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Particle Agglutination Method for Poliovirus Identification
Published on: April 20, 2011
Live attenuated polio vaccine and the risk of intussusception
H Jick1, C Vasilakis-Scaramozza, S S Jick
1The Boston Collaborative Drug Surveillance Program, Boston University School of Medicine, 11 Muzzey Street, Lexington, MA 02421, USA.
Insights
This study found no increased risk of intussusception in infants following oral polio vaccine (OPV) administration. The research indicates that OPV is safe and does not appear to be linked to this serious intestinal condition.
Area of Science:
- Pediatric Vaccinology
- Gastroenterology
- Public Health
Background:
- Concerns exist regarding oral live attenuated rotavirus vaccine and intussusception risk.
- This has prompted investigation into the potential effects of oral polio vaccine (OPV) on intussusception.
Purpose of the Study:
- To evaluate the association between oral polio vaccine and intussusception in infants under one year of age.
Main Methods:
- A nested case-control study was performed using the General Practice Research Database.
- The study included 133 children with documented intussusception and 515 controls.
Main Results:
- No significant difference in the timing of oral polio vaccine administration was observed between cases and controls.
- Relative risk estimates for intussusception associated with OPV ranged from 0.7 to 1.0, with wide confidence intervals, indicating no increased risk.
Conclusions:
- The study provides no evidence to suggest that oral polio vaccine increases the risk of intussusception in young children.
Aims:
Since suspicion has been raised that administration of an oral live attenuated rotavirus vaccine may increase the risk of intussusception in young children, there has been concern about the possible effects of oral polio vaccine. The aim of the study was to evaluate the relationship between oral attenuated polio vaccine and intussusception in children below the age of 1 year.
Methods:
We conducted a nested case-control analysis based on data from the General Practice Research Database which encompassed 133 children who developed documented intussusception during the first year of life and 515 controls.
Results:
The time from oral polio vaccine to the index date was similar in cases and controls. Relative risk estimates for intussusception ranged from 0.7 (95% CI 0.2, 2.1) for babies whose last oral polio vaccine was given 29-35 days before their index date to 1.0 (95% CI 0.4, 2.3) for those whose last oral polio vaccine was given 15-21 days before their index date (compared with babies vaccinated more than 43 days before their index date).
Conclusions:
There is no suggestion that oral polio vaccine increases the risk for intussusception.
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