From: Vaccines for the prevention of diarrhea due to cholera, shigella, ETEC and rotavirus
Ìý | Quality Assessment | Summary of Findings | ||||||
---|---|---|---|---|---|---|---|---|
Ìý | Ìý | Ìý | Ìý | Directness | No of events | Ìý | ||
No of Studies | Design | Limitations | Consistency | Generalizability to population of interest | Generalizability to intervention of interest | Intervention | Control | Risk Ratio |
Effectiveness against morbidity, Cholera Infection: Low-outcome-specific quality | ||||||||
RCT/Quasi | One study was a Quasi Experimental Design | All studies show consistent benefit | Results can be generalised to population in developing countries | Included WC and BS-WC oral vaccines | 63 | 75 | 0.48 [0.35, 0.64]a | |
O1 [5] | Case Control | Random model used | Ìý | Study was conducted in Mozambique | BS-WC vaccine | 2 | 22 | 0.18 (0.03, 1.08) |
Efficacy against morbidity, Cholera Infection: High-outcome-specific quality | ||||||||
RCT | Ìý | All studies show consistent benefit | Results can be generalised to population in developing countries | Included WC and CVD 103-HgR live oral Vaccines | 11 | 13 | 0.90 [0.40, 2.03]a | |
Efficacy/Effectiveness against morbidity- Cholera Infection (Various Types of vaccines) | ||||||||
RCT/Quasi | One study was a quasi-experimental design | Two studies showed significant impact | Results can be generalised to population in developing countries | WC Vaccines | 45 | 85 | 0.53 [0.36, 0.76]b | |
01 [32] | RCT | Only one study | Ìý | Study was conducted in Bangladesh | BS-WC Vaccines | 26 | 56 | 0.47 [0.30, 0.74] |
01 [29] | RCT | Only one study | Ìý | Study was conducted in Indonesia | CVD 103-HgR live oral | 03 | 03 | 1.00 [0.20, 5.00] |
Vibriocidal antibody: Low outcome-specific quality | ||||||||
RCT | None | Results from analysis significant. Five studies show benefit | All from Developing Countries | All Oral Vaccines | 503 | 234 | 2.24 (1.32, 3.80)b | |
RCT | Ìý | Two studies show benefit | All from Developing Countries | Oral Killed Vaccines | 202 | 205 | 0.97 [0.75, 1.25]b | |
RCT | Ìý | Three studies show significant benefit | All from Developing Countries | Oral Live Vaccines | 301 | 29 | 10.73 [1.94, 59.37]b | |
One or more Adverse effect: Low outcome-specific quality | ||||||||
RCT | None | significant results | All from developing countries | All Oral Vaccines | 132 | 91 | 1.42 (1.06, 1.89)a |