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Rotavirus vaccination for all children or subgroups only? Comment of the European Academy of Paediatrics (EAP) and the European Society for Paediatric Infectious Diseases (ESPID) recommendation group for rotavirus vaccination
- Publication Year :
- 2020
-
Abstract
- Rotavirus gastroenteritis affects all children. Studies indicate that by the age of 5 years, almost all children have developed rotavirus antibodies. It has been estimated that in Europe, approximately 6550 children each year die as a result of rotavirus infection. Most of this mortality does not affect children from identifiable risk groups, but previously healthy infants. There is no accountable evidence on increased severity of rotavirus infection in specific risk groups, including children previously born preterm or immunocompromised children. Universal immunization in areas that have successfully achieved large coverage has greatly improved the health of children, reducing infection rates, hospitalization, and costs. Vaccination of infants with presumed high risk may be beneficial for the vaccinated individuals, and such a strategy may also be cost-effective in certain settings. Identifying all high-risk infants within the first few weeks of life is rather difficult especially in countries without primary care pediatricians and goes along with additional costs. Conclusion: Rotavirus vaccines should be recommended as a universal approach for all children and not be restricted to subgroups with assumed increased risk. Targeted vaccination could be considered as an option in countries with limited financial resources.
- Subjects :
- Rotavirus
Diarrhea
Pediatrics
medicine.medical_specialty
Specific risk
medicine.disease_cause
Rotavirus vaccination
Communicable Diseases
Rotavirus Infections
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Targeted vaccination
Medicine
Humans
030212 general & internal medicine
Child
Gastroenteriti
business.industry
Vaccination
Infant, Newborn
Rotavirus Vaccines
Infant
Rotaviru
Paediatric infectious diseases
Europe
Increased risk
Immunization
Child, Preschool
Pediatrics, Perinatology and Child Health
medicine.symptom
business
Vaccine
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....b17daeb3351f9ec9dd597cd74b2afcb2