Table 2.
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.