Table 4

Mortality risk between 2 and 12 months by 2-month BCG reaction status and size

BCG skin reaction2–12 month mortality rate
per 100 Pyrs (deaths/Pyrs) (N)
Crude* MRR (95% CI)Adjusted† MRR (95% CI)
Mortality risk by BCG reaction status
No reaction6.3 (10/159) (208)Ref.Ref.
Has reaction2.4 (109/4504) (5804)0.48 (0.25 to 0.93)0.49 (0.26 to 0.95)
Mortality risk by BCG reaction size
Small reaction3.8 (64/1704) (2213)Ref.Ref.
Medium reaction2.3 (30/1333) (1710)0.68 (0.44 to 1.05)0.69 (0.44 to 1.07)
Large reaction1.0 (15/1466) (1881)0.33 (0.19 to 0.58)0.35 (0.20 to 0.63)
BCG-Denmark (RCTs I–V)
Mortality risk by BCG reaction size
Small reaction4.3 (53/1229) (1604)Ref.Ref.
Medium reaction3.1 (28/912) (1178)0.80 (0.50 to 1.26)0.82 (0.51 to 1.31)
Large reaction1.4 (14/1014) (1295)0.39 (0.22 to 0.71)0.43 (0.23 to 0.78)
BCG-Japan (RCTs IV–V)
Mortality risk by BCG reaction size
Small reaction3.1 (5/159) (205)Ref.Ref.
Medium reaction0.5 (1/184) (235)0.18 (0.02 to 1.55)0.17 (0.02 to 1.47)
Large reaction0.4 (1/283) (369)0.12 (0.01 to 1.03)0.11 (0.01 to 0.96)
BCG-Russia (RCT V)
Mortality risk by BCG reaction size
Small reaction1.9 (6/316) (404)Ref.Ref.
Medium reaction0.4 (1/238) (297)0.22 (0.03 to 1.86)0.19 (0.02 to 1.59)
Large reaction0.0 (0/169) (217)
  • *Cox proportional hazards survival analysis (unadjusted, stratified by RCT), comparing mortality risk by reaction status (yes/no) and by BCG reaction size.

  • †Cox proportional hazards survival analysis by BCG reaction status (has reaction versus no reaction, small versus medium and small versus large reaction size) adjusted for maternal MUAC, year and 2-month reaction assessor, stratified by study, providing the aMRR estimate.

  • BCG, Bacille Calmette-Guérin; MRR, mortality rate ratio; Pyrs, person-years.