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Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases 7/2008

01.07.2008 | Review

Pentavalent human-bovine (WC3) reassortant rotavirus vaccine in special populations: a review of data from the Rotavirus Efficacy and Safety Trial

verfasst von: M. Van der Wielen, P. Van Damme

Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases | Ausgabe 7/2008

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Abstract

Rotavirus gastroenteritis is a disease that causes significant morbidity and mortality worldwide in infants and children. The recent availability of efficacious rotavirus vaccines with favorable safety profiles has prompted medical agencies around the world to register the vaccines and countries and regions to recommend universal vaccination of healthy infants to prevent the serious health and economic consequences of rotavirus illness in children. Premature infants can be especially vulnerable to severe rotavirus infections, which may lead to serious outcomes. The clinical efficacy and safety of the pentavalent human-bovine rotavirus vaccine (PRV, RotaTeq®, Merck, Whitehouse Station, NJ, USA) in healthy infants has been evaluated in the large phase III Rotavirus Efficacy and Safety Trial (REST). Preterm (N = 2,070) and exclusively breastfed infants (N = 1,566) were included in this study. The efficacy and safety of PRV in premature infants and in breastfed infants from the REST database are reviewed along with guidelines from national medical organizations for the use of PRV in these populations. Based on these data from the REST study, premature infants receive the same protection from PRV compared with nonpremature infants, without additional safety risk. Similarly, breastfed and nonbreastfed infants are equally protected from severe consequences of rotavirus gastroenteritis.
Literatur
1.
Zurück zum Zitat Fischer TK, Bresee JS, Glass RI (2004) Rotavirus vaccines and the prevention of hospital-acquired diarrhea in children. Vaccine 22(Suppl 1):S49–S54PubMedCrossRef Fischer TK, Bresee JS, Glass RI (2004) Rotavirus vaccines and the prevention of hospital-acquired diarrhea in children. Vaccine 22(Suppl 1):S49–S54PubMedCrossRef
2.
Zurück zum Zitat Chen SM, Ni YH, Chen HL, Chang MH (2006) Microbial etiology of acute gastroenteritis in hospitalized children in Taiwan. J Formos Med Assoc 105:964–970PubMed Chen SM, Ni YH, Chen HL, Chang MH (2006) Microbial etiology of acute gastroenteritis in hospitalized children in Taiwan. J Formos Med Assoc 105:964–970PubMed
3.
Zurück zum Zitat Colomba C, De Grazia S, Giammanco GM, Saporito L, Scarlata F, Titone L, Arista S (2006) Viral gastroenteritis in children hospitalized in Sicily, Italy. Eur J Clin Microbiol Infect Dis 25:570–575PubMedCrossRef Colomba C, De Grazia S, Giammanco GM, Saporito L, Scarlata F, Titone L, Arista S (2006) Viral gastroenteritis in children hospitalized in Sicily, Italy. Eur J Clin Microbiol Infect Dis 25:570–575PubMedCrossRef
4.
Zurück zum Zitat Bresee JS, Glass RI, Ivanoff B, Gentsch JR (1999) Current status and future priorities for rotavirus vaccine development, evaluation and implementation in developing countries. Vaccine 17:2207–2222PubMedCrossRef Bresee JS, Glass RI, Ivanoff B, Gentsch JR (1999) Current status and future priorities for rotavirus vaccine development, evaluation and implementation in developing countries. Vaccine 17:2207–2222PubMedCrossRef
5.
Zurück zum Zitat Kurugol Z, Geylani S, Karaca Y, Umay F, Erensoy S, Vardar F, Bak M, Yaprak I, Ozkinay F, Ozkinay C (2003) Rotavirus gastroenteritis among children under five years of age in Izmir, Turkey. Turk J Pediatr 45:290–294PubMed Kurugol Z, Geylani S, Karaca Y, Umay F, Erensoy S, Vardar F, Bak M, Yaprak I, Ozkinay F, Ozkinay C (2003) Rotavirus gastroenteritis among children under five years of age in Izmir, Turkey. Turk J Pediatr 45:290–294PubMed
6.
