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Age at First Rotavirus Vaccination and Risk of Intussusception in Infants: A Public Health Modeling Analysis

Author

Listed:
  • Chee Fu Yung

    (KK Women’s and Children’s Hospital)

  • Chia Yin Chong

    (KK Women’s and Children’s Hospital
    Duke-National University of Singapore Graduate Medical School
    National University of Singapore)

  • Koh Cheng Thoon

    (KK Women’s and Children’s Hospital
    Duke-National University of Singapore Graduate Medical School
    National University of Singapore)

Abstract

Introduction The epidemiology of naturally occurring intussusception is known to increase significantly between the ages of 3 and 8 months. Post-licensure studies have reported a fivefold and twofold increase in intussusception in the first week after the first dose and second dose, respectively, of current rotavirus vaccines (RVs). Purpose We carried out a public health risk analysis to model the impact of age at first vaccination in relation to rotavirus vaccination and risk of intussusception in infants. Method We created a static model for a birth cohort followed until 1 year old to estimate the number of excess intussusception hospitalizations which could be caused by three different infant rotavirus vaccination schedules. A relative risk of 5.45 in the first 7 days after the first dose and 1.75 in the first 7 days after the second dose was used in the model. Result We estimated that the risk of intussusception would be the lowest at about 1 in 49,000 if both first and second dose RVs were given at 3 months old. Conclusion Our epidemiological example illustrates the importance of ensuring that the first two doses of RVs are administered in infants

Suggested Citation

  • Chee Fu Yung & Chia Yin Chong & Koh Cheng Thoon, 2016. "Age at First Rotavirus Vaccination and Risk of Intussusception in Infants: A Public Health Modeling Analysis," Drug Safety, Springer, vol. 39(8), pages 745-748, August.
  • Handle: RePEc:spr:drugsa:v:39:y:2016:i:8:d:10.1007_s40264-016-0424-y
    DOI: 10.1007/s40264-016-0424-y
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    Cited by:

    1. Claire E Otero & Stephanie N Langel & Maria Blasi & Sallie R Permar, 2020. "Maternal antibody interference contributes to reduced rotavirus vaccine efficacy in developing countries," PLOS Pathogens, Public Library of Science, vol. 16(11), pages 1-10, November.

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