Immunogenicity and safety of human diploid cell vaccine (HDCV) vs. purified Vero cell vaccine (PVRV) vs. purified chick embryo cell vaccine (PCECV) used in post-exposure prophylaxis: a systematic review and meta-analysis

This study comprehensively evaluated and compared three human rabies vaccines. Seven electronic databases were systematically searched. The Cochrane Handbook v5.1.0 was used to assess the risk of bias. A random-effects model was used to combine individual rates, and network meta-analysis was used fo...

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Main Authors: Shi-Yuan Wang, Jin-Fang Sun, Pei Liu, Li Luo, Jing-Xin Li, Feng-Cai Zhu, Xu-Xiang Shen, Fan-Yue Meng
Format: Article
Language:English
Published: Taylor & Francis Group 2022-01-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2022.2027714
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author Shi-Yuan Wang
Jin-Fang Sun
Pei Liu
Li Luo
Jing-Xin Li
Feng-Cai Zhu
Xu-Xiang Shen
Fan-Yue Meng
author_facet Shi-Yuan Wang
Jin-Fang Sun
Pei Liu
Li Luo
Jing-Xin Li
Feng-Cai Zhu
Xu-Xiang Shen
Fan-Yue Meng
author_sort Shi-Yuan Wang
collection DOAJ
description This study comprehensively evaluated and compared three human rabies vaccines. Seven electronic databases were systematically searched. The Cochrane Handbook v5.1.0 was used to assess the risk of bias. A random-effects model was used to combine individual rates, and network meta-analysis was used for pairwise comparisons. Twenty-seven articles were included, with a total of 18,630 participants. The pooled incidence of the total adverse reaction to HDCV was significantly lower than that of PCECV. HDCV administration resulted in a lower incidence of local pain, fever, and weakness than purified Vero cell vaccine. HDCV caused a lower incidence of local pain and fever than PCECV. No significant difference was observed in terms of the seroconversion rate on day 7 or the rabies virus-neutralizing antibody titer on day 14. HDCV demonstrated superiority in terms of safety compared with the other two rabies vaccines, while the same was not observed in terms of immunogenicity.
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spelling doaj.art-5a36d49a729549ee92d57311fd0075192023-09-26T12:55:45ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2022-01-0118110.1080/21645515.2022.20277142027714Immunogenicity and safety of human diploid cell vaccine (HDCV) vs. purified Vero cell vaccine (PVRV) vs. purified chick embryo cell vaccine (PCECV) used in post-exposure prophylaxis: a systematic review and meta-analysisShi-Yuan Wang0Jin-Fang Sun1Pei Liu2Li Luo3Jing-Xin Li4Feng-Cai Zhu5Xu-Xiang Shen6Fan-Yue Meng7Southeast UniversitySoutheast UniversitySoutheast UniversitySoutheast UniversityJiangsu Provincial Center for Disease Control and PreventionSoutheast UniversitySoutheast UniversityJiangsu Provincial Center for Disease Control and PreventionThis study comprehensively evaluated and compared three human rabies vaccines. Seven electronic databases were systematically searched. The Cochrane Handbook v5.1.0 was used to assess the risk of bias. A random-effects model was used to combine individual rates, and network meta-analysis was used for pairwise comparisons. Twenty-seven articles were included, with a total of 18,630 participants. The pooled incidence of the total adverse reaction to HDCV was significantly lower than that of PCECV. HDCV administration resulted in a lower incidence of local pain, fever, and weakness than purified Vero cell vaccine. HDCV caused a lower incidence of local pain and fever than PCECV. No significant difference was observed in terms of the seroconversion rate on day 7 or the rabies virus-neutralizing antibody titer on day 14. HDCV demonstrated superiority in terms of safety compared with the other two rabies vaccines, while the same was not observed in terms of immunogenicity.http://dx.doi.org/10.1080/21645515.2022.2027714rabies vaccinespost-exposure prophylaxisimmunogenicityadverse reactionmeta-analysis
spellingShingle Shi-Yuan Wang
Jin-Fang Sun
Pei Liu
Li Luo
Jing-Xin Li
Feng-Cai Zhu
Xu-Xiang Shen
Fan-Yue Meng
Immunogenicity and safety of human diploid cell vaccine (HDCV) vs. purified Vero cell vaccine (PVRV) vs. purified chick embryo cell vaccine (PCECV) used in post-exposure prophylaxis: a systematic review and meta-analysis
Human Vaccines & Immunotherapeutics
rabies vaccines
post-exposure prophylaxis
immunogenicity
adverse reaction
meta-analysis
title Immunogenicity and safety of human diploid cell vaccine (HDCV) vs. purified Vero cell vaccine (PVRV) vs. purified chick embryo cell vaccine (PCECV) used in post-exposure prophylaxis: a systematic review and meta-analysis
title_full Immunogenicity and safety of human diploid cell vaccine (HDCV) vs. purified Vero cell vaccine (PVRV) vs. purified chick embryo cell vaccine (PCECV) used in post-exposure prophylaxis: a systematic review and meta-analysis
title_fullStr Immunogenicity and safety of human diploid cell vaccine (HDCV) vs. purified Vero cell vaccine (PVRV) vs. purified chick embryo cell vaccine (PCECV) used in post-exposure prophylaxis: a systematic review and meta-analysis
title_full_unstemmed Immunogenicity and safety of human diploid cell vaccine (HDCV) vs. purified Vero cell vaccine (PVRV) vs. purified chick embryo cell vaccine (PCECV) used in post-exposure prophylaxis: a systematic review and meta-analysis
title_short Immunogenicity and safety of human diploid cell vaccine (HDCV) vs. purified Vero cell vaccine (PVRV) vs. purified chick embryo cell vaccine (PCECV) used in post-exposure prophylaxis: a systematic review and meta-analysis
title_sort immunogenicity and safety of human diploid cell vaccine hdcv vs purified vero cell vaccine pvrv vs purified chick embryo cell vaccine pcecv used in post exposure prophylaxis a systematic review and meta analysis
topic rabies vaccines
post-exposure prophylaxis
immunogenicity
adverse reaction
meta-analysis
url http://dx.doi.org/10.1080/21645515.2022.2027714
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