Zurück zum Zitat Bresee JS, Parashar UD, Widdowson MA, Gentsch JR, Steele AD, Glass RI (2005) Update on rotavirus vaccines. Pediatr Infect Dis J 24:947–952PubMedCrossRef Bresee JS, Parashar UD, Widdowson MA, Gentsch JR, Steele AD, Glass RI (2005) Update on rotavirus vaccines. Pediatr Infect Dis J 24:947–952PubMedCrossRef
7.
8.
Zurück zum Zitat Parashar UD, Gibson CJ, Bresee JS, Glass RI (2006) Rotavirus and severe childhood diarrhea. Emerg Infect Dis 12:304–306PubMed Parashar UD, Gibson CJ, Bresee JS, Glass RI (2006) Rotavirus and severe childhood diarrhea. Emerg Infect Dis 12:304–306PubMed
9.
Zurück zum Zitat Parashar UD, Hummelman EG, Bresee JS, Miller MA, Glass RI (2003) Global illness and deaths caused by rotavirus disease in children. Emerg Infect Dis 9:565–572PubMed Parashar UD, Hummelman EG, Bresee JS, Miller MA, Glass RI (2003) Global illness and deaths caused by rotavirus disease in children. Emerg Infect Dis 9:565–572PubMed
10.
Zurück zum Zitat Soriano-Gabarró M, Mrukowicz J, Vesikari T, Verstraeten T (2006) Burden of rotavirus disease in European Union countries. Pediatr Infect Dis J 25:S7–S11PubMedCrossRef Soriano-Gabarró M, Mrukowicz J, Vesikari T, Verstraeten T (2006) Burden of rotavirus disease in European Union countries. Pediatr Infect Dis J 25:S7–S11PubMedCrossRef
11.
Zurück zum Zitat Centers for Disease Control and Prevention (1998) Laboratory-based surveillance for rotavirus: United States, July 1997–June 1998. MMWR Morb Mortal Wkly Rep 47:978–980 Centers for Disease Control and Prevention (1998) Laboratory-based surveillance for rotavirus: United States, July 1997–June 1998. MMWR Morb Mortal Wkly Rep 47:978–980
12.
Zurück zum Zitat Brandt CD, Kim HW, Yolken RH, Kapikian AZ, Arrobio JO, Rodriguez WJ, Wyatt RG, Cahnock RM, Parrott RH (1979) Comparative epidemiology of two rotavirus serotypes and other viral agents associated with pediatric gastroenteritis. Am J Epidemiol 110:243–254PubMed Brandt CD, Kim HW, Yolken RH, Kapikian AZ, Arrobio JO, Rodriguez WJ, Wyatt RG, Cahnock RM, Parrott RH (1979) Comparative epidemiology of two rotavirus serotypes and other viral agents associated with pediatric gastroenteritis. Am J Epidemiol 110:243–254PubMed
13.
Zurück zum Zitat Bishop RF, Barnes GL, Cipriani E, Lund JS (1983) Clinical immunity after neonatal rotavirus infection. N Engl J Med 309:72–76PubMedCrossRef Bishop RF, Barnes GL, Cipriani E, Lund JS (1983) Clinical immunity after neonatal rotavirus infection. N Engl J Med 309:72–76PubMedCrossRef
14.
Zurück zum Zitat American Academy of Pediatrics Committee on Infectious Diseases (2007) Prevention of rotavirus disease: guidelines for use of rotavirus vaccine. Pediatrics 119:171–182CrossRef American Academy of Pediatrics Committee on Infectious Diseases (2007) Prevention of rotavirus disease: guidelines for use of rotavirus vaccine. Pediatrics 119:171–182CrossRef
15.
