Evidence map›Paper›PMID 38400097›Full record

ArticleVaccines2024

Association between COVID-19 Vaccination and SARS-CoV-2 Infection among Household Contacts of Infected Individuals: A Prospective Household Study in England.

Khitam Muhsen, Pauline A Waight, Freja Kirsebom, Nick Andrews, Louise Letley, Charlotte M Gower, Catriona Skarnes, Catherine Quinot, Rachel Lunt, Jamie Lopez Bernal and 2 more

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Khitam MuhsenDepartment of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medicine, Tel Aviv University, Tel Aviv 6139001, Israel.ORCID 0000-0003-1086-7559
Pauline A WaightUK Health Security Agency, 61 Colindale Avenue, London NW9 5EU, UK.
Freja KirsebomUK Health Security Agency, 61 Colindale Avenue, London NW9 5EU, UK.
Nick AndrewsUK Health Security Agency, 61 Colindale Avenue, London NW9 5EU, UK.
Louise LetleyUK Health Security Agency, 61 Colindale Avenue, London NW9 5EU, UK.
Charlotte M GowerUK Health Security Agency, 61 Colindale Avenue, London NW9 5EU, UK.
Catriona SkarnesUK Health Security Agency, 61 Colindale Avenue, London NW9 5EU, UK.
Catherine QuinotUK Health Security Agency, 61 Colindale Avenue, London NW9 5EU, UK.
Rachel LuntUK Health Security Agency, 61 Colindale Avenue, London NW9 5EU, UK.ORCID 0009-0009-7905-862X
Jamie Lopez BernalUK Health Security Agency, 61 Colindale Avenue, London NW9 5EU, UK.
Stefan FlascheLondon School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Elizabeth MillerLondon School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
UK Health Security Agency · GBUniversity of London · GBNIHR Imperial Biomedical Research Centre · GB

Funding

National Institute for Health Research Health Protection Research Unit in Immunisation NIHR200929Wellcome Trust 208812/Z/17/Z
6 · The paper itself

Abstract

backgroundWe investigated whether COVID-19 vaccination reduced SARS-CoV-2 infection risk among adult household contacts of COVID-19 index cases during the Alpha, Delta, and Omicron waves in England.

methodsBetween February 2021 and February 2022, SARS-CoV-2 RT-PCR nasal swabs were collected from COVID-19-confirmed index cases aged ≥20 years and their household contacts at enrolment and three and seven days thereafter. Generalized Estimating Equations models were fitted with SARS-CoV-2 positivity as the outcome and household contacts' vaccination status as the main exposure while adjusting for confounders.

resultsSARS-CoV-2 infection was confirmed in 238/472 household contacts (50.4%) aged ≥20 years. The adjusted relative risk (95% confidence interval) of infection in vaccinated versus unvaccinated household contacts was 0.50 (0.35-0.72) and 0.69 (0.53-0.90) for receipt of two doses 8-90 and >90 days ago, respectively, and 0.34 (0.23-0.50) for vaccination with three doses 8-151 days ago. Primary vaccination protected household contacts against infection during the Alpha and Delta waves, but only three doses protected during the Omicron wave. Vaccination with three doses in the index case independently reduced contacts' infection risk: 0.45 (0.23-0.89).

conclusionsVaccination of household contacts reduces their risk of infection under conditions of household exposure though, for Omicron, only after a booster dose.

Indexed as

alpha variantCOVID-19 vaccinationdelta varianthousehold transmissionomicron variant

Identifiers

PMID38400097
PMCPMC10892628
OpenAlexW4391211105

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.