Training for rotavirus vaccine introductionTraining for rotavirus vaccine introduction

Module 4

Rotavirus vaccine administration

Rotavirus vaccine administration, Module 4 | 10 April 20232 |

Learning objectivesLearning objectives

At the end of the module, the participant will be able to:

– Identify the necessary steps to assure good vaccine quality

– Describe the method to administer the vaccine– Describe special considerations for outreach

Duration– 45’

Rotavirus vaccine administration, Module 4 | 10 April 20233 |

How to check the quality of the vaccine ?

11

How to prepare for vaccination?

22

What to do if the child spits part of the vaccine out?

44

Key issues

How to administer the vaccine ?

33

Rotavirus vaccine administration, Module 4 | 10 April 20234 |

How to check the quality of the vaccine? How to check the quality of the vaccine?

Before administering the vaccine, always check the expiration date on the tube cap

Rotavirus vaccine administration, Module 4 | 10 April 20235 |

How to prepare for vaccination? (1/2)How to prepare for vaccination? (1/2)

Rotavirus vaccine administration, Module 4 | 10 April 20236 |

How to prepare for vaccination? (2/2)How to prepare for vaccination? (2/2)

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How to prepare for vaccination? (3/4)How to prepare for vaccination? (3/4)

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Can rotavirus vaccine be given at the same time as other childhood vaccines?

Can rotavirus vaccine be