Zurück zum Zitat Ford T (2006) Emerging issues in water and health research. J Water Health 4(Suppl 1):59–65PubMed Ford T (2006) Emerging issues in water and health research. J Water Health 4(Suppl 1):59–65PubMed
16.
Zurück zum Zitat Sharma R, Hudak ML, Premachandra BR, Stevens G, Monteiro CB, Bradshaw JA, Kaunitz AM, Hollister RA (2002) Clinical manifestations of rotavirus infection in the neonatal intensive care unit. Pediatr Infect Dis 21:1099–1105CrossRef Sharma R, Hudak ML, Premachandra BR, Stevens G, Monteiro CB, Bradshaw JA, Kaunitz AM, Hollister RA (2002) Clinical manifestations of rotavirus infection in the neonatal intensive care unit. Pediatr Infect Dis 21:1099–1105CrossRef
17.
Zurück zum Zitat Newman RD, Grupp-Phelan J, Shay DK, Davis RL (1999) Perinatal risk factors for infant hospitalization with viral gastroenteritis. Pediatrics 103:E3PubMedCrossRef Newman RD, Grupp-Phelan J, Shay DK, Davis RL (1999) Perinatal risk factors for infant hospitalization with viral gastroenteritis. Pediatrics 103:E3PubMedCrossRef
18.
Zurück zum Zitat Dennehy PH, Cortese MM, Beque RE, Jaeger JL, Roberts NE, Zhang R, Rhodes P, Gentsch J, Ward R, Bernstein DI, Vitek C, Bresee JS, Staat MA (2006) A case-control study to determine risk factors for hospitalization for rotavirus gastroenteritis in U.S. children. Pediatr Infect Dis J 25:1123–1131PubMedCrossRef Dennehy PH, Cortese MM, Beque RE, Jaeger JL, Roberts NE, Zhang R, Rhodes P, Gentsch J, Ward R, Bernstein DI, Vitek C, Bresee JS, Staat MA (2006) A case-control study to determine risk factors for hospitalization for rotavirus gastroenteritis in U.S. children. Pediatr Infect Dis J 25:1123–1131PubMedCrossRef
19.
Zurück zum Zitat Liakopoulou E, Nutton K, Carrington D, Robinson S, Steward CG, Goulden NJ, Cornish JM, Marks DI (2005) Rotavirus as a significant cause of prolonged diarrhoeal illness and morbidity following allogeneic bone marrow transplantation. Bone Marrow Transplant 36:691–694PubMedCrossRef Liakopoulou E, Nutton K, Carrington D, Robinson S, Steward CG, Goulden NJ, Cornish JM, Marks DI (2005) Rotavirus as a significant cause of prolonged diarrhoeal illness and morbidity following allogeneic bone marrow transplantation. Bone Marrow Transplant 36:691–694PubMedCrossRef
20.
Zurück zum Zitat Saulsbury FT, Winkelstein JA, Yolken RH (1980) Chronic rotavirus infection in immunodeficiency. J Pediatr 97:61–65PubMedCrossRef Saulsbury FT, Winkelstein JA, Yolken RH (1980) Chronic rotavirus infection in immunodeficiency. J Pediatr 97:61–65PubMedCrossRef
21.
Zurück zum Zitat Albano F, Bruzzese E, Bella A, Cascio A, Titone L, Arista S, Izzi G, Virdis R, Pecco P, Principi N, Fontana M, Guarino A (2007) Rotavirus and not age determines gastroenteritis severity in children: a hospital-based study. Eur J Pediatr 166:241–247PubMedCrossRef Albano F, Bruzzese E, Bella A, Cascio A, Titone L, Arista S, Izzi G, Virdis R, Pecco P, Principi N, Fontana M, Guarino A (2007) Rotavirus and not age determines gastroenteritis severity in children: a hospital-based study. Eur J Pediatr 166:241–247PubMedCrossRef
22.
