Meningococcal B vaccine to prevent neisseria gonorrhoeae infection (Registro nro. 22746)

000 -Cabecera
Campo de control interno 03272nam a2200301 4500
001 - Número de control
control field ESSALUD
007 - Tipo material - Descripcion fisica - info general
Tipo material - Descripcion fisica - info general ta
008 - Elementos de Longitud Fija - Información General
Elementos de Longitud Fija - Información t pe ||||| |||| 00| 0 spa d
040 ## - Origen de la Catalogación
Origen de la Catalogación BMG
041 ## - Idioma
Idioma eng
100 ## - Autor
Autor Seib, Kate L.
Rol del Autor Autor
9 (RLIN) 53789
245 ## - Titulo
Titulo Meningococcal B vaccine to prevent neisseria gonorrhoeae infection
300 ## - Páginas
Paginación páginas: 349-361
520 ## - Resumen
Resumen Background: No vaccines are currently licensed for the prevention of Neisseria gonorrhoeae infection. Observational studies suggest that the four-component meningococcal serogroup B vaccine (4CMenB) may reduce the risk of gonorrhea. Methods: In this multicenter, double-blind, randomized, placebo-controlled trial, we assigned, in a 1:1 ratio, men who have sex with men (MSM) to receive two doses of 4CMenB or placebo. All the participants had recently received a diagnosis of N. gonorrhoeae infection or infectious syphilis and either tested negative for human immunodeficiency virus (HIV) and were receiving HIV preexposure prophylaxis or were living with HIV. Screening for sexually transmitted infections, including N. gonorrhoeae nucleic acid amplification testing of samples obtained from urogenital, anorectal, and oropharyngeal sites, was performed quarterly for 2 years. The primary outcome was a first N. gonorrhoeae infection after the receipt of vaccine or placebo in the per-protocol population (participants who received both 4CMenB or placebo doses, attended at least two scheduled follow-up visits after the second dose, and did not meet any exclusion criterion pertinent to the assessment of efficacy). Results: From July 2021 through May 2023, a total of 654 participants underwent randomization, of whom 587 were included in the primary analysis. The incidence of N. gonorrhoeae infection was 48.1 events per 100 person-years (160 events among 296 participants) in the 4CMenB group and 47.8 events per 100 person-years (155 events among 291 participants) in the placebo group (incidence rate ratio, 1.01; 95% confidence interval [CI], 0.80 to 1.26; P=0.97), for a vaccine efficacy of −0.5% (95% CI, −26.2 to 19.9). Vaccine efficacy was 5.5% (95% CI, −56.0 to 42.8) for symptomatic infection, −6.4% (95% CI, −47.5 to 23.2) for asymptomatic infection, and −20.0% (95% CI, −90.2 to 23.9), −1.2% (95% CI, −33.0 to 23.0), and 2.6% (95% CI, −27.7 to 25.7) for urogenital, anorectal, and oropharyngeal infection, respectively. Serious adverse events occurred in 4.7% of the participants in the 4CMenB group and in 2.8% of those in the placebo group. Conclusions: 4CMenB did not result in a lower incidence of N. gonorrhoeae infection than placebo among MSM who were at high risk for gonorrhea.
650 ## - Temas - Descriptores
Temas - Descriptores INFECCIONES BACTERIANAS
9 (RLIN) 7357
650 ## - Temas - Descriptores
Temas - Descriptores SALUD GLOBAL
9 (RLIN) 10472
650 ## - Temas - Descriptores
Temas - Descriptores VIH/SIDA
9 (RLIN) 53790
650 ## - Temas - Descriptores
Temas - Descriptores ENFERMEDADES INFECCIOSAS
9 (RLIN) 6776
650 ## - Temas - Descriptores
Temas - Descriptores SALUD PUBLICA
9 (RLIN) 1652
650 ## - Temas - Descriptores
Temas - Descriptores VACUNAS
9 (RLIN) 8158
700 ## - Autor Personal
Autor Personal Donovan, Basil
9 (RLIN) 53791
700 ## - Autor Personal
Autor Personal Jin, Fengyi
9 (RLIN) 53792
700 ## - Autor Personal
Autor Personal Thng, Caroline
9 (RLIN) 53793
700 ## - Autor Personal
Autor Personal Yeung, Barbara
9 (RLIN) 53794
700 ## - Autor Personal
Autor Personal Comninos, Nicholas
9 (RLIN) 53795
773 0# - Revista (Relacion con el numero)
Host Biblionumber 22717
Host Itemnumber 22637
Ciudad, Editorial Massachusetts NEJM Group
Codigo barras item/ejemplar NEJM004
Titulo de la Revista The New England Journal of Medicine
Número de control de registro ESSALUD
ISSN 0028-4793
942 ## - Elementos de Koha
Tipo de Documento Artículos
Fecha procesamiento 2026-07-31
Catalogador SQB

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