Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

510 questions · 513 findings · 62 reviews · Headline outcomes only

No studies found 96 · 18.7%GRADE not reported 13 · 2.5%Very low 181 · 35.3%Low 121 · 23.6%Moderate 69 · 13.5%High 33 · 6.4%

Vi‐rEPA vaccine (2 doses) vs control

Incidence of typhoid fever – year 1 · adults and children of 2 years of age and older

Vi‐rEPA vaccine (2 doses) probably leads to lower incidence of typhoid fever – year 1 compared with control (moderate certainty).

1 finding from 1 review

Vi‐rEPA vaccine (2 doses) vs control

Incidence of typhoid fever – year 2 · adults and children of 2 years of age and older

Vi‐rEPA vaccine (2 doses) probably leads to lower incidence of typhoid fever – year 2 compared with control (moderate certainty).

1 finding from 1 review

Vi‐rEPA vaccine (2 doses) vs control

Cumulative cases of typhoid fever at 2 years · adults and children of 2 years of age and older

Vi‐rEPA vaccine (2 doses) probably leads to lower cumulative cases of typhoid fever at 2 years compared with control (moderate certainty).

2 findings from 1 review

Vi‐rEPA vaccine (2 doses) vs control

Fever · adults and children of 2 years of age and older

Vi‐rEPA vaccine (2 doses) probably leads to higher fever after Vi‐rEPA (dose1) compared with control (moderate certainty).

1 finding from 1 review

Vi‐rEPA vaccine (2 doses) vs control

Fever after Vi‐rEPA (dose2) · adults and children of 2 years of age and older

Vi‐rEPA vaccine (2 doses) probably leads to higher fever after Vi‐rEPA (dose2) compared with control (moderate certainty).

1 finding from 1 review

Vi‐rEPA vaccine (2 doses) vs control

Erythema · adults and children of 2 years of age and older

Vi‐rEPA vaccine (2 doses) showed no clear difference in erythema after Vi‐rEPA (dose 2) compared with control (low certainty).

1 finding from 1 review

Vi‐rEPA vaccine (2 doses) vs control

Swelling at injection site after Vi‐rEPA (dose 2) · adults and children of 2 years of age and older

Vi‐rEPA vaccine (2 doses) probably leads to higher swelling at injection site after Vi‐rEPA (dose 2) compared with control (moderate certainty).

1 finding from 1 review

Ty21a vaccine (three doses) vs control

Cases of typhoid fever, Year 3 · adults and children aged 5 years of age and older

Ty21a vaccine (three doses) probably leads to lower cases of typhoid fever, Year 3 compared with control (moderate certainty).

1 finding from 1 review

Ty21a vaccine (three doses) vs control

Cumulative cases of typhoid fever at 2.5 to 3 years · adults and children aged 5 years of age and older

Ty21a vaccine (three doses) probably leads to lower cumulative cases of typhoid fever at 2.5 to 3 years compared with control (moderate certainty).

1 finding from 1 review

Vi polysaccharide vaccine (1 dose) vs control

Incidence of typhoid fever – year 1 Blood culture · adults and children of 2 years of age and older

Vi polysaccharide vaccine (1 dose) leads to lower incidence of typhoid fever – year 1 Blood culture compared with control (high certainty).

1 finding from 1 review

Vi polysaccharide vaccine (1 dose) vs control

Incidence of typhoid fever – year 2 · adults and children of 2 years of age and older

Vi polysaccharide vaccine (1 dose) probably leads to lower incidence of typhoid fever – year 2 compared with control (moderate certainty).

1 finding from 1 review

Vi polysaccharide vaccine (1 dose) vs control

Cumulative cases of typhoid fever at 2.5 to 3 years · adults and children of 2 years of age and older

Vi polysaccharide vaccine (1 dose) may leads to lower cumulative cases of typhoid fever at 2.5 to 3 years compared with control (low certainty).

1 finding from 1 review