Zurück zum Zitat Banerjee I, Ramani S, Primrose B, Moses P, Iturriza-Gomara M, Gray JJ, Jaffar S, Monica B, Muliyil JP, Brown DW, Estes MK, Kang G (2006) Comparative study of the epidemiology of rotavirus in children from a community-based birth cohort and a hospital in South India. J Clin Microbiol 44:2468–2474PubMedCrossRef Banerjee I, Ramani S, Primrose B, Moses P, Iturriza-Gomara M, Gray JJ, Jaffar S, Monica B, Muliyil JP, Brown DW, Estes MK, Kang G (2006) Comparative study of the epidemiology of rotavirus in children from a community-based birth cohort and a hospital in South India. J Clin Microbiol 44:2468–2474PubMedCrossRef
23.
Zurück zum Zitat Gianino P, Mastretta E, Longo P, Laccisaglia A, Sartore M, Russo R, Mazzaccara A (2002) Incidence of nosocomial rotavirus infections, symptomatic and asymptomatic, in breast-fed and non-breast-fed infants. J Hosp Infect 50:13–17PubMedCrossRef Gianino P, Mastretta E, Longo P, Laccisaglia A, Sartore M, Russo R, Mazzaccara A (2002) Incidence of nosocomial rotavirus infections, symptomatic and asymptomatic, in breast-fed and non-breast-fed infants. J Hosp Infect 50:13–17PubMedCrossRef
24.
Zurück zum Zitat Sterling LM, Richardson J, Ellis M (2003) Clinical inquiries. Does breastfeeding protect against viral GI infections in children <2 years old? J Fam Pract 52:805–806PubMed Sterling LM, Richardson J, Ellis M (2003) Clinical inquiries. Does breastfeeding protect against viral GI infections in children <2 years old? J Fam Pract 52:805–806PubMed
25.
Zurück zum Zitat Greenberg HB, Clark HF, Offit PA (1994) Rotavirus pathology and pathophysiology. Curr Top Microbiol Immunol 185:255–283PubMed Greenberg HB, Clark HF, Offit PA (1994) Rotavirus pathology and pathophysiology. Curr Top Microbiol Immunol 185:255–283PubMed
26.
Zurück zum Zitat Raebel MA, Ou BS (1999) Rotavirus disease and its prevention in infants and children. Pharmacotherapy 19:1279–1295PubMedCrossRef Raebel MA, Ou BS (1999) Rotavirus disease and its prevention in infants and children. Pharmacotherapy 19:1279–1295PubMedCrossRef
27.
Zurück zum Zitat Velazquez FR, Matson DO, Calva JJ, Guerrero L, Morrow AL, Carter-Campbell S, Glass RI, Estes MK, Pickering LK, Ruiz-Palacios GM (1996) Rotavirus infections in infants as protection against subsequent infections. N Engl J Med 335:1022–1028PubMedCrossRef Velazquez FR, Matson DO, Calva JJ, Guerrero L, Morrow AL, Carter-Campbell S, Glass RI, Estes MK, Pickering LK, Ruiz-Palacios GM (1996) Rotavirus infections in infants as protection against subsequent infections. N Engl J Med 335:1022–1028PubMedCrossRef
28.
Zurück zum Zitat RotaTeq (rotavirus vaccine, live, oral, pentavalent) (2007) Product information. Merck & Co., Inc., Whitehouse Station, NJ, USA RotaTeq (rotavirus vaccine, live, oral, pentavalent) (2007) Product information. Merck & Co., Inc., Whitehouse Station, NJ, USA
29.
Zurück zum Zitat RotaTeq (oral solution, rotavirus vaccine [live, oral]) (2007) Summary of product characteristics. Sanofi Pasteur MDS, SNC, Lyon, France RotaTeq (oral solution, rotavirus vaccine [live, oral]) (2007) Summary of product characteristics. Sanofi Pasteur MDS, SNC, Lyon, France
30.
