Module 3 Rotavirus vaccine eligibility 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’
Key issues 1 2 What is the schedule for rotavirus vaccine? What are the contraindications for vaccination? 2 To the facilitator: Explain the key issues raised in this module to the participants. Caretakers bring their infants for immunization but before vaccinating the infant you have to be sure that he or she is eligible for rotavirus vaccine. This module will teach you to ask the right questions to determine the eligibility of a child for rotavirus vaccine: What is the rotavirus vaccine schedule? What are the age limits for first and second dose of rotavirus vaccine? What to do when the exact date of birth (DOB) is missing ? What to do when the immunization card is missing? What are the contraindications for vaccination?
What is the rotavirus vaccine schedule? (1/2) Rotavirus vaccine is given in a 3-dose schedule at 6 and 10, 14 weeks of age Rotavirus vaccine can be given at the same time as 3 doses of DTP-HepB-Hib (i.e. Penta1 & Penta2, Penta 3) Maintain a minimum interval of 4 weeks between doses To the facilitator: Describe the vaccination schedule to the participants. Rotavirus vaccine is given in a 3-dose schedule at 6 (for the 1st dose) and 10 weeks of age (for the 2nd dose), 14 weeks of age (for the 3nd dose) preferably. Rotavirus vaccine doses can be given at the same time as first, second and third dose of DTP-HepB-Hib (i.e. Penta1, Penta2, penta3). Note that there should be a minimum interval of at least 4 weeks between the doses. Rota 1 Rota 2 Rota 3 Birth 6 10 14 weeks 4
What should you do in this scenario? A child's vaccination card shows that he/she received the first dose of rotavirus vaccine and pentavalent vaccine at 10 weeks of age. The child is now 35 weeks of age. What vaccines should you give to this child? To the facilitator: Read the situation and question to participants. Response: Give the second dose of Rotavirus vaccine and pentavalent vaccine Make an appointment for the next doses according to the immunization schedule 5
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? To the facilitator: Read the situation and question to participants. Other vaccines can be given as appropriate. Response: Give the first dose of pentavalent vaccine, Rotavirus vaccine and other vaccines according to national schedule Make an appointment for the next doses according to the schedule Explain to the caretaker the importance of coming for vaccination on time and completing the immunization schedule 6
What should you do in this scenario? A child's immunization card shows that he/she is now 13 weeks old and has only received BCG, OPV 1, Penta 1 vaccines. What should you do? To the facilitator: Read the situation and question to participants. Response: The child will get rotavirus vaccine. The first dose of rotavirus vaccine can be given Give the second dose of pentavalent vaccine and other vaccines according to national schedule Make an appointment for the next dose of Rotavirus vaccine and other vaccines according to the schedule Explain to the caretaker the importance of coming for vaccination on time and completing the immunization schedule 7
Absolute contraindications Hypersensitivity after previous administration of rotavirus vaccines Previous history of intussusception History of Severe Combined Immunodeficiency Disease (SCID) Administration of RotaTeqTM should be postponed in subjects suffering from diarrhea or vomiting and in need of rehydration therapy To the facilitator: Explain to the participants the absolute contraindications. Infants suffering from the following should not be vaccinated with rotavirus vaccine. Hypersensitivity after previous administration of rotavirus vaccines: Do not give second dose of rotavirus vaccine if the infant showed hypersensitivity to first dose Previous history of intussusception: Do not give rotavirus vaccines if the caretaker informs you that the child has had an episode of intussusception Previous history of SCID: Do not give rotavirus vaccines if the caretaker informs you that child have Sever Combined Immunodeficiency Disease (SCID) The administration of RotaTeqTM should be postponed in subjects suffering from diarrhea or vomiting that requires rehydration therapy If child has mild diarrhea, vaccinate as usual Note that mild illness such as an upper respiratory tract infection is not a contraindication. Mild illness such as an upper respiratory tract infection or mild diarrhea is not a contraindication 8
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 Third dose should be given at 14 weeks of age Minimum interal of 4 weeks should be maintained between doses To the facilitator: Explain to the participants that these messages are the main information to keep in mind.
Thank you for your attention! End of module Thank you for your attention! To the facilitator: This is the end of the module. You have been introduced to “Rotavirus vaccine eligibility” module. The following module is titled “Rotavirus vaccine administration”. Thank you for your attention!