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Table 1 Studies of the effect of pneumococcal conjugates vaccines with meningitis outcomes.

From: The effect of Haemophilus influenzaetype B and pneumococcal conjugate vaccines on childhood meningitis mortality: a systematic review

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Quality Assessment

Directness

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Effect

No of studies

Doses

Design

Limitations

Consistency

Generalizability to Population of Interest

Generalizability to Intervention of Interest

Age range (months)

Events (control or pre-introduction)

Events (intervention or post-introduction)

Measure or Meta-estimate

All-cause meningitis morbidity: High -quality measure of outcome-specific mortality

1 [62]

3 doses

RCT

High quality-None major

Not applicable

moderate-Africa

moderate-1 vaccine (PCV-9)

1-30

8

7

0.87(0.32-2.41)

All-cause mortality

2 [62, 63]

1 dose

3 doses (goal)

RCT

High quality-None major

high-evidence of dose-response effect

high-Africa

moderate-1 vaccine (PCV-9)

1-30

389

242

330

229

0.90(0.80-1.01)

SP Meningitis, All-serotypes

2 [62, 63]

3 doses

3 doses (goal)

RCT

High quality-None major

high-consistent effect magnitude

high-Africa

moderate-1 vaccine (PCV-9)

1-30

17

6

19

5

0.88(0.47-1.62)

SP Meningitis, Vaccine-serotypes

2 [62, 63]

3 doses

3 doses (goal)

RCT

High quality-None major

moderate-consistent direction of effect

high-Africa

moderate-1 vaccine (PCV-9)

1-30

18

6

2

1

0.16(0.02-1.20)