Nutritional status in relation to the efficacy of the rhesus-human reassortant, tetravalent rotavirus vaccine (RRV-TV) in infants from Belem, Para state, Brazil



Document title: Nutritional status in relation to the efficacy of the rhesus-human reassortant, tetravalent rotavirus vaccine (RRV-TV) in infants from Belem, Para state, Brazil
Journal: Revista do Instituto de Medicina Tropical de Sao Paulo
Database: PERIÓDICA
System number: 000187498
ISSN: 0036-4665
Authors: 1







Institutions: 1Fundacao Nacional de Saude, Belem, Para. Brasil
Year:
Season: Ene-Feb
Volumen: 44
Number: 1
Pages: 13-16
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Analítico
English abstract The rhesus-human reassortant, tetravalent rotavirus vaccine (RRV-TV) was licensed for routine use in the United States of America but it was recently withdrawn from the market because of its possible association with intussusception as an adverse event. The protective efficacy of 3 doses of RRV-TV, in its lower-titer (4 x 104 pfu/dose) formulation, was evaluated according to the nutritional status of infants who participated in a phase III trial in Belém, Northern Brazil. A moderate protection conferred by RRV-TV was related to weight-for-age Z-scores (WAZ) greater than -1 only, with rates of 38% (p = 0.04) and 40% (p = 0.04) for all- and- pure rotavirus diarrhoeal cases, respectively. In addition, there was a trend for greater efficacy (43%, p = 0.05) among infants reaching an height-for-age Z-score (HAZ) of > -1. Taking WAZ, HAZ and weight-for-height Z-score (WHZ) indices £ -1 together, there was no significant protection (p > 0.05) if both placebo and vaccine groups are compared. There was no significant difference if rates of mixed and pure rotavirus diarrhoeal cases are compared in relation to HAZ, WAZ and weight-for-height Z-score (WHZ) indices. Although a low number of malnourished infants could be identified in the present study, our data show some evidence that malnutrition may interfere with the efficacy of rotavirus vaccines in developing countries
Disciplines: Medicina
Keyword: Metabolismo y nutrición,
Salud pública,
Inmunología,
Vacunas,
Rotavirus,
Estado nutricional,
Eficacia
Keyword: Medicine,
Metabolism and nutrition,
Public health,
Vaccines,
Rotavirus,
Nutritional status,
Efficacy,
Immunology
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