Infant BCG vaccination and risk of pulmonary and extrapulmonary tuberculosis throughout the life course: a systematic review and individual participant data meta-analysis

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Autor(a) principal: Autoria Múltipla - ver em notas
Data de Publicação: 2022
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/55059
Resumo: AUTOR - Ana Cristina Carvalho . Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Inovações em Terapias, Educação e Bioprodutos. Rio de Janeiro, RJ, Brasil. AUTOR - Julia Croda. Fundação Oswaldo Cruz. Campo Grande, MS, Brasil / Universidade Federal do Mato Grosso do Sul. Campo Grande, MS, Brasil / Department of Epidemiology of Microbial Diseases, Yale School of Public Health. New Haven, CT, USA. OUTROS AUTORES: Leonardo Martinez, Olivia Cords, Qiao Liu, Carlos Acuna-Villaorduna, Maryline Bonnet, Greg J Fox, Anna Cristina C Carvalho, Pei-Chun Chan, Julio Croda, Philip C Hill, Elisa Lopez-Varela, Simon Donkor, Katherine Fielding, Stephen M Graham, Marcos A Espinal, Beate Kampmann, Arthur Reingold, Helena Huerga, Julian A Villalba, Louis Grandjean, Giovanni Sotgiu, Uzochukwu Egere, Sarman Singh, Limei Zhu, Christian Lienhardt, Justin T Denholm, James A Seddon, Christopher C Whalen, Alberto L García-Basteiro, Rina Triasih, Cheng Chen, Jitendra Singh, Li-Min Huang, Surendra Sharma, Djohar Hannoun, Helena del Corral, Anna M Mandalakas, LaShaunda L Malone, Du-Lin Ling, Afrânio Kritski, Catherine M Stein, Richa Vashishtha, Fadila Boulahbal, Chi-Tai Fang, W Henry Boom, Eduardo Martins Netto, Antonio Carlos Lemos, Anneke C Hesseling, Alexander Kay, Edward C Jones-López, C Robert Horsburgh, Christoph Lange, Jason R Andrews, Leonardo Martinez, Olivia Cords, Qiao Liu, Carlos Acuna-Villaorduna, Maryline Bonnet, Greg J Fox, Anna Cristina C Carvalho, Pei-Chun Chan, Julio Croda, Philip C Hill, Elisa Lopez-Varela, Simon Donkor, Katherine Fielding, Stephen M Graham, Marcos A Espinal, Beate Kampmann, Arthur Reingold, Helena Huerga, Julian A Villalba, Louis Grandjean, Giovanni Sotgiu, Uzochukwu Egere, Sarman Singh, Limei Zhu, Christian Lienhardt, Justin T Denholm, James A Seddon, Christopher C Whalen, Alberto L García-Basteiro, Rina Triasih, Cheng Chen, Jitendra Singh, Li-Min Huang, Surendra Sharma, Djohar Hannoun, Helena del Corral, Anna M Mandalakas, LaShaunda L Malone, Du-Lin Ling, Afrânio Kritski, Catherine M Stein, Richa Vashishtha, Fadila Boulahbal, Chi-Tai Fang, W Henry Boom, Eduardo Martins Netto, Antonio Carlos Lemos, Anneke C Hesseling, Alexander Kay, Edward C Jones-López, C Robert Horsburgh, Christoph Lange, Jason R AndrewsLeonardo Martinez, Olivia Cords, Qiao Liu, Carlos Acuna-Villaorduna, Maryline Bonnet, Greg J Fox, Anna Cristina C Carvalho, Pei-Chun Chan, Julio Croda, Philip C Hill, Elisa Lopez-Varela, Simon Donkor, Katherine Fielding, Stephen M Graham, Marcos A Espinal, Beate Kampmann, Arthur Reingold, Helena Huerga, Julian A Villalba, Louis Grandjean, Giovanni Sotgiu, Uzochukwu Egere, Sarman Singh, Limei Zhu, Christian Lienhardt, Justin T Denholm, James A Seddon, Christopher C Whalen, Alberto L García-Basteiro, Rina Triasih, Cheng Chen, Jitendra Singh, Li-Min Huang, Surendra Sharma, Djohar Hannoun, Helena del Corral, Anna M Mandalakas, LaShaunda L Malone, Du-Lin Ling, Afrânio Kritski, Catherine M Stein, Richa Vashishtha, Fadila Boulahbal, Chi-Tai Fang, W Henry Boom, Eduardo Martins Netto, Antonio Carlos Lemos, Anneke C Hesseling, Alexander Kay, Edward C Jones-López, C Robert Horsburgh, Christoph Lange, Jason R Andrews.Leonardo Martinez, Olivia Cords, Qiao Liu, Carlos Acuna-Villaorduna, Maryline Bonnet, Greg J Fox, Anna Cristina C Carvalho, Pei-Chun Chan, Julio Croda, Philip C Hill, Elisa Lopez-Varela, Simon Donkor, Katherine Fielding, Stephen M Graham, Marcos A Espinal, Beate Kampmann, Arthur Reingold, Helena Huerga, Julian A Villalba, Louis Grandjean, Giovanni Sotgiu, Uzochukwu Egere, Sarman Singh, Limei Zhu, Christian Lienhardt, Justin T Denholm, James A Seddon, Christopher C Whalen, Alberto L García-Basteiro, Rina Triasih, Cheng Chen, Jitendra Singh, Li-Min Huang, Surendra Sharma, Djohar Hannoun, Helena del Corral, Anna M Mandalakas, LaShaunda L Malone, Du-Lin Ling, Afrânio Kritski, Catherine M Stein, Richa Vashishtha, Fadila Boulahbal, Chi-Tai Fang, W Henry Boom, Eduardo Martins Netto, Antonio Carlos Lemos, Anneke C Hesseling, Alexander Kay, Edward C Jones-López, C Robert Horsburgh, Christoph Lange, Jason R Andrews. AUTORES E AFILIAÇÕES: Department of Epidemiology, School of Public Health, Boston University, Boston, MA, USA (L Martinez PhD, Prof C R Horsburgh MD); Center for Animal Disease Modeling and Surveillance, School of Veterinary Medicine, University of California, Davis, Davis, CA, USA (O Cords MS); Department of Chronic Communicable Disease, Center for Disease Control and Prevention of Jiangsu Province, Nanjing, China (Q Liu PhD, L Zhu MSc, C Chen PhD); Section of Infectious Diseases, Department of Medicine, Boston University Medical Center, Boston, MA, USA (C Acuna-Villaorduna MD); Université de Montpellier, IRD, INSERM, TransVIHMI, Montpellier, France (M Bonnet MD, Prof C Lienhardt MD); Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia (G J Fox PhD); Woolcock Institute of Medical Research, Glebe, NSW, Australia (G J Fox); Laboratory of Innovations in Therapies, Education and Bioproducts, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil (A C C Carvalho MD); Division of Chronic Infectious Disease (P-C Chan MD) and Taichung Regional Center (D-L Ling MSc), Taiwan Centers for Disease Control, Taipei, Taiwan; Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan (P-C Chan, Prof L-M Huang MD); Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan (P-C Chan, Prof C-T Fang MD); Oswaldo Cruz Foundation Mato Grosso do Sul, Campo Grande, Brazil (Prof J Croda MD); Federal University of Mato Grosso do Sul, Campo Grande, Brazil (Prof J Croda); Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA (Prof J Croda); Centre for International Health, Division of Health Sciences, University of Otago, Dunedin, New Zealand (Prof P C Hill MD); Centro de Investigação em Saúde de Manhiça, Maputo, Mozambique (E Lopez-Varela MD, A L García-Basteiro MD); ISGlobal, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain (E Lopez-Varela, A L García-Basteiro); Vaccines and Immunity Theme, Medical Research Council Unit The Gambia, Banjul, The Gambia (Prof B Kampmann PhD, S Donkor MSc); Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK (Prof K Fielding PhD, Prof C Lienhardt); Centre for International Health, University of Melbourne Department of Paediatrics and Murdoch Children’s Research Institute, Royal Children’s Hospital, Melbourne, VIC, Australia (Prof S M Graham MD); Communicable Diseases and Environmental Determinants of Health, Pan American Health Organization, Washington, DC, USA (M A Espinal MD); Division of Epidemiology, University of California, Berkeley, Berkeley, CA, USA (Prof A Reingold MD); Epicentre, Paris, France (H Huerga MD); Laboratorio de Tuberculosis, Instituto de Biomedicina, Universidad Central de Venezuela, Caracas, Venezuela (J A Villalba MD); Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. (J A Villalba); Department of Infection, Inflammation and Immunity, Institute of Child Health, University College London, London, UK (L Grandjean MD); Clinical Epidemiology and Medical Statistics Unit, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy (Prof G Sotgiu MD); Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK (U Egere PhD); Department of Microbiology (Prof S Singh MD, J Singh PhD) and Translational Medicine Centre (J Singh), All India Institute of Medical Sciences, Bhopal, India; Victorian Tuberculosis Program, Melbourne Health, Melbourne, VIC, Australia (J T Denholm MD); Department of Infectious Diseases, Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, VIC, Australia (J T Denholm); Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa (J A Seddon MD, A C Hesseling MD); Department of Epidemiology and Biostatistics, College of Public Health (Prof C C Whalen MD) and Global Health Institute (Prof C C Whalen), University of Georgia, Athens, GA, USA; Department of Pediatrics, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada and Dr. Sardjito Hospital, Yogyakarta, Indonesia (R Triasih PhD); Department of Molecular Medicine, Jamia Hamdard Institute of Molecular Medicine, New Delhi, India (Prof S Sharma MD); Department of General Medicine (Prof S Sharma) and Department of Respiratory Medicine (Prof S Sharma), Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India; Department of Information, National Institute of Public Health, Algiers, Algeria (Prof D Hannoun MD); Grupo de Inmunología Celulare Inmunogenética, Facultad de Medicina, Sede de Investigación Universitaria (H del Corral PhD) and Grupo de Epidemiologıa (H del Corral), Universidad de Antioquia, Medellin, Colombia; The Global TB Program, Texas Children’s Hospital, Houston, TX, USA (Prof A M Mandalakas MD, A Kay MD); Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA (Prof A M Mandalakas, A Kay, Prof C Lange MD); Uganda- CWRU Research Collaboration, Kampala, Uganda (L L Malone MSPH, C M Stein PhD, Prof W H Boom MD); Tuberculosis Academic Program, Medical School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Prof A Kritski PhD); Tuberculosis Research Unit, Case Western Reserve University, Cleveland, OH, USA (C M Stein, Prof W H Boom); Department of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA (C M Stein, Prof W H Boom, L L Malone); Groupe de recherche sur la tuberculose latente, Laboratoire National de Référence pour la Tuberculose, Institut Pasteur d’Algérie, Algiers, Algeria (F Boulahbal MD); Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan (Prof C-T Fang); Medicine Department, University Hospital Professor Edgard Santos, Federal University of Bahia, Salvador, Brazil (E M Netto MD, Prof A C Lemos MD); Division of Clinical Infectious Diseases, Medical Clinic, Research Center Borstel, Borstel, Germany (Prof C Lange, Prof A M Mandalakas); Respiratory Medicine and International Health, University of Lübeck, Lübeck, Germany (Prof C Lange); Tuberculosis Unit, German Center for Infection Research, Borstel, Germany (Prof C Lange, Prof A M Mandalakas); Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, CA, USA (J R Andrews MD); Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA (J A Villalba); Department of Infectious Disease, Imperial College London, London, UK (J A Seddon); Centro de Investigación Biomédica en Red de Enfermedades Infecciosas. Barcelona, Spain (A L García-Basteiro); Department of Internal Medicine (R Vashishtha PhD) and Department of Laboratory Medicine (Prof S Singh, J Singh), All India Institute of Medical Sciences, New Delhi, India; Division of Infectious Diseases, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA (E C Jones-López MD); Medical Science and Engineering Research Centre, Indian Institute of Science Education and Research, Bhopal, India (Prof S Singh) Correspondence to: Leonardo Martinez, Department of Epidemiology, School of Public Health, Boston University, Boston, MA 02118, USA leomarti@bu.edu See Online for appendix.
