Rotavirus vaccination in the neonatal intensive care units: where are we? A rapid review of recent evidence.


Journal

Current opinion in pediatrics
ISSN: 1531-698X
Titre abrégé: Curr Opin Pediatr
Pays: United States
ID NLM: 9000850

Informations de publication

Date de publication:
02 2020
Historique:
pubmed: 19 12 2019
medline: 28 10 2020
entrez: 19 12 2019
Statut: ppublish

Résumé

Rotavirus is a leading cause of viral acute gastroenteritis in infants. Neonates hospitalized in neonatal intensive care units (NICUs) are at risk of rotavirus infections with severe outcomes. The administration of rotavirus vaccines is only recommended, in the United States and Canada, upon discharge from the NICU despite rotavirus vaccines being proven well tolerated and effective in these populations, because of risks of live-attenuated vaccine administration in immunocompromised patients and theoretical risks of rotavirus vaccine strains shedding and transmission.We aimed to summarize recent evidence regarding rotavirus vaccine administration in the NICU setting and safety of rotavirus vaccines in preterm infants. We conducted a rapid review of the literature from the past 10 years, searching Medline and Embase, including all study types except reviews, reporting on rotavirus vaccines 1 and 5; NICU setting; shedding or transmission; safety in preterm. One reviewer performed data extraction and quality assessment. Thirty-one articles were analyzed. Vaccine-derived virus shedding following rotavirus vaccines existed for nearly all infants, mostly during the first week after dose 1, but with rare transmission only described in the household setting. No case of transmission in the NICU was reported. Adverse events were mild to moderate, occurring in 10-60% of vaccinated infants. Extreme premature infants or those with underlying gastrointestinal failure requiring surgery presented with more severe adverse events. Recommendations regarding rotavirus vaccine administration in the NICU should be reassessed in light of the relative safety and absence of transmission of rotavirus vaccine strains in the NICU.

Identifiants

pubmed: 31851055
doi: 10.1097/MOP.0000000000000869
pii: 00008480-202002000-00023
doi:

Substances chimiques

Rotavirus Vaccines 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

167-191

Références

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Auteurs

Mélanie Sicard (M)

Department of Pediatrics, Division of Neonatology, CHU Sainte Justine.
Research Center, CHU Sainte Justine.
Department of Microbiology, Infectiology and Immunology, University of Montréal, Montréal, Quebec, Canada.

Kristina Bryant (K)

Department of Pediatrics, Infection Prevention and Control, Norton Children's Hospital, Louisville University, Louisville, Kentucky.

Martha L Muller (ML)

Infection Prevention and Control, Department of Pediatrics, UNM Children's Hospital, University of New Mexico, Albuquerque, New Mexico, USA.

Caroline Quach (C)

Research Center, CHU Sainte Justine.
Department of Microbiology, Infectiology and Immunology, University of Montréal, Montréal, Quebec, Canada.
Department of Clinical Laboratory Medicine, Infection Prevention and Control, CHU Sainte Justine, Montreal, Quebec, Canada.

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