Zurück zum Zitat Rotarix (powder and solvent for oral suspension) (2007) Summary of product characteristics. GlaxoSmithKline Biologicals s.a., Rixensart, Belgium Rotarix (powder and solvent for oral suspension) (2007) Summary of product characteristics. GlaxoSmithKline Biologicals s.a., Rixensart, Belgium
31.
Zurück zum Zitat Van Damme P on behalf of ESPID-ESPGHAN Rotavirus Expert Group (2007) Evidence-based recommendations for the use of rotavirus vaccines in Europe (abstract). Presented at the 25th Annual Meeting of the European Society for Paediatric Infectious Diseases, Porto, Portugal, 2–4 May Van Damme P on behalf of ESPID-ESPGHAN Rotavirus Expert Group (2007) Evidence-based recommendations for the use of rotavirus vaccines in Europe (abstract). Presented at the 25th Annual Meeting of the European Society for Paediatric Infectious Diseases, Porto, Portugal, 2–4 May
32.
Zurück zum Zitat Parashar UD, Alexander JP, Glass RI, Advisory Committee on Immunization Practices (ACIP) (2006) Prevention of rotavirus gastroenteritis among infants and children. Recommendation of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 55(RR-12):1–13PubMed Parashar UD, Alexander JP, Glass RI, Advisory Committee on Immunization Practices (ACIP) (2006) Prevention of rotavirus gastroenteritis among infants and children. Recommendation of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 55(RR-12):1–13PubMed
33.
34.
Zurück zum Zitat Cook SM, Glass RI, LeBaron CW, Ho MS (1990) Global seasonality of rotavirus infections. Bull World Health Organ 68:171–177PubMed Cook SM, Glass RI, LeBaron CW, Ho MS (1990) Global seasonality of rotavirus infections. Bull World Health Organ 68:171–177PubMed
35.
Zurück zum Zitat Sharma R, Garrison RD, Tepas III JJ, Mollitt DL, Pieper P, Hudak ML, Bradshaw JA, Stevens G, Premachandra BR (2004) Rotavirus-associated necrotizing enterocolitis: an insight into a potentially preventable disease? J Pediatr Surg 39:453–457PubMedCrossRef Sharma R, Garrison RD, Tepas III JJ, Mollitt DL, Pieper P, Hudak ML, Bradshaw JA, Stevens G, Premachandra BR (2004) Rotavirus-associated necrotizing enterocolitis: an insight into a potentially preventable disease? J Pediatr Surg 39:453–457PubMedCrossRef
36.
Zurück zum Zitat Troussard X, Bauduer F, Gallet E, Freymuth F, Boutard P, Ballet JJ, Reman O, Leporrier M (1993) Virus recovery from stools of patients undergoing bone marrow transplantation. Bone Marrow Transplant 12:573–576PubMed Troussard X, Bauduer F, Gallet E, Freymuth F, Boutard P, Ballet JJ, Reman O, Leporrier M (1993) Virus recovery from stools of patients undergoing bone marrow transplantation. Bone Marrow Transplant 12:573–576PubMed
37.
Zurück zum Zitat Yolken RH, Bishop CA, Townsend TR, Bolyard EA, Bartlett J, Santos GW, Saral R (1982) Infectious gastroenteritis in bone-marrow-transplant recipients. N Engl J Med 306:1010–1012PubMedCrossRef Yolken RH, Bishop CA, Townsend TR, Bolyard EA, Bartlett J, Santos GW, Saral R (1982) Infectious gastroenteritis in bone-marrow-transplant recipients. N Engl J Med 306:1010–1012PubMedCrossRef
38.
Zurück zum Zitat Centers for Disease Control and Prevention (2007) Advisory Committee on Immunization Practices. Record of the proceedings, 27–28 June Centers for Disease Control and Prevention (2007) Advisory Committee on Immunization Practices. Record of the proceedings, 27–28 June
39.
