tetano
Editor, Senior Moderator
Vaccine. 2015 Sep 19. pii: S0264-410X(15)01292-X. doi: 10.1016/j.vaccine.2015.09.026. [Epub ahead of print]
[h=1]Vasculitis as an adverse event following immunization - Systematic literature review.[/h] Bonetto C[SUP]1[/SUP], Trotta F[SUP]2[/SUP], Felicetti P[SUP]2[/SUP], Santuccio C[SUP]2[/SUP], Bachtiar NS[SUP]3[/SUP], Pernus YB[SUP]4[/SUP], Chandler R[SUP]5[/SUP], Girolomoni G[SUP]6[/SUP], Hadden RD[SUP]7[/SUP], Kucuku M[SUP]8[/SUP], Ozen S[SUP]9[/SUP], Pahud B[SUP]10[/SUP], Top K[SUP]11[/SUP], Varricchio F[SUP]12[/SUP], Wise RP[SUP]13[/SUP], Zanoni G[SUP]14[/SUP], ?ivković S[SUP]15[/SUP], Bonhoeffer J[SUP]16[/SUP]; Brighton Collaboration Vasculitis Working Group.
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Several types of vasculitis have been observed and reported in temporal association with the administration of various vaccines. A systematic review of current evidence is lacking.
[h=4]OBJECTIVE:[/h] This systematic literature review aimed to assess available evidence and current reporting practice of vasculitides as adverse events following immunization (AEFI).
[h=4]METHODS:[/h] We reviewed the literature from 1st January 1994 to 30th June 2014. This review comprises randomized controlled trials, observational studies, case series, case reports, reviews and comments regardless of vaccine and target population.
[h=4]RESULTS:[/h] The initial search resulted in the identification of 6656 articles. Of these, 157 articles were assessed for eligibility and 75 studies were considered for analysis, including 6 retrospective/observational studies, 2 randomized controlled trials, 7 reviews, 11 case series, 46 case reports and 3 comments. Most of the larger, higher quality studies found no casual association between vaccination and subsequent development of vasculitis, including several studies on Kawasaki disease and Henoch-Sch?nlein purpura (IgA vasculitis). Smaller case series reported a few cases of vasculitis following BCG and vaccines against influenza and hepatitis. Only 24% of the articles reported using a case definition of vasculitis.
[h=4]CONCLUSIONS:[/h] Existing literature does not allow establishing a causative link between vaccination and vasculitides. Further investigations were strengthened by the use of standardized case definitions and methods for data collection, analysis and presentation to improve data comparability and interpretation of vasculitis cases following immunization.
Copyright ? 2015. Published by Elsevier Ltd.
[h=4]KEYWORDS:[/h] Adverse event following immunization (AEFI); Case definition; Immunization; Systematic review; Vaccine; Vasculitis
PMID: 26398442 [PubMed - as supplied by publisher]
[h=1]Vasculitis as an adverse event following immunization - Systematic literature review.[/h] Bonetto C[SUP]1[/SUP], Trotta F[SUP]2[/SUP], Felicetti P[SUP]2[/SUP], Santuccio C[SUP]2[/SUP], Bachtiar NS[SUP]3[/SUP], Pernus YB[SUP]4[/SUP], Chandler R[SUP]5[/SUP], Girolomoni G[SUP]6[/SUP], Hadden RD[SUP]7[/SUP], Kucuku M[SUP]8[/SUP], Ozen S[SUP]9[/SUP], Pahud B[SUP]10[/SUP], Top K[SUP]11[/SUP], Varricchio F[SUP]12[/SUP], Wise RP[SUP]13[/SUP], Zanoni G[SUP]14[/SUP], ?ivković S[SUP]15[/SUP], Bonhoeffer J[SUP]16[/SUP]; Brighton Collaboration Vasculitis Working Group.
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Several types of vasculitis have been observed and reported in temporal association with the administration of various vaccines. A systematic review of current evidence is lacking.
[h=4]OBJECTIVE:[/h] This systematic literature review aimed to assess available evidence and current reporting practice of vasculitides as adverse events following immunization (AEFI).
[h=4]METHODS:[/h] We reviewed the literature from 1st January 1994 to 30th June 2014. This review comprises randomized controlled trials, observational studies, case series, case reports, reviews and comments regardless of vaccine and target population.
[h=4]RESULTS:[/h] The initial search resulted in the identification of 6656 articles. Of these, 157 articles were assessed for eligibility and 75 studies were considered for analysis, including 6 retrospective/observational studies, 2 randomized controlled trials, 7 reviews, 11 case series, 46 case reports and 3 comments. Most of the larger, higher quality studies found no casual association between vaccination and subsequent development of vasculitis, including several studies on Kawasaki disease and Henoch-Sch?nlein purpura (IgA vasculitis). Smaller case series reported a few cases of vasculitis following BCG and vaccines against influenza and hepatitis. Only 24% of the articles reported using a case definition of vasculitis.
[h=4]CONCLUSIONS:[/h] Existing literature does not allow establishing a causative link between vaccination and vasculitides. Further investigations were strengthened by the use of standardized case definitions and methods for data collection, analysis and presentation to improve data comparability and interpretation of vasculitis cases following immunization.
Copyright ? 2015. Published by Elsevier Ltd.
[h=4]KEYWORDS:[/h] Adverse event following immunization (AEFI); Case definition; Immunization; Systematic review; Vaccine; Vasculitis
PMID: 26398442 [PubMed - as supplied by publisher]