Long-term immune responses to vaccination in HIV-infected patients: a systematic review and meta-analysis

S Kernéis, O Launay, C Turbelin… - Clinical infectious …, 2014 - academic.oup.com
S Kernéis, O Launay, C Turbelin, F Batteux, T Hanslik, PY Boëlle
Clinical infectious diseases, 2014academic.oup.com
Vaccine-induced antibodies may wane more quickly in persons living with human
immunodeficiency virus (HIV) than in healthy individuals. We reviewed the literature on
vaccines routinely recommended in HIV-infected patients to estimate how seroprotection
decreases over time in those who initially responded to immunization. For each study
retrieved from the literature, the decrease of seroprotection was modeled with a log binomial
generalized linear model, and data were pooled in a meta-analysis to provide estimates of …
Abstract
Vaccine-induced antibodies may wane more quickly in persons living with human immunodeficiency virus (HIV) than in healthy individuals. We reviewed the literature on vaccines routinely recommended in HIV-infected patients to estimate how seroprotection decreases over time in those who initially responded to immunization. For each study retrieved from the literature, the decrease of seroprotection was modeled with a log binomial generalized linear model, and data were pooled in a meta-analysis to provide estimates of seroprotection 2 and 5 years after the last vaccine administration. Our analyses confirmed that the duration of seroprotection was shorter in HIV-infected patients and that with current guidelines, a substantial proportion of patients would have lost protective antibodies before a booster was proposed. We therefore discuss the implications for the monitoring of antibody levels and timing of revaccination in these patients.
Oxford University Press