PMID- 24614127 OWN - NLM STAT- MEDLINE DCOM- 20160229 LR - 20211021 IS - 1536-4801 (Electronic) IS - 0277-2116 (Print) IS - 0277-2116 (Linking) VI - 59 IP - 1 DP - 2014 Jul TI - Pentavalent rotavirus vaccine in infants with surgical gastrointestinal disease. PG - 44-8 LID - 10.1097/MPG.0000000000000361 [doi] AB - OBJECTIVES: Pentavalent rotavirus vaccine (RV5) has been shown to be well-tolerated and efficacious in preventing rotavirus gastroenteritis in healthy infants. Safety and immunogenicity of RV5 in infants with surgical gastrointestinal disease have not been studied. The aim of the present study was to evaluate the safety and immunogenicity of RV5 in infants with a history of congenital or acquired intestinal disease requiring resection compared with healthy infants. METHODS: Infants with intestinal resection were matched by gestational age and chronological age to healthy infants (controls). Dose 1 of RV5 was given at 10 to 12 weeks of chronological age. Doses 2 and 3 were given at intervals of 4 to 10 weeks, with all 3 doses given by 32 weeks. All infants were monitored for adverse events (AEs) by telephone calls, clinic visits, and parental written reports during the first 42 days after each dose and monthly thereafter by telephone for 12 months. Serum anti-rotavirus immunoglobulin A (IgA) titers were measured prevaccination and 2 weeks after dose 3. RESULTS: A total of 5 infants with surgical gastrointestinal disease and 3 control subjects were enrolled. All participants (100%) mounted a 3-fold increase in serum anti-rotavirus IgA geometric mean titer postvaccination. RV5 administration to surgical infants was well tolerated with a majority of AEs being attributed to the underlying medical condition. CONCLUSIONS: Postvaccination serum anti-rotavirus IgA levels indicate that RV5 is immunogenic in infants with a history of bowel resection, despite varying lengths of residual bowel. RV5 was well tolerated with few vaccine-related AEs. FAU - McGrath, Eric J AU - McGrath EJ AD - *Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine daggerDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA. FAU - Thomas, Ron AU - Thomas R FAU - Duggan, Christopher AU - Duggan C FAU - Asmar, Basim I AU - Asmar BI LA - eng GR - K24 HD058795/HD/NICHD NIH HHS/United States GR - K24HD058795/HD/NICHD NIH HHS/United States PT - Controlled Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - J Pediatr Gastroenterol Nutr JT - Journal of pediatric gastroenterology and nutrition JID - 8211545 RN - 0 (Antibodies, Viral) RN - 0 (Immunoglobulin A) RN - 0 (RotaTeq) RN - 0 (Rotavirus Vaccines) RN - 0 (Vaccines, Attenuated) SB - IM MH - Antibodies, Viral/*blood MH - Case-Control Studies MH - Female MH - Gastroenteritis/*virology MH - Humans MH - Immunization Schedule MH - Immunoglobulin A/blood MH - Infant MH - Intestinal Diseases/surgery MH - Male MH - Pilot Projects MH - Prospective Studies MH - Rotavirus/*immunology MH - Rotavirus Infections/*immunology MH - Rotavirus Vaccines/administration & dosage/*adverse effects/*immunology MH - Vaccines, Attenuated/administration & dosage/adverse effects/immunology PMC - PMC4624282 MID - NIHMS731690 COIS- The other authors report no conflicts of interest. EDAT- 2014/03/13 06:00 MHDA- 2016/03/02 06:00 PMCR- 2015/10/28 CRDT- 2014/03/12 06:00 PHST- 2014/03/12 06:00 [entrez] PHST- 2014/03/13 06:00 [pubmed] PHST- 2016/03/02 06:00 [medline] PHST- 2015/10/28 00:00 [pmc-release] AID - 10.1097/MPG.0000000000000361 [doi] PST - ppublish SO - J Pediatr Gastroenterol Nutr. 2014 Jul;59(1):44-8. doi: 10.1097/MPG.0000000000000361.