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spelling Autoria Múltipla - ver em notas2022-10-10T11:41:24Z2022-10-10T11:41:24Z2022MARTINEZ, Leonardo et al. Infant BCG vaccination and risk of pulmonary and extrapulmonary tuberculosis throughout the life course: a systematic review and individual participant data meta-analysis. Lancet Glob Health, v. 10, e1307-16, p. 1 - 10, 2022.2214-109Xhttps://www.arca.fiocruz.br/handle/icict/55059AUTOR - Ana Cristina Carvalho . Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Inovações em Terapias, Educação e Bioprodutos. Rio de Janeiro, RJ, Brasil. AUTOR - Julia Croda. Fundação Oswaldo Cruz. Campo Grande, MS, Brasil / Universidade Federal do Mato Grosso do Sul. Campo Grande, MS, Brasil / Department of Epidemiology of Microbial Diseases, Yale School of Public Health. New Haven, CT, USA. OUTROS AUTORES: Leonardo Martinez, Olivia Cords, Qiao Liu, Carlos Acuna-Villaorduna, Maryline Bonnet, Greg J Fox, Anna Cristina C Carvalho, Pei-Chun Chan, Julio Croda, Philip C Hill, Elisa Lopez-Varela, Simon Donkor, Katherine Fielding, Stephen M Graham, Marcos A Espinal, Beate Kampmann, Arthur Reingold, Helena Huerga, Julian A Villalba, Louis Grandjean, Giovanni Sotgiu, Uzochukwu Egere, Sarman Singh, Limei Zhu, Christian Lienhardt, Justin T Denholm, James A Seddon, Christopher C Whalen, Alberto L García-Basteiro, Rina Triasih, Cheng Chen, Jitendra Singh, Li-Min Huang, Surendra Sharma, Djohar Hannoun, Helena del Corral, Anna M Mandalakas, LaShaunda L Malone, Du-Lin Ling, Afrânio Kritski, Catherine M Stein, Richa Vashishtha, Fadila Boulahbal, Chi-Tai Fang, W Henry Boom, Eduardo Martins Netto, Antonio Carlos Lemos, Anneke C Hesseling, Alexander Kay, Edward C Jones-López, C Robert Horsburgh, Christoph Lange, Jason R Andrews, Leonardo Martinez, Olivia Cords, Qiao Liu, Carlos Acuna-Villaorduna, Maryline Bonnet, Greg J Fox, Anna Cristina C Carvalho, Pei-Chun Chan, Julio Croda, Philip C Hill, Elisa Lopez-Varela, Simon Donkor, Katherine Fielding, Stephen M Graham, Marcos A Espinal, Beate Kampmann, Arthur Reingold, Helena Huerga, Julian A Villalba, Louis Grandjean, Giovanni Sotgiu, Uzochukwu Egere, Sarman Singh, Limei Zhu, Christian Lienhardt, Justin T Denholm, James A Seddon, Christopher C Whalen, Alberto L García-Basteiro, Rina Triasih, Cheng Chen, Jitendra Singh, Li-Min Huang, Surendra Sharma, Djohar Hannoun, Helena del Corral, Anna M Mandalakas, LaShaunda L Malone, Du-Lin Ling, Afrânio Kritski, Catherine M Stein, Richa Vashishtha, Fadila Boulahbal, Chi-Tai Fang, W Henry Boom, Eduardo Martins Netto, Antonio Carlos Lemos, Anneke C Hesseling, Alexander Kay, Edward C Jones-López, C Robert Horsburgh, Christoph Lange, Jason R AndrewsLeonardo Martinez, Olivia Cords, Qiao Liu, Carlos Acuna-Villaorduna, Maryline Bonnet, Greg J Fox, Anna Cristina C Carvalho, Pei-Chun Chan, Julio Croda, Philip C Hill, Elisa Lopez-Varela, Simon Donkor, Katherine Fielding, Stephen M Graham, Marcos A Espinal, Beate Kampmann, Arthur Reingold, Helena Huerga, Julian A Villalba, Louis Grandjean, Giovanni Sotgiu, Uzochukwu Egere, Sarman Singh, Limei Zhu, Christian Lienhardt, Justin T Denholm, James A Seddon, Christopher C Whalen, Alberto L García-Basteiro, Rina Triasih, Cheng Chen, Jitendra Singh, Li-Min Huang, Surendra Sharma, Djohar Hannoun, Helena del Corral, Anna M Mandalakas, LaShaunda L Malone, Du-Lin Ling, Afrânio Kritski, Catherine M Stein, Richa Vashishtha, Fadila Boulahbal, Chi-Tai Fang, W Henry Boom, Eduardo Martins Netto, Antonio Carlos Lemos, Anneke C Hesseling, Alexander Kay, Edward C Jones-López, C Robert Horsburgh, Christoph Lange, Jason R Andrews.Leonardo Martinez, Olivia Cords, Qiao Liu, Carlos Acuna-Villaorduna, Maryline Bonnet, Greg J Fox, Anna Cristina C Carvalho, Pei-Chun Chan, Julio Croda, Philip C Hill, Elisa Lopez-Varela, Simon Donkor, Katherine Fielding, Stephen M Graham, Marcos A Espinal, Beate Kampmann, Arthur Reingold, Helena Huerga, Julian A Villalba, Louis Grandjean, Giovanni Sotgiu, Uzochukwu Egere, Sarman Singh, Limei Zhu, Christian Lienhardt, Justin T Denholm, James A Seddon, Christopher C Whalen, Alberto L García-Basteiro, Rina Triasih, Cheng Chen, Jitendra Singh, Li-Min Huang, Surendra Sharma, Djohar Hannoun, Helena del Corral, Anna M Mandalakas, LaShaunda L Malone, Du-Lin Ling, Afrânio Kritski, Catherine M Stein, Richa Vashishtha, Fadila Boulahbal, Chi-Tai Fang, W Henry Boom, Eduardo Martins Netto, Antonio Carlos Lemos, Anneke C Hesseling, Alexander Kay, Edward C Jones-López, C Robert Horsburgh, Christoph Lange, Jason R Andrews. AUTORES E AFILIAÇÕES: Department of Epidemiology, School of Public Health, Boston University, Boston, MA, USA (L Martinez PhD, Prof C R Horsburgh MD); Center for Animal Disease Modeling and Surveillance, School of Veterinary Medicine, University of California, Davis, Davis, CA, USA (O Cords MS); Department of Chronic Communicable Disease, Center for Disease Control and Prevention of Jiangsu Province, Nanjing, China (Q Liu PhD, L Zhu MSc, C Chen PhD); Section of Infectious