Follow us on facebook

PEARLS- Practical Evidence About Real Life Situations

Herpes zoster vaccine effective in older adults

Wednesday 22 June 2016, 3:42PM

PEARLS No. 511, June 2016, written by Brian R McAvoy.

Clinical question
Compared with placebo or no vaccine, how effective is vaccination for preventing herpes zoster in older adults?

Bottom line
Moderate-quality evidence suggests, in persons of 60 years of age or older, the herpes zoster vaccine reduced the incidence of herpes zoster for at least 3 years post vaccination (NNT* 50). The vaccinated group had a higher incidence of mild-to-moderate intensity adverse events (mild-to-moderate symptoms at the injection site). Refrigerated vaccines caused fewer injection site adverse effects than frozen vaccines. The injection of the vaccine into the muscle caused fewer adverse effects than when it was injected subcutaneously. (*NNT = number needed to treat to benefit 1 individual.)

All included studies were conducted in high-income countries and included only healthy, elderly, Caucasian participants (age >60 years) with no immunosuppressive problems. Pharmaceutical companies that produce the vaccines funded all of the included studies.

The natural process of ageing is associated with a reduction in cellular immunity, and this predisposes older people to herpes zoster. Vaccination with an attenuated form of varicella zoster virus activates specific T-cell production, avoiding viral reactivation.

Cochrane Systematic Review
Gagliardi AMZ et al. Vaccines for preventing herpes zoster in older adults. Cochrane Reviews, 2016, Issue 3. Art. No.: CD008858.DOI: 10.1002/14651858. CD008858.pub3. This review contains 13 studies involving 69,916 participants.

Return to homepage


Most Popular

Professional Classifieds

Kaipara PoriruaFixed term GP position in Porirua

David Lewis ProductsCONTROLLED DRUGS REGISTERS - PO Box 12-220 Christchurch 8242 Phone & Fax (03) 332-3001

MedicusDoctors Supporting Doctors NZ Governance – Surety of Cover

Royal Flying Doctor ServiceFlying Doctor Positions Available

Otago universityMusculoskeletal Medicine Pain & Pain Management