Safe administration of rotavirus vaccine in a cohort of infants exposed to immunosuppressive drugs during gestation

Transpl Infect Dis. 2018 Oct;20(5):e12951. doi: 10.1111/tid.12951. Epub 2018 Jun 25.

Abstract

In utero exposure to immunosuppressive drugs might be a contraindication to rotavirus vaccine, but that may vary according to the immunosuppressive regimen. We evaluated 24 infants born to kidney transplanted mothers exposed to 3 immunosuppressants during pregnancy (prednisone, azathioprine, and tacrolimus or cyclosporine) and 31 control infants not exposed to these medications. No differences in adverse events were detected after rotavirus vaccination at 2 and 4 months.

Keywords: child; immunosuppressant; pregnancy; rotavirus vaccine; transplant.

MeSH terms

  • Case-Control Studies
  • Cohort Studies
  • Female
  • Follow-Up Studies
  • Graft Rejection / immunology
  • Graft Rejection / prevention & control
  • Humans
  • Immunization Schedule
  • Immunosuppressive Agents / adverse effects*
  • Infant
  • Kidney Transplantation / adverse effects*
  • Maternal Exposure / adverse effects*
  • Maternal-Fetal Exchange
  • Pregnancy
  • Prospective Studies
  • Rotavirus Infections / prevention & control*
  • Rotavirus Vaccines / administration & dosage*
  • Rotavirus Vaccines / adverse effects
  • Vaccines, Attenuated / administration & dosage
  • Vaccines, Attenuated / adverse effects

Substances

  • Immunosuppressive Agents
  • RIX4414 vaccine
  • Rotavirus Vaccines
  • Vaccines, Attenuated

Grants and funding