Safety and Immunogenicity of Varicella Vaccination in Children and Adolescents Living With HIV: A Systematic Review.

Pediatr Infect Dis JMay 11, 2026 (epub)

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.

Source

Published in Pediatr Infect Dis J. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

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