January 22Jan 22 what is your guidelines in giving Rota virus vaccine inside NICU in due time Edited January 22Jan 22 by piatkat added image
January 23Jan 23 Thanks for sharing this question. I translated our national guideline in Sweden, hope this helps.Indication for rotavirus vaccination: born at gestational age ≥ 25+0 weeks:can be given in the neonatal unit.first dose given from 6 weeks of chronological age, and must be given before 12 weeks of chronological age.the first dose may be given from gestational week 34 together with other vaccines if such are neededif possible, give the vaccine 2–3 days before discharge.second dose should preferably be given at least 4 weeks after the first dose and no later than 16 weeks of chronological age.contraindications: previous intestinal surgery, previous intussusception, congenital malformation of the gastrointestinal tract, a history of NEC regardless of stage and treatment (consult pediatric surgery), immunodeficiency (SCID), and/or congenital sucrase deficiency.
January 24Jan 24 5 hours ago, jody0424 said:We do not give any live viruses in our NICU. WE WAIT UNTIL BABY GOES HONEwe also do the same
January 25Jan 25 i think the issue to give give ROTA vaccine or not must depend on where you are working and balanced to your unit population and logistic . this is true especially in NICU with less nursing staff and one nurse taking care of 2-3 recovering and surviving . we are not giving it in our NICU while in patient but if on discharge the baby qualify for it we are giving it on the day of discharge . we are fearing from spread especially with less number of nursing staff and possible spread between recovering preterm babies
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