Authors : Harini Rajagopal; Nithya T; Hemlin Thomas; Varghese P R; Aparna Namboodirippad
Volume/Issue : Volume 5 - 2020, Issue 9 - September
Google Scholar : http://bitly.ws/9nMw
Scribd : https://bit.ly/2EOyuEf
DOI : 10.38124/IJISRT20SEP494
Rotaviruses are the most common cause of
diarrhoeal disease among infants. Till now 108 countries
have introduced rotavirus vaccines to prevent severe
diarrhea. The Global Rotavirus Surveillance Network
(GRSN) was established by WHO in 2008. Some studies
reported that rotavirus vaccination can lead to a small
increase in the risk of intussusception, a type of bowel
blockage. This is a rare side effect. Intussusception,
death of tissue of the intestinal wall due to lack of blood
supply may cause life-threatening complications if left
untreated. In infants idiopathic ileocolic intussusception
is the most common form typically managed with
operative or non operative reduction like hydrostatic or
pneumatic enemas. Whereas, in adults and older
children, intussusception is not very common and occurs
more often in the colon of small intestine, pathogenesis is
lead point in most of the symptomatic cases. Numerous
countries have scrupulously noted the occurrence of
intussusception post vaccination, and others yet to
introduce the vaccine are gathering base line data on the
incidence of intussusception which is an important safety
issue in determining vaccine policy. However, it should
be noted that naturally occurring intussusception,
although rare, does occur in the very young. Due to
heavy burden of rotavirus, some developing countries
have introduced rotavirus vaccines. In India it is now
part of the national immunization programme.
Hospitalizations and deaths from rotavirus have been
averted significantly because vaccination far exceeded
the reported cases of intussusception with vaccination.
The underlying rationale behind the differing risk of
intussusception after rotavirus vaccination in various
countries is not yet determined, therefore continuous
monitoring is necessary.
Keywords : Infection; Rotavirus; Rotavirus Vaccine; Immunization; Intussusceptions; Side Effects.