23-Valent pneumococcal polysaccharide vaccine in HIV-infected Ugandan adults: 6-year follow-up of a clinical trial cohort

C. Watera, J. Nakiyingi, G. Miiro, R. Muwonge, J. A. G. Whitworth, C.F. Gilks, Neil French

Research output: Contribution to journalArticlepeer-review

65 Citations (Scopus)

Abstract

23-Valent pneumococcal polysaccharide vaccine was previously reported to be ineffective in HIV-infected Ugandan adults. Prolonged follow-up of trial participants confirmed a persistent excess of all-cause pneumonia in vaccine recipients [hazard ratio (HR) 1.6; 95% confidence interval (CI) 1.0-2.4], but surprisingly a survival advantage favouring vaccination (HR 0.84; CI 0.7-1.0). An explanation for the improvement in survival in the face of excess morbid events is lacking; a role for vaccine in HIV care in Africa remains unlikely.

Original languageEnglish
Pages (from-to)1210-1213
Number of pages4
JournalAIDS
Volume18
Issue number8
DOIs
Publication statusPublished - 21 May 2004

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