Lack of impact of rotavirus vaccines on seizure-related hospitalizations in children under 5 years old in Spain

Hum Vaccin Immunother. 2018 Jun 3;14(6):1534-1538. doi: 10.1080/21645515.2018.1435225. Epub 2018 Feb 26.

Abstract

Introduction: Up to date the impact of rotavirus (RV) vaccines on seizures has been poorly evaluated, with some studies but not all, showing different degrees of protection.

Objectives: To assess the impact of RV vaccines on convulsions-related hospitalizations among children under 5 years of age residing in the Region of Valencia, Spain.

Methods: A population-based, ecological study using the hospital discharge record (MBDS), the population-based administrative database (SIP) and the vaccine register (SIV), among Valencia Region's children <5 years old, during 2003 - 2015. Impact of vaccination on seizures-related hospitalization rates (780.3* ICD-9-MC code) was estimated by a multivariate Bayesian mixed Poisson regression model.

Results: Since RV vaccines licensure in 2007, its coverage rate increased up to around 42%. When the impact of vaccination against seizures was controlled for potential confounders in the multivariate analysis, there was a non-statistically significant protective effect.

Conclusions: We could not find any impact of RV vaccine coverage on seizure-related hospitalizations in children <5 years.

Keywords: Child; Impact; Rotavirus; Seizures; Spain; hospitalization; vaccines.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child, Preschool
  • Female
  • Hospitalization*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Retrospective Studies
  • Rotavirus Infections / complications*
  • Rotavirus Vaccines / administration & dosage*
  • Seizures / epidemiology*
  • Seizures / prevention & control*
  • Spain / epidemiology

Substances

  • Rotavirus Vaccines

Grants and funding

This study was funded by SPMSD. The company had no role in the analysis or discussion of the results.