Tetanus vaccination and risk of multiple sclerosis: a systematic review.

Abstract:

OBJECTIVE:To conduct a systematic review on the association between tetanus vaccination and the risk of multiple sclerosis (MS). METHODS:The authors searched the databases Medline, LILACS, EMBASE, and Science Citation Index including the period 1966 to September 1, 2005. Eligible studies had to meet the following inclusion criteria: presentation of original data, case-control or cohort design, physician-confirmed diagnosis of MS as the outcome of interest, attempt to ascertain vaccinations in a period before the diagnosis, and report of an association measure between tetanus vaccination and incidence of MS, and its 95% CI or enough information to compute it. Study specific log ORs were weighted by the inverse of their variances to obtain a pooled estimate and its 95% CI. RESULTS:The OR of MS associated with history of tetanus vaccination was 0.67 (95% CI: 0.55 to 0.81). There was little indication of heterogeneity of results across studies. CONCLUSION:Tetanus vaccination is associated with a lower risk of multiple sclerosis.

journal_name

Neurology

journal_title

Neurology

authors

Hernán MA,Alonso A,Hernández-Díaz S

doi

10.1212/01.wnl.0000225079.51201.f9

subject

Has Abstract

pub_date

2006-07-25 00:00:00

pages

212-5

issue

2

eissn

0028-3878

issn

1526-632X

pii

67/2/212

journal_volume

67

pub_type

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