Diseases, Department of Medicine, Boston University Medical Center, Boston, MA, USA (C Acuna-Villaorduna MD); Université de Montpellier, IRD, INSERM, TransVIHMI, Montpellier, France (M Bonnet MD, Prof C Lienhardt MD); Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia (G J Fox PhD); Woolcock Institute of Medical Research, Glebe, NSW, Australia (G J Fox); Laboratory of Innovations in Therapies, Education and Bioproducts, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil (A C C Carvalho MD); Division of Chronic Infectious Disease (P-C Chan MD) and Taichung Regional Center (D-L Ling MSc), Taiwan Centers for Disease Control, Taipei, Taiwan; Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan (P-C Chan, Prof L-M Huang MD); Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan (P-C Chan, Prof C-T Fang MD); Oswaldo Cruz Foundation Mato Grosso do Sul, Campo Grande, Brazil (Prof J Croda MD); Federal University of Mato Grosso do Sul, Campo Grande, Brazil (Prof J Croda); Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA (Prof J Croda); Centre for International Health, Division of Health Sciences, University of Otago, Dunedin, New Zealand (Prof P C Hill MD); Centro de Investigação em Saúde de Manhiça, Maputo, Mozambique (E Lopez-Varela MD, A L García-Basteiro MD); ISGlobal, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain (E Lopez-Varela, A L García-Basteiro); Vaccines and Immunity Theme, Medical Research Council Unit The Gambia, Banjul, The Gambia (Prof B Kampmann PhD, S Donkor MSc); Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK (Prof K Fielding PhD, Prof C Lienhardt); Centre for International Health, University of Melbourne Department of Paediatrics and Murdoch Children’s Research Institute, Royal Children’s Hospital, Melbourne, VIC, Australia (Prof S M Graham MD); Communicable Diseases and Environmental Determinants of Health, Pan American Health Organization, Washington, DC, USA (M A Espinal MD); Division of Epidemiology, University of California, Berkeley, Berkeley, CA, USA (Prof A Reingold MD); Epicentre, Paris, France (H Huerga MD); Laboratorio de Tuberculosis, Instituto de Biomedicina, Universidad Central de Venezuela, Caracas, Venezuela (J A Villalba MD); Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. (J A Villalba); Department of Infection, Inflammation and Immunity, Institute of Child Health, University College London, London, UK (L Grandjean MD); Clinical Epidemiology and Medical Statistics Unit, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy (Prof G Sotgiu MD); Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK (U Egere PhD); Department of Microbiology (Prof S Singh MD, J Singh PhD) and Translational Medicine Centre (J Singh), All India Institute of Medical Sciences, Bhopal, India; Victorian Tuberculosis Program, Melbourne Health, Melbourne, VIC, Australia (J T Denholm MD); Department of Infectious Diseases, Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, VIC, Australia (J T Denholm); Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa (J A Seddon MD, A C Hesseling MD); Department of Epidemiology and Biostatistics, College of Public Health (Prof C C Whalen MD) and Global Health Institute (Prof C C Whalen), University of Georgia, Athens, GA, USA; Department of Pediatrics, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada and Dr. Sardjito Hospital, Yogyakarta, Indonesia (R Triasih PhD); Department of Molecular Medicine, Jamia Hamdard Institute of Molecular Medicine, New Delhi, India (Prof S Sharma MD); Department of General Medicine (Prof S Sharma) and Department of Respiratory Medicine (Prof S Sharma), Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India; Department of Information, National Institute of Public Health, Algiers, Algeria (Prof D Hannoun MD); Grupo de Inmunología Celulare Inmunogenética, Facultad de Medicina, Sede de Investigación Universitaria (H del Corral PhD) and Grupo de Epidemiologıa (H del Corral), Universidad de Antioquia, Medellin, Colombia; The Global TB Program, Texas Children’s Hospital, Houston, TX, USA (Prof A M Mandalakas MD, A Kay MD); Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA (Prof A M Mandalakas, A Kay, Prof C Lange MD); Uganda- CWRU Research Collaboration, Kampala, Uganda (L L Malone MSPH, C M Stein PhD, Prof W H Boom MD); Tuberculosis Academic Program, Medical School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Prof A Kritski PhD); Tuberculosis Research Unit, Case Western Reserve University, Cleveland, OH, USA (C M Stein, Prof W H Boom); Department of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA (C M Stein, Prof W H Boom, L L Malone); Groupe de recherche sur la tuberculose latente, Laboratoire National de Référence pour la Tuberculose, Institut Pasteur d’Algérie, Algiers, Algeria (F Boulahbal MD); Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan (Prof C-T Fang); Medicine Department, University Hospital Professor Edgard Santos, Federal University of Bahia, Salvador, Brazil (E M Netto MD, Prof A C Lemos