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Tate JE, Mwenda JM, Keita AM, Tapsoba TW, Ngendahayo E, Kouamé BD, Samateh AL, Aliabadi N, Sissoko S, Traore Y, Bayisenga J, Sounkere-Soro M, Jagne S, Burke RM, Onwuchekwa U, Ouattara M, Bikoroti JB, N'Zue K, Leshem E, Coulibaly O, Ouedraogo I, Uwimana J, Sow S, Parashar UD. Evaluation of Intussusception Following Pentavalent Rotavirus Vaccine (RotaTeq) Administration in 5 African Countries. Clin Infect Dis 2024; 78:210-216. [PMID: 37596934 DOI: 10.1093/cid/ciad492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 08/07/2023] [Accepted: 08/16/2023] [Indexed: 08/21/2023] Open
Abstract
BACKGROUND A low-level risk of intussusception following rotavirus vaccination has been observed in some settings and may vary by vaccine type. We examined the association between RotaTeq vaccination and intussusception in low-income settings in a pooled analysis from 5 African countries that introduced RotaTeq into their national immunization program. METHODS Active surveillance was conducted at 20 hospitals to identify intussusception cases. A standard case report form was completed for each enrolled child, and vaccination status was determined by review of the child's vaccination card. The pseudo-likelihood adaptation of self-controlled case-series method was used to assess the association between RotaTeq administration and intussusception in the 1-7, 8-21, and 1-21 day periods after each vaccine dose in infants aged 28-245 days. RESULTS Data from 318 infants with confirmed rotavirus vaccination status were analyzed. No clustering of cases occurred in any of the risk windows after any of the vaccine doses. Compared with the background risk of naturally occurring intussusception, no increased risk was observed after dose 1 in the 1-7 day (relative incidence = 2.71; 95% confidence interval [CI] = 0.47-8.03) or the 8-21 day window (relative incidence = 0.77; 95%CI = 0.0-2.69). Similarly, no increased risk of intussusception was observed in any risk window after dose 2 or 3. CONCLUSIONS RotaTeq vaccination was not associated with increased risk of intussusception in this analysis from 5 African countries. This finding mirrors results from similar analyses with other rotavirus vaccines in low-income settings and highlights the need for vaccine-specific and setting-specific risk monitoring.
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Affiliation(s)
- Jacqueline E Tate
- US Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Jason M Mwenda
- World Health Organization Regional Office for Africa, Brazzaville, Congo
| | | | | | | | | | | | - Negar Aliabadi
- US Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | | | - Yacouba Traore
- Centre Hospitalier Universitaire Sourou SANOU de Bobo Dioulasso, Bobo Dioulasso, Burkina Faso
| | | | | | - Sheriffo Jagne
- National Public Health Reference Laboratory, Ministry of Health, Banjul, The Gambia
| | - Rachel M Burke
- US Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | | | - Ma Ouattara
- World Health Organization Country Office, Ouagadougou, Burkina Faso
| | | | - Kofi N'Zue
- World Health Organization Country Office, Abidjan, Cote d'Ivoire
| | - Eyal Leshem
- US Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Oumar Coulibaly
- Centre Hospitalier Universitaire Gabriel Touré, Bamako, Mali
| | - Issa Ouedraogo
- Ministry of Health, Expanded Program on Immunizations, Ouagadougou, Burkina Faso
| | | | - Samba Sow
- Center for Vaccine Development, Bamako, Mali
| | - Umesh D Parashar
- US Centers for Disease Control and Prevention, Atlanta, Georgia, USA
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Mogilevkina I, Jani P, Aboutanos M, Bedada A, Ajuzieogu O, Nasir A, Muchemwa F, Bekele A, Holmer H, Ddungu R, Singh K, Ingabire J, Swaroop M, Ogundele J, Ajiko M, Bush C, Ajuzieogu O, Malemo K, Pemberton J, Livingston M, Nagengast E, Skelton T, Nsereko E, Razek T, Hackenberg B, Twagirumugabe T, Elobu A, Ajuzieogu O, Allen Ingabire JC, Wandwi W, Mwizerwa O, Abdur-Rahman L, Makama J, Ademola S, Ogundele J, Abdur-Rahman L, Lymburner E, Esau D, Bos C, Bos C, Rothstein D, Nikolaou S, Rajkumar S, Westerholm J, Culp A, Baison G, Ong C, Knapp G, Klimovytskyiy F, Prudnikov Y, Jayaraman S, Mata L, Mora F, Ordóñez C, Pino L, Quiodettis M, Morales. C, Hsiao M, Bakanisi B, Motsumi J, Azzie. G, Achi J, Amucheazi A, Ikeani. C, Abdur-Rahman L, Oyedepo O, Arowona L, Alonge D, Rufai Z, Adeniran J, Abraham M, Olatinwo. A, Tadesse A, Gillies R, Meara J, Liljestrand J, Oyerinde K, Hagander. L, Namuddu R, Nakonde I, Mukasa. R, Marbaniang D, Byiringiro J, Calland J, Petrose R, Jayaraman S, Ntakiyiruta. G, Schuetz S, Iss N, Laguna M, Shapiro M, Gallardo. J, Ifesanya A, Riviello E, Irakiza J, Mvukiyehe J, Maine R, Kim W, Manirakiza F, Reshamwalla S, Mwumvaneza T, Kymanaywa P, Ntakiyiruta G, Kiviri W, Finlayson S, Berry W, Twagirumugabe. T, Amucheazi A, Achi J, Ezike H, Salmon M, Salmon C, Mutendi M, Reynolds. T, Frankfurter C, Cameron B, Poenaru D, D’Cruz J, Pemberton J, Ozgediz D, Poenaru. D, Caterson E, Magee W, Hatcher K, Ramos M, Campbell. A, Nshimyumuremyi I, Livingston P, Zolpys L, Mukwesi C, Uwineza. B, Evans. F, Marquis C, Linois-Davidson C, Ramos M, Campbell A, Resch S, Finlayson S, Howaldt H, Caterson. E, Irakiza J, Mvukiyehe J, Maine R, Bush C, Riviello E, Kim W, Manirakiza F, Reshamwalla S, Mwumvaneza T, Kymanaywa P, Ntakiyiruta G, Kiviri W, Finlayson S, Berry. W, Amucheazi A, Achi J, Ikeani. C, Ssebufu R, Kyamanywa P, Bayisenga J, Bikoroti J, Mazimpaka. D, Mpoki U, Muleshe S, Zwane. S, Calland J, Byiringiro J, Ntakiyiruta. G, Nasir A, Adeniran J, Bamigbola K, Irribhogbe P, Ameh. E, Olawoye O, Iyun A, Micheal A, Oluwatosin. O, Adebayo R, Abdulraheem N, Nasir A, Adeniran. J, Cameron B, Ho P, Blair G, Duffy D, O’Hara N, Ajiko M, Kapoor. V, Westerholm. J, Westerholm. J, Baron E, Herard P, Lassalle X, Teicher. C, Maraka J, Asige E, Owori F, Obaikol. R, Maine R, Nsengiyumva E, Ntakiyiruta G, Mubiligi J, Riviello R, Havugimana. J, Chavarri A, Meara J, Pyda J, Shulman L, Damuse R, Pierre. J, Hoogerboord M, Ernest A, Gesase. A. Abstracts of the 13th Bethune Round Table Conference on International Surgery. May 10-11, 2013. Vancouver, British Columbia, Canada. Can J Surg 2013; 56:S44-52. [PMID: 23883512 DOI: 10.1503/cjs.015713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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