Transcript Module 3 - Rotavirus vaccine eligibility ppt, 579kb

Training for rotavirus vaccine introduction
Module 3
Rotavirus vaccine eligibility
Learning objectives
 At the end of the module, the participant will be
able to:
– Describe the recommended immunization schedule for
rotavirus vaccine
– Describe when an infant is eligible for rotavirus
vaccine and when he/she is not eligible
– Describe ways to determine a child's eligibility for
rotavirus vaccine when a written record is unavailable
– Describe the absolute contraindications for vaccination
 Duration
– 60’
2|
Rotavirus vaccine eligibility, Module 3 | 24 July 2016
Key issues
1
2
3
What is the schedule for rotavirus
vaccine?
What to do when the exact date of
birth (DOB) or immunization card is
missing?
What are the contraindications for
vaccination?
3|
Rotavirus vaccine eligibility, Module 3 | 24 July 2016
What is the rotavirus vaccine schedule?
(1/2)
 Rotavirus vaccine is given in a 2-dose schedule at 6 and
10 weeks of age
 Rotavirus vaccine can be given at the same time as first
and second dose of DTP-HepB-Hib (i.e. Penta1 & Penta2)
 Maintain an interval of 4 weeks between doses
Rota 1
Rota 2
32
Birth
4|
6
10
Rotavirus vaccine eligibility, Module 3 | 24 July 2016
15
weeks
What is the rotavirus vaccine schedule?
(2/2)
 First dose of vaccine should be given before 15 weeks
 Second dose has to be given before 32 weeks
 16 weeks is too late for 1st dose and 33 weeks is too
late for 2nd dose
Rota 1
Rota 2
weeks
Birth
5|
6
10
Rotavirus vaccine eligibility, Module 3 | 24 July 2016
15
32
What should you do in this scenario?
A child's immunization card
shows that he/she is now 17
weeks old and has only
received BCG and OPV 1
vaccines.
What should you do?
6|
Rotavirus vaccine eligibility, Module 3 | 24 July 2016
What should you do in this scenario?
A caretaker brings a child to
the health center for the first
time and comes without any
written documentation.
The caretaker does not
remember the exact date of
birth (DOB) of the infant.
What are some possible
ways of determining DOB?
7|
Rotavirus vaccine eligibility, Module 3 | 24 July 2016
What to do when exact DOB is unknown?
 Possible ways of determining the DOB
– Question the caretaker to see if he/she can recall the child's
birth based on a cultural, religious or national/local event
– Look for DOB record in other documents kept in the health
center or other local registries
• Antenatal Care record
• Birth registry
– Look for development indicators
• If the child is able to sit unsupported and reaches out with one hand,
he/she is probably too old to get rotavirus vaccination
8|
Rotavirus vaccine eligibility, Module 3 | 24 July 2016
Absolute contraindications
 Hypersensitivity after previous administration of
rotavirus vaccines
 Previous history of intussusception
 Administration of RotarixTM should be
postponed in subjects suffering from diarrhea
or vomiting and in need of rehydration therapy
Mild illness such as an upper respiratory tract infection
or mild diarrhea is not a contraindication
9|
Rotavirus vaccine eligibility, Module 3 | 24 July 2016
Key messages
 On-time vaccination is very important for rotavirus vaccine
 First dose of rotavirus should be given at 6 weeks of age
 Second dose should be given at 10 weeks of age
 Rotavirus vaccine can be given with other vaccines like pentavalent
vaccine.
10 |
Rotavirus vaccine eligibility, Module 3 | 24 July 2016
End of module
Thank you for your
attention!
11 |
Rotavirus vaccine eligibility, Module 3 | 24 July 2016