BCG vaccination in patients with severe combined immunodeficiency: complications, risks, and vaccination policies

Autor: Renata Formankova, Nermeen Galal, Funda Erol Cipe, Tomohiro Morio, Francisco J. Espinosa-Rosales, Diana Liberatore, Nima Rezaei, Viviana Listello, Masafumi Yamada, Graham Davies, Gyan Joshi, Anna Shcherbina, Reem Elfeky, María I. Pereira, Vojtech Thon, Ryuta Nishikomori, Fabiola Scancetti Tavares, Oscar Porras, Jose Gonçalo Marques, Anete Sevciovic Grumach, I. Esteves, Liliana Bezrodnik, Shereen M. Reda, Yoshitoshi Ohtsuka, Danuta Kowalczyk, Luciana Cristina Matos Cunha, Jorge Pinto, Bénédicte Neven, José Luis Franco, Maria Marluce dos Santos Vilela, Beatriz Tavares Costa Carvalho, Salem Al-Tamemi, Zohreh Nademi, Tadashi Ariga, Pérsio Roxo, Leticia Hernandez-Nieto, Anna Szaflarska, M. Enriqueta Nuñez-Nuñez, Beatriz E. Marciano, Thomas A. Fleisher, Waleed Al-Herz, Alisan Yildiran, Sergio D. Rosenzweig, Yu-Lung Lau, Heike Toshio, Juliana Themudo Lessa Mazzucchelli, S. Kiliç, Chiung Yu Huang, Aydan Ikinciogullari, Carlos Torres-Lozano, Z. Allwood, Andrea C. Gómez Raccio, Mary Slatter, Sara Elva Espinosa-Padilla, Figen Dogu, Andrew R. Gennery, Julio Orellana
Přispěvatelé: OMÜ
Rok vydání: 2014
Předmět:
Male
Pediatrics
medicine.medical_treatment
Medicina Clínica
Comorbidity
Kaplan-Meier Estimate
Hematopoietic stem cell transplantation
vaccine
purl.org/becyt/ford/3.2 [https]
Prevalence
Immunology and Allergy
Medicine
BCG
Recombination-activating gene
hematopoietic stem cell transplant
education.field_of_study
Primary immunodeficiency
Mortality rate
Vaccination
Hematopoietic Stem Cell Transplantation
severe combined immunodeficiency
3. Good health
Child
Preschool

BCG Vaccine
Female
purl.org/becyt/ford/3 [https]
Medicina Critica y de Emergencia
medicine.symptom
Risk
medicine.medical_specialty
immune reconstitution syndrome
CIENCIAS MÉDICAS Y DE LA SALUD
mycobacteria
Immunology
Population
RECÉM-NASCIDO
complex mixtures
Asymptomatic
Article
IL-2 receptor g
Humans
education
Retrospective Studies
Severe combined immunodeficiency
business.industry
newborn screening
Infant
Newborn

Infant
medicine.disease
Surgery
Severe Combined Immunodeficiency
business
BCG vaccine
Zdroj: Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual)
Universidade de São Paulo (USP)
instacron:USP
Journal of Allergy and Clinical Immunology; Vol 133
CONICET Digital (CONICET)
Consejo Nacional de Investigaciones Científicas y Técnicas
instacron:CONICET
Popis: Ikinciogullari, Aydan/0000-0003-1145-0843; Pinto, Jorge A/0000-0003-2987-3238; Dogu, Figen/0000-0002-7869-4941; FRANCO, JOSE/0000-0001-5664-6415; Nishikomori, Ryuta/0000-0002-9407-6158; Al-Tamemi, Salem/0000-0002-7232-2629; Nishikomori, Ryuta/0000-0002-9407-6158; Rezaei, Nima/0000-0002-3836-1827; Roxo-Junior, Persio/0000-0001-6318-4132; Grumach, Anete/0000-0002-9803-0309; Morio, Tomohiro/0000-0002-9259-1025 WOS: 000333531700025 PubMed: 24679470 Background: Severe combined immunodeficiency (SCID) is a syndrome characterized by profound T-cell deficiency. BCG vaccine is contraindicated in patients with SCID. Because most countries encourage BCG vaccination at birth, a high percentage of patients with SCID are vaccinated before their immune defect is detected. Objectives: We sought to describe the complications and risks associated with BCG vaccination in patients with SCID. Methods: An extensive standardized questionnaire evaluating complications, therapeutics, and outcomes regarding BCG vaccination in patients given a diagnosis of SCID was widely distributed. Summary statistics and association analysis was performed. Results: Data on 349 BCG-vaccinated patients with SCID from 28 centers in 17 countries were analyzed. Fifty-one percent of the patients had BCG-associated complications, 34% disseminated and 17% localized (a 33,000- and 400-fold increase, respectively, over the general population). Patients receiving early vaccination (
Databáze: OpenAIRE