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Pneumococcal vaccines for cystic fibrosis
Laura Burgess1, Kevin W Southern
1Alder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool, UK, L12 2AP.
The Cochrane Database of Systematic Reviews
|September 23, 2016
Summary
No clinical trials were found to evaluate pneumococcal vaccines for cystic fibrosis patients. Further research, like epidemiological studies, is needed to determine vaccine efficacy in this population.
Area of Science:
- Medical Research
- Vaccinology
- Pulmonology
Background:
- Invasive pneumococcal disease (IPD) causes significant mortality globally.
- Routine childhood pneumococcal vaccination is implemented in many countries.
- Pneumococcal vaccination is recommended for individuals with cystic fibrosis (CF) in the USA and UK, despite uncommon IPD incidence.
Purpose of the Study:
- To assess the efficacy of pneumococcal vaccines in reducing morbidity in people with cystic fibrosis.
Main Methods:
- Searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register.
- Contacted pharmaceutical manufacturers of pneumococcal vaccines.
- Included randomized and quasi-randomized controlled trials comparing pneumococcal vaccination with placebo or no vaccination in CF patients.
Main Results:
- No relevant trials were identified for inclusion in this review.
Conclusions:
- No conclusions can be drawn regarding the efficacy of pneumococcal immunization in reducing morbidity or mortality in cystic fibrosis patients due to the absence of trials.
- Future randomized controlled trials are unlikely given widespread childhood vaccination schedules.
- Epidemiological studies may provide insights into pneumococcal vaccine efficacy in the cystic fibrosis population.
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