 1·11 (0·81–1·52) 0·53 103 110 0·99 (0·78–1·25) 0·93
pinteraction between BCG and sex .. .. .. 0·16 .. .. .. 0·99 .. .. .. 0·37
Birthweight >2500 g 97 115 0·79 (0·59–1·07) 0·12 88 72 1·16 (0·9–1·48) 0·22 185 187 0·99 (0·82–1·19) 0·89
Birthweight ≤2500 g 1 14 0·10 (0·01–0·75) 0·026 0 4 1·31−8 (5·64−9–3·03−8) <0·0001 1 18 0·07 (0·01–0·45) 0·0061
pinteraction between BCG and birthweight .. .. .. 0·044 .. .. .. <0·0001 .. .. .. 0·0045
Serious illness (Integrated Management of Childhood Illness)
Total 33 49 0·68 (0·43–1·07) 0·093 26 18 1·45 (0·82–2·58) 0·20 59 67 0·89 (0·62–1·27) 0·51
Male 10 29 0·34 (0·17–0·69) 0·0028 11 8 1·27 (0·53–3·07) 0·59 21 37 0·54 (0·31–0·94) 0·029
Female 23 20 1·19 (0·65–2·17) 0·57 15 10 1·63 (0·77–3·49) 0·20 38 30 1·33 (0·83–2·15) 0·23
pinteraction between BCG and sex .. .. .. 0·0081 .. .. .. 0·67 .. .. .. 0·014
Birthweight >2500 g 30 43 0·69 (0·43–1·11) 0·13 26 16 1·62 (0·89–2·94) 0·11 56 59 0·94 (0·65–1·38) 0·77
Birthweight ≤2500 g 3 6 0·63 (0·12–3·25) 0·58 0 2 NA NA 3 8 0·46 (0·09–2·28) 0·34
pinteraction between BCG and birthweight .. .. .. 0·90 .. .. .. NA .. .. .. 0·39

NA=numbers too few to analyse.

*

Comparison of BCG-vaccinated and BCG unvaccinated infants (ie, comparison of BCG + OPV vs OPV).

Comparison of infants receiving BCG at birth and infants receiving BCG at age 6 weeks (ie, comparison of DTP–Hib–HepB + PCV + OPV [after BCG] vs DTP–Hib–HepB + PCV + OPV + BCG); date of EPI-vaccinations in the BCG at birth group was used to establish when they moved into the “Post-BCG in the delayed group” follow-up period (usually day 42).

Serious illness in infants younger than 2 months is defined by the following Integrated Management of Childhood Illness criteria: convulsions or a history of convulsions; not feeding well or vomiting everything; lethargy or unconsciousness or moves only when stimulated or no movement at all or stiff neck; fast breathing (>60 beats per min) or chest in-drawing or stridor in calm child or witnessed apnoeic episodes; axillary temperature of at least 37·5°C or less than 35·5°C; sunken eyes or slow skin pinch; or yellow palms and soles.