Safety and Immunogenicity of Varicella Vaccination in Children and Adolescents Living With HIV: A Systematic Review.
Mona Marin, Likhita Raparti, Jessica Leung et al.
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In 30 seconds
This systematic review evaluated the safety and immunogenicity of varicella vaccination in HIV-positive children. Analyzing 18 studies, it found that local reactions occurred in less than 21% of vaccinees after the first dose, with serious adverse events only in severely immunosuppressed individuals. Antibody responses were observed in 60%-79% after the second dose.
Key findings
- Local reactions occurred in <21% of vaccinees after dose 1 and <10% after dose 2.
- Serious adverse events were reported only in severely immunosuppressed children.
- Antibody response was seen in 60%-79% of HIV-positive vaccinees after dose 2.
- Cell-mediated immunity was detected in 67%-83% after dose 2.
Why it matters
Understanding the safety and immunogenicity of varicella vaccination in HIV-positive children is crucial for preventing varicella-zoster virus infections, which can lead to increased morbidity in this population. This information aids clinicians in making informed vaccination decisions.