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Arch Dis Child Educ Pract Ed 2007;92:ep30
  • Evidence-based medicine

A rotavirus vaccine for infants prevented rotavirus gastroenteritis with no increase in risk of intussusception



Q In healthy infants, does a rotavirus vaccine prevent rotavirus gastroenteritis and reduce use of healthcare resources without i

Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Public health ★★★★★★★

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

unclear allocation concealment.*

GraphicBlinding:

blinded (parents, healthcare providers, outcome assessors, and sponsors).*

GraphicFollow up period:

1 year (through ≥1 full rotavirus season).

GraphicSetting:

hundreds of centres in the US, Taiwan, Europe, and Central America.

GraphicParticipants:

69 274 healthy infants 6–12 weeks of age (mean age 10 wks, 51% boys) without recent (≤42 d) or planned use of oral poliovirus vaccine.

GraphicIntervention:

oral, live pentavalent (G1, G2, G3, G4, and P[8]) human bovine (WC3) reassortant rotavirus vaccine (n  =  34 644) or placebo (n  =  34 630), 3 doses 4–10 weeks apart. Parents were contacted regularly to ascertain adverse events and cases of gastroenteritis.

GraphicOutcomes:

intussusception, other serious adverse …

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