Zurück zum Zitat Vesikari T, Matson DO, Dennehy P, Van Damme P, Santosham M, Rodriguez Z, Dallas MJ, Heyse JF, Goveia MG, Black SB, Shinefield HR, Chrisite CDC, Ylitalo S, Itzler RF, Coia ML, Onorato MT, Adeyi BA, Marshall GS, Gothefors L, Campens D, Karvonen A, Watt JP, O’Brien KL, DiNubile MJ, Clark HF, Boslego JW, Offit PA, Heaton PM, Rotavirus Efficacy and Safety Trial (REST) Study Team (2006) Safety and efficacy of a pentavalent human-bovine (WC3) reassortant rotavirus vaccine. N Engl J Med 354:23–33PubMedCrossRef Vesikari T, Matson DO, Dennehy P, Van Damme P, Santosham M, Rodriguez Z, Dallas MJ, Heyse JF, Goveia MG, Black SB, Shinefield HR, Chrisite CDC, Ylitalo S, Itzler RF, Coia ML, Onorato MT, Adeyi BA, Marshall GS, Gothefors L, Campens D, Karvonen A, Watt JP, O’Brien KL, DiNubile MJ, Clark HF, Boslego JW, Offit PA, Heaton PM, Rotavirus Efficacy and Safety Trial (REST) Study Team (2006) Safety and efficacy of a pentavalent human-bovine (WC3) reassortant rotavirus vaccine. N Engl J Med 354:23–33PubMedCrossRef
40.
Zurück zum Zitat Goveia MG, Rodriguez ZM, Dallas MJ, Itzler RF, Boslego JW, Heaton PM, DiNubile MJ, REST Study Team (2007) Safety and efficacy of the pentavalent human-bovine (WC3) reassortant rotavirus vaccine in healthy premature infants. Pediatr Infect Dis J 26:1099–1104PubMedCrossRef Goveia MG, Rodriguez ZM, Dallas MJ, Itzler RF, Boslego JW, Heaton PM, DiNubile MJ, REST Study Team (2007) Safety and efficacy of the pentavalent human-bovine (WC3) reassortant rotavirus vaccine in healthy premature infants. Pediatr Infect Dis J 26:1099–1104PubMedCrossRef
41.
Zurück zum Zitat Jackson KM, Nazar AM (2006) Breastfeeding, the immune response, and long-term health. J Am Osteopath Assoc 106:203–207PubMed Jackson KM, Nazar AM (2006) Breastfeeding, the immune response, and long-term health. J Am Osteopath Assoc 106:203–207PubMed
42.
Zurück zum Zitat Greenberg DP, Vadheim CM, Partridge S, Chang SJ, Chiu CY, Ward JI (1994) Immunogenicity of Haemophilus influenzae type b tetanus toxoid conjugate vaccine in young infants. The Kaiser-UCLA Vaccine Study Group. J Infect Dis 170:76–81PubMed Greenberg DP, Vadheim CM, Partridge S, Chang SJ, Chiu CY, Ward JI (1994) Immunogenicity of Haemophilus influenzae type b tetanus toxoid conjugate vaccine in young infants. The Kaiser-UCLA Vaccine Study Group. J Infect Dis 170:76–81PubMed
43.
Zurück zum Zitat Pichichero ME (1990) Effect of breast-feeding on oral rhesus rotavirus vaccine seroconversion: a meta-analysis. J Infect Dis 162:753–755PubMed Pichichero ME (1990) Effect of breast-feeding on oral rhesus rotavirus vaccine seroconversion: a meta-analysis. J Infect Dis 162:753–755PubMed
Metadaten
Titel
Pentavalent human-bovine (WC3) reassortant rotavirus vaccine in special populations: a review of data from the Rotavirus Efficacy and Safety Trial
verfasst von
M. Van der Wielen
P. Van Damme
Publikationsdatum
01.07.2008
Verlag
Springer-Verlag
Erschienen in
European Journal of Clinical Microbiology & Infectious Diseases / Ausgabe 7/2008
Print ISSN: 0934-9723
Elektronische ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-008-0479-5

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