Abstract
Objective
To study the case series for intussusception associated with the vaccination of rotavirus vaccine in children.
Methods
The study of spontaneous adverse event monitoring such as intussusception due to rotavirus vaccine was carried out from the year 2011 through 2015. The individual case safety reports (ICSRs) of this event were collated, assessed and recorded as per the requirement of Suspected Adverse Drug Reactions Reporting form of Pharmacovigilance Programme of India (PvPI).
Results
In the present study, 10 ICSRs of intussussception due to rotavirus vaccine were reported to PvPI. Of which 3 ICSRs were found to be causal relationship with rotavirus vaccine, as evidenced by the adequate information provided in ICSRs.
Conclusions
Since intussusception, the emerging safety as one of the important safety concern, healthcare professionals are advised to monitor and report to the concerned authority for appropriate action.
Similar content being viewed by others
References
Kalaiselvan V, Kumar R, Thota P, Tripathi A, Singh GN. Status of documentation grading and completeness score for Indian individual case safety reports. Indian J Pharmacol. 2015;47:325–7.
Kalaiselvan V, Tripathi A, Saurabh A, et al. Quantitative methods for identification of signals for individual case safety reports in India. Ther Innov Regul Sci. 2015;49:898–902.
Kharb P, Mittal N, Gupta MC. An evaluation of adverse drug reactions monitoring at a pharmacovigilance unit under pharmacovigilance programme of India in a tertiary care hospital of Haryana. Int J Basic Clin Pharmacol. 2015;4:556–60.
Kalaiselvan V, Kaur I, Kumar V, Singh GN. Reporting of adverse drug reactions due to cardiovascular drugs in India: a national duty. Indian Heart J. 2015;67:613–5.
Duclos P, Delo A, Aguado T, et al. Immunization safety priority project at the World Health Organization. Semin Pediatr Infect Dis. 2003;14:233–9.
World Health Organisation. AEFI detection. To strengthen vaccine safety monitoring in all countries. Available at: http://www.who.int/vaccine_safety/initiative/detection/en. Assessed 22 Jan 2016.
Centers for Disease Control & Prevention. Morbidity & Mortality Weekly Report. Intussusception among recipients of rotavirus vaccine- United States, 1998–1999. Available at: http://www.ncbi.nlm.nih.gov/pubmed/10428095. Accessed 22 Jan 2016.
Murphy TV, Gargiullo PM, Massoudi MS, et al; Rotavirus Intussusception Investigation Team. Intussusception among infants given an oral rotavirus vaccine. N Engl J Med. 2001;344:564–72.
Ruiz-Palacios GM, Perez-Schael I, Velazquez FR, et al; Human Rotavirus Vaccine Study Group. Safety and efficacy of an attenuated vaccine against severe rotavirus gastroenteritis. N Engl J Med. 2006;354:11–22.
Therapeutic Goods & Administration. e Business Service Australia. Product and Consumer Medicine Information. Available at: https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/PICMI?OpenForm&t=pi&q=rotavirus. Accessed 22 Jan 2016.
Carlin BJ, Macartney K, Lee KJ, et al. Intussusception risk and disease prevention associated with rotavirus vaccines in Australia's National Immunization Program. Clin Infect Dis. 2013;57:1427–34.
Whittaker HJ, Farrington CP, Spiessens B, Musonda P. Tutorial in biostatics: the self-controlled case series method. Stat Med. 2006;25:1768–97.
Therapeutic Goods & Administration, Australia. Safety information. Alert. Available at: https://www.tga.gov.au/alert/rotavirus-vaccination-and-risk-intussusception. Assessed 22 Jan 2016.
US Food and Drug Administration. RotaTeq (Rotavirus Vaccine) and Intussusception Information. Available at: http://www.fda.gov/biologicsbloodvaccines/vaccines/questionsaboutvaccines/ucm10089.htm. Accessed 22 Jan 2016.
Acknowledgments
Adverse Drugs Monitoring Centers, Merck Pharmaceutical Limited & GlaxoSmithKline Limited.
Contributions
VK: Concept, definition of intellectual content and manuscript preparation; PT: Provided literature and edited the manuscript; VipK: Identified these cases at NCC-PvPI and processed them into national drug safety management system i.e., VigiFlow and communicated to WHO-Uppsala Monitoring Centre (International database i.e., VigiBase) & communicated this manuscript to Indian Journal of Pediatrics; MSR: Data analysis, data acquisition and communicated these cases to the Ministry for this concern; AT: Prepared the manuscript; GNS: Provided the intellectual content. VK will act as guarantor for the paper.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
None.
Source of Funding
None.
Rights and permissions
About this article
Cite this article
Kalaiselvan, V., Thota, P., Kumar, V. et al. Risk of Intussusception with Rotavirus Vaccine. Indian J Pediatr 84, 97–100 (2017). https://doi.org/10.1007/s12098-016-2230-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12098-016-2230-z