Preventive Pediatrics | 2019 Pediatrics Video Board Review

Preventive Pediatrics | 2019 Pediatrics Video Board Review



rotavirus very common that children were infected by five years of age non bloody diarrhea with vomiting preceding the diarrhea that's a key to rotavirus remains a major problem in the developing world so which one of the following represents a contraindication for the use of rotavirus vaccine a history of rotavirus gastroenteritis CF a history of intussusception trisomy 21 or treatment with IVIG within the previous four weeks history of interception correct now the this IVIG that's MMR and varicella it doesn't seem to be much of an issue with rotavirus so there are two vaccines you will not be asked to question which one of these is better because the AAP does not have a recommendation and again if there's no recommendation you won't be asked the minimum age is six weeks the minimum interval for weeks preferably preterm infants should be stabilized and be sure not to give the vaccine until after nursery discharge now this is where it gets a little unusual very very specific criteria you cannot initiate the vaccine at 15 weeks or older so 14 weeks 6 days is literally the last age that you can give this vaccine and you cannot continue the vaccine in anyone over 8 months zero days of age the reason for that specificity is because this vaccine was purposely studied in an age group prior to the period of time where most children develop into Secession because an older rotavirus vaccine was removed from the market probably 10 plus years ago now because that vaccine increased the risk of intussusception so that's the reason why you should know these very specific criteria which would sound way too specific but there is a reason behind that the contraindications the one to remit the two are history of intussusception or of skid or a history of latex allergy because one not the other of the vaccines does have natural rubber latex because this is a very specific difference between the two vaccines you won't be asked about it but you would be fairly asked about these two precautions are listed here another immunocompromised state other than Skid gastrointestinal illness or a pre-existing intestinal tract illness or again spina bifida because of latex exposure no these two and I think you'll be fine

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