Bone Marrow Transplantation

TABLE 1

FROM:

Vaccination of stem cell transplant recipients: recommendations of the Infectious Diseases Working Party of the EBMT

P Ljungman, D Engelhard, R de la Cámara, H Einsele, A Locasciulli, R Martino, P Ribaud, K Ward and C Cordonnier

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Table 1. Evidence-based system used to determine strength of recommendations

Strength of recommendations 1
AStrong evidence for efficacy and substantial clinical benefitStrongly recommended
BStrong or moderate evidence for efficacy, but only limited clinical benefitGenerally recommended
CInsufficient evidence for efficacy; or efficacy does not outweigh possible adverse consequences (eg drug toxicity or interactions) or cost of chemoprophylaxis or alternative approachesOptional
DModerate evidence against efficacy or adverse outcomeGenerally not recommended
EStrong evidence against efficacy or adverse outcomeNever recommended
 
Quality of evidence supporting recommendation
IEvidence from at least one well-executed randomized trial 
IIEvidence from at least one well-designed clinical trial without randomization; cohort- or case-controlled analytic studies (preferably from more than one center; multiple time-series studies; or dramatic results from uncontrolled experiments 
IIIEvidence from opinions of respected authorities based on clinical experience, descriptive studies, or reports from expert committees 

 Efficacy is defined as development of protective antibody response after vaccination.

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