MD); Division of Clinical Infectious Diseases, Medical Clinic, Research Center Borstel, Borstel, Germany (Prof C Lange, Prof A M Mandalakas); Respiratory Medicine and International Health, University of Lübeck, Lübeck, Germany (Prof C Lange); Tuberculosis Unit, German Center for Infection Research, Borstel, Germany (Prof C Lange, Prof A M Mandalakas); Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, CA, USA (J R Andrews MD); Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA (J A Villalba); Department of Infectious Disease, Imperial College London, London, UK (J A Seddon); Centro de Investigación Biomédica en Red de Enfermedades Infecciosas. Barcelona, Spain (A L García-Basteiro); Department of Internal Medicine (R Vashishtha PhD) and Department of Laboratory Medicine (Prof S Singh, J Singh), All India Institute of Medical Sciences, New Delhi, India; Division of Infectious Diseases, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA (E C Jones-López MD); Medical Science and Engineering Research Centre, Indian Institute of Science Education and Research, Bhopal, India (Prof S Singh) Correspondence to: Leonardo Martinez, Department of Epidemiology, School of Public Health, Boston University, Boston, MA 02118, USA leomarti@bu.edu See Online for appendix.Múltipla - ver em notasBackground BCG vaccines are given to more than 100 million children every year, but there is considerable debate regarding the effectiveness of BCG vaccination in preventing tuberculosis and death, particularly among older children and adults. We therefore aimed to investigate the age-specific impact of infant BCG vaccination on tuberculosis (pulmonary and extrapulmonary) development and mortality. Methods In this systematic review and individual participant data meta-analysis, we searched MEDLINE, Web of Science, BIOSIS, and Embase without language restrictions for case-contact cohort studies of tuberculosis contacts published between Jan 1, 1998, and April 7, 2018. Search terms included “mycobacterium tuberculosis”, “TB”, “tuberculosis”, and “contact”. We excluded cohort studies that did not provide information on BCG vaccination or were done in countries that did not recommend BCG vaccination at birth. Individual-level participant data for a prespecified list of variables, including the characteristics of the exposed participant (contact), the index case, and the environment, were requested from authors of all eligible studies. Our primary outcome was a composite of prevalent (diagnosed at or within 90 days of baseline) and incident (diagnosed more than 90 days after baseline) tuberculosis in contacts exposed to tuberculosis. Secondary outcomes were pulmonary tuberculosis, extrapulmonary tuberculosis, and mortality. We derived adjusted odds ratios (aORs) using mixed-effects, binary, multivariable logistic regression analyses with study-level random effects, adjusting for the variable of interest, baseline age, sex, previous tuberculosis, and whether data were collected prospectively or retrospectively. We stratified our results by contact age and Mycobacterium tuberculosis infection status. This study is registered with PROSPERO, CRD42020180512.. Findings We identified 14 927 original records from our database searches. We included participant-level data from 26 cohort studies done in 17 countries in our meta-analysis. Among 68 552 participants, 1782 (2·6%) developed tuberculosis (1309 [2·6%] of 49 686 BCG-vaccinated participants vs 473 [2·5%] of 18 866 unvaccinated participants). The overall effectiveness of BCG vaccination against all tuberculosis was 18% (aOR 0·82, 95% CI 0·74–0·91). When stratified by age, BCG vaccination only significantly protected against all tuberculosis in children younger than 5 years (aOR 0·63, 95% CI 0·49–0·81). Among contacts with a positive tuberculin skin test or IFNγ release assay, BCG vaccination significantly protected against tuberculosis among all participants (aOR 0·81, 95% CI 0·69–0·96), participants younger than 5 years (0·68, 0·47–0·97), and participants aged 5–9 years (0·62, 0·38–0·99). There was no protective effect among those with negative tests, unless they were younger than 5 years (0·54, 0·32–0·90). 14 cohorts reported on whether tuberculosis was pulmonary or extrapulmonary (n=57 421). BCG vaccination significantly protected against pulmonary tuberculosis among all participants (916 [2·2%] in 41 119 vaccinated participants vs 334 [2·1%] in 16 161 unvaccinated participants; aOR 0·81, 0·70–0·94) but not against extrapulmonary tuberculosis (106 [0·3%] in 40 318 vaccinated participants vs 38 [0·2%] in 15 865 unvaccinated participants; 0·96, 0·65–1·41). In the four studies with mortality data, BCG vaccination was significantly protective against death (0·25, 0·13–0·49). Interpretation Our results suggest that BCG vaccination at birth is effective at preventing tuberculosis in young children but is ineffective in adolescents and adults. Immunoprotection therefore needs to be boosted in older populations.engElsevierVacinação infantil com BCGRisco de doenças pulmonaresTuberculose extrapulmonarRevisão sistemáticaDados de participantes individuaisMeta-análiseInfant BCG vaccinationExtrapulmonary tuberculosisSystematic reviewIndividual participant dataMeta-analysisRisk of pulmonary diseasesInfant BCG vaccination and risk of pulmonary and extrapulmonary tuberculosis throughout the life course: a systematic review and individual participant data meta-analysisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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dc.title.en_US.fl_str_mv Infant BCG vaccination and risk of pulmonary and extrapulmonary tuberculosis throughout the life course: a systematic review and individual participant data meta-analysis
title Infant BCG vaccination and risk of pulmonary and extrapulmonary tuberculosis throughout the life course: a systematic review and individual participant data meta-analysis
spellingShingle Infant BCG vaccination and risk of pulmonary and extrapulmonary tuberculosis throughout the life course: a systematic review and individual participant data meta-analysis
Autoria Múltipla - ver em notas
Vacinação infantil com BCG
Risco de doenças pulmonares
Tuberculose extrapulmonar
Revisão sistemática
Dados de participantes individuais
Meta-análise
Infant BCG vaccination
Extrapulmonary tuberculosis
Systematic review
Individual participant data
Meta-analysis
Risk of pulmonary diseases
title_short Infant BCG vaccination and risk of pulmonary and extrapulmonary tuberculosis throughout the life course: a systematic review and individual participant data meta-analysis
title_full Infant BCG vaccination and risk of pulmonary and extrapulmonary tuberculosis throughout the life course: a systematic review and individual participant data meta-analysis
title_fullStr Infant BCG vaccination and risk of pulmonary and extrapulmonary tuberculosis throughout the life course: a systematic review and individual participant data meta-analysis
title_full_unstemmed Infant BCG vaccination and risk of pulmonary and extrapulmonary tuberculosis throughout the life course: a systematic review and individual participant data meta-analysis
title_sort Infant BCG vaccination and risk of pulmonary and extrapulmonary tuberculosis throughout the life course: a systematic review and individual participant data meta-analysis
author Autoria Múltipla - ver em notas
author_facet Autoria Múltipla - ver em notas
author_role author
dc.contributor.author.fl_str_mv Autoria Múltipla - ver em notas
dc.subject.other.en_US.fl_str_mv Vacinação infantil com BCG
Risco de doenças pulmonares
Tuberculose extrapulmonar
Revisão sistemática
Dados de participantes individuais
Meta-análise
topic Vacinação infantil com BCG
Risco de doenças pulmonares
Tuberculose extrapulmonar
Revisão sistemática
Dados de participantes individuais
Meta-análise
Infant BCG vaccination
Extrapulmonary tuberculosis
Systematic review
Individual participant data
Meta-analysis
Risk of pulmonary diseases
dc.subject.en.en_US.fl_str_mv Infant BCG vaccination
Extrapulmonary tuberculosis
Systematic review
Individual participant data
Meta-analysis
Risk of pulmonary diseases
description AUTOR - Ana Cristina Carvalho . Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Inovações em Terapias, Educação e Bioprodutos. Rio de Janeiro, RJ, Brasil. AUTOR - Julia Croda. Fundação Oswaldo Cruz. Campo Grande, MS, Brasil / Universidade Federal do Mato Grosso do Sul. Campo Grande, MS, Brasil / Department of Epidemiology of Microbial Diseases, Yale School of Public Health. New Haven, CT, USA. OUTROS AUTORES: Leonardo Martinez, Olivia Cords, Qiao Liu, Carlos Acuna-Villaorduna, Maryline Bonnet, Greg J Fox, Anna Cristina C Carvalho, Pei-Chun Chan, Julio Croda, Philip C Hill, Elisa Lopez-Varela, Simon Donkor, Katherine Fielding, Stephen M Graham, Marcos A Espinal, Beate Kampmann, Arthur Reingold, Helena Huerga, Julian A Villalba, Louis Grandjean, Giovanni Sotgiu, Uzochukwu Egere, Sarman Singh, Limei Zhu, Christian Lienhardt, Justin T Denholm, James A Seddon, Christopher C Whalen, Alberto L García-Basteiro, Rina Triasih, Cheng Chen, Jitendra Singh, Li-Min Huang, Surendra Sharma, Djohar Hannoun, Helena del Corral, Anna M Mandalakas, LaShaunda L Malone, Du-Lin Ling, Afrânio Kritski, Catherine M Stein, Richa Vashishtha, Fadila Boulahbal, Chi-Tai Fang, W Henry Boom, Eduardo Martins Netto, Antonio Carlos Lemos, Anneke C Hesseling, Alexander Kay, Edward C Jones-López, C Robert Horsburgh, Christoph Lange, Jason R Andrews, Leonardo Martinez, Olivia Cords, Qiao Liu, Carlos Acuna-Villaorduna, Maryline Bonnet, Greg J Fox, Anna Cristina C Carvalho, Pei-Chun Chan, Julio Croda, Philip C Hill, Elisa Lopez-Varela, Simon Donkor, Katherine Fielding, Stephen M Graham, Marcos A Espinal, Beate Kampmann, Arthur Reingold, Helena Huerga, Julian A Villalba, Louis Grandjean, Giovanni Sotgiu, Uzochukwu Egere, Sarman Singh, Limei Zhu, Christian Lienhardt, Justin T Denholm, James A Seddon, Christopher C Whalen, Alberto L García-Basteiro, Rina Triasih, Cheng Chen, Jitendra Singh, Li-Min Huang, Surendra Sharma, Djohar Hannoun, Helena del Corral, Anna M Mandalakas, LaShaunda L Malone, Du-Lin Ling, Afrânio Kritski, Catherine M Stein, Richa Vashishtha, Fadila Boulahbal, Chi-Tai Fang, W Henry Boom, Eduardo Martins Netto, Antonio Carlos Lemos, Anneke C Hesseling, Alexander Kay, Edward C Jones-López, C Robert Horsburgh, Christoph Lange, Jason R AndrewsLeonardo Martinez, Olivia Cords, Qiao Liu, Carlos Acuna-Villaorduna, Maryline Bonnet, Greg J Fox, Anna Cristina C Carvalho, Pei-Chun Chan, Julio Croda, Philip C Hill, Elisa Lopez-Varela, Simon Donkor, Katherine Fielding, Stephen M Graham, Marcos A Espinal, Beate Kampmann, Arthur Reingold, Helena Huerga, Julian A Villalba, Louis Grandjean, Giovanni Sotgiu, Uzochukwu Egere, Sarman Singh, Limei Zhu, Christian Lienhardt, Justin T Denholm, James A Seddon, Christopher C Whalen, Alberto L García-Basteiro, Rina Triasih, Cheng Chen, Jitendra Singh, Li-Min Huang, Surendra Sharma, Djohar Hannoun, Helena del Corral, Anna M Mandalakas, LaShaunda L Malone, Du-Lin Ling, Afrânio Kritski, Catherine M Stein, Richa Vashishtha, Fadila Boulahbal, Chi-Tai Fang, W Henry Boom, Eduardo Martins Netto, Antonio Carlos Lemos, Anneke C Hesseling, Alexander Kay, Edward C Jones-López, C Robert Horsburgh, Christoph Lange, Jason R Andrews.Leonardo Martinez, Olivia Cords, Qiao Liu, Carlos Acuna-Villaorduna, Maryline Bonnet, Greg J Fox, Anna Cristina C Carvalho, Pei-Chun Chan, Julio Croda, Philip C Hill, Elisa Lopez-Varela, Simon Donkor, Katherine Fielding, Stephen M Graham, Marcos A Espinal, Beate Kampmann, Arthur Reingold, Helena Huerga, Julian A Villalba, Louis Grandjean, Giovanni Sotgiu, Uzochukwu Egere, Sarman Singh, Limei Zhu, Christian Lienhardt, Justin T Denholm, James A Seddon, Christopher C Whalen, Alberto L García-Basteiro, Rina Triasih, Cheng Chen, Jitendra Singh, Li-Min Huang, Surendra Sharma, Djohar Hannoun, Helena del Corral, Anna M Mandalakas, LaShaunda L Malone, Du-Lin Ling, Afrânio Kritski, Catherine M Stein, Richa Vashishtha, Fadila Boulahbal, Chi-Tai Fang, W Henry Boom, Eduardo Martins Netto, Antonio Carlos Lemos, Anneke C Hesseling, Alexander Kay, Edward C Jones-López, C Robert Horsburgh, Christoph Lange, Jason R Andrews. AUTORES E AFILIAÇÕES: Department of Epidemiology, School of Public Health, Boston University, Boston, MA, USA (L Martinez PhD, Prof C R Horsburgh MD); Center for Animal Disease Modeling and Surveillance, School of Veterinary Medicine, University of California, Davis, Davis, CA, USA (O Cords MS); Department of Chronic Communicable Disease, Center for Disease Control and Prevention of Jiangsu Province, Nanjing, China (Q Liu PhD, L Zhu MSc, C Chen PhD); Section of Infectious Diseases, Department of Medicine, Boston University Medical Center, Boston, MA, USA (C Acuna-Villaorduna MD); Université de Montpellier, IRD, INSERM, TransVIHMI, Montpellier, France (M Bonnet MD, Prof C Lienhardt MD); Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia (G J Fox PhD); Woolcock Institute of Medical Research, Glebe, NSW, Australia (G J Fox); Laboratory of Innovations in Therapies, Education and Bioproducts, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil (A C C Carvalho MD); Division of Chronic Infectious Disease (P-C Chan MD) and Taichung Regional Center (D-L Ling MSc), Taiwan Centers for Disease Control, Taipei, Taiwan; Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan (P-C Chan, Prof L-M Huang MD); Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan (P-C Chan, Prof C-T Fang MD); Oswaldo Cruz Foundation Mato Grosso do Sul, Campo Grande, Brazil (Prof J Croda MD); Federal University of Mato Grosso do Sul, Campo Grande, Brazil (Prof J Croda); Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA (Prof J Croda); Centre for International Health, Division of Health Sciences, University of Otago, Dunedin, New Zealand (Prof P C Hill MD); Centro de Investigação em Saúde de Manhiça, Maputo, Mozambique (E Lopez-Varela MD, A L García-Basteiro MD); ISGlobal, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain (E Lopez-Varela, A L García-Basteiro); Vaccines and Immunity Theme, Medical Research Council Unit The Gambia, Banjul, The Gambia (Prof B Kampmann PhD, S Donkor MSc); Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK (Prof K Fielding PhD, Prof C Lienhardt); Centre for International Health, University of Melbourne Department of Paediatrics and Murdoch Children’s Research Institute, Royal Children’s Hospital, Melbourne, VIC, Australia (Prof S M Graham MD); Communicable Diseases and Environmental Determinants of Health, Pan American Health Organization, Washington, DC, USA (M A Espinal MD); Division of Epidemiology, University of California, Berkeley, Berkeley, CA, USA (Prof A Reingold MD); Epicentre, Paris, France (H Huerga MD); Laboratorio de Tuberculosis, Instituto de Biomedicina, Universidad Central de Venezuela, Caracas, Venezuela (J A Villalba MD); Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. (J A Villalba); Department of Infection, Inflammation and Immunity, Institute of Child Health, University College London, London, UK (L Grandjean MD); Clinical Epidemiology and Medical Statistics Unit, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy (Prof G Sotgiu MD); Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK (U Egere PhD); Department of Microbiology (Prof S Singh MD, J Singh PhD) and Translational Medicine Centre (J Singh), All India Institute of Medical Sciences, Bhopal, India; Victorian Tuberculosis Program, Melbourne Health, Melbourne, VIC, Australia (J T Denholm MD); Department of Infectious Diseases, Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, VIC, Australia (J T Denholm); Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa (J A Seddon MD, A C Hesseling MD); Department of Epidemiology and Biostatistics, College of Public Health (Prof C C Whalen MD) and Global Health Institute (Prof C C Whalen), University of Georgia, Athens, GA, USA; Department of Pediatrics, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada and Dr. Sardjito Hospital, Yogyakarta, Indonesia (R Triasih PhD); Department of Molecular Medicine, Jamia Hamdard Institute of Molecular Medicine, New Delhi, India (Prof S Sharma MD); Department of General Medicine (Prof S Sharma) and Department of Respiratory Medicine (Prof S Sharma), Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India; Department of Information, National Institute of Public Health, Algiers, Algeria (Prof D Hannoun MD); Grupo de Inmunología Celulare Inmunogenética, Facultad de Medicina, Sede de Investigación Universitaria (H del Corral PhD) and Grupo de Epidemiologıa (H del Corral), Universidad de Antioquia, Medellin, Colombia; The Global TB Program, Texas Children’s Hospital, Houston, TX, USA (Prof A M Mandalakas MD, A Kay MD); Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA (Prof A M Mandalakas, A Kay, Prof C Lange MD); Uganda- CWRU Research Collaboration, Kampala, Uganda (L L Malone MSPH, C M Stein PhD, Prof W H Boom MD); Tuberculosis Academic Program, Medical School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Prof A Kritski PhD); Tuberculosis Research Unit, Case Western Reserve University, Cleveland, OH, USA (C M Stein, Prof W H Boom); Department of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA (C M Stein, Prof W H Boom, L L Malone); Groupe de recherche sur la tuberculose latente, Laboratoire National de Référence pour la Tuberculose, Institut Pasteur d’Algérie, Algiers, Algeria (F Boulahbal MD); Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan (Prof C-T Fang); Medicine Department, University Hospital Professor Edgard Santos, Federal University of Bahia, Salvador, Brazil (E M Netto MD, Prof A C Lemos MD); Division of Clinical Infectious Diseases, Medical Clinic, Research Center Borstel, Borstel, Germany (Prof C Lange, Prof A M Mandalakas); Respiratory Medicine and International Health, University of Lübeck, Lübeck, Germany (Prof C Lange); Tuberculosis Unit, German Center for Infection Research, Borstel, Germany (Prof C Lange, Prof A M Mandalakas); Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, CA, USA (J R Andrews MD); Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA (J A Villalba); Department of Infectious Disease, Imperial College London, London, UK (J A Seddon); Centro de Investigación Biomédica en Red de Enfermedades Infecciosas. Barcelona, Spain (A L García-Basteiro); Department of Internal Medicine (R Vashishtha PhD) and Department of Laboratory Medicine (Prof S Singh, J Singh), All India Institute of Medical Sciences, New Delhi, India; Division of Infectious Diseases, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA (E C Jones-López MD); Medical Science and Engineering Research Centre, Indian Institute of Science Education and Research, Bhopal, India (Prof S Singh) Correspondence to: Leonardo Martinez, Department of Epidemiology, School of Public Health, Boston University, Boston, MA 02118, USA leomarti@bu.edu See Online for appendix.
publishDate 2022
dc.date.accessioned.fl_str_mv 2022-10-10T11:41:24Z
dc.date.available.fl_str_mv 2022-10-10T11:41:24Z
dc.date.issued.fl_str_mv 2022
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv MARTINEZ, Leonardo et al. Infant BCG vaccination and risk of pulmonary and extrapulmonary tuberculosis throughout the life course: a systematic review and individual participant data meta-analysis. Lancet Glob Health, v. 10, e1307-16, p. 1 - 10, 2022.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/55059
dc.identifier.issn.en_US.fl_str_mv 2214-109X
identifier_str_mv MARTINEZ, Leonardo et al. Infant BCG vaccination and risk of pulmonary and extrapulmonary tuberculosis throughout the life course: a systematic review and individual participant data meta-analysis. Lancet Glob Health, v. 10, e1307-16, p. 1 - 10, 2022.
2214-109X
url https://www.arca.fiocruz.br/handle/icict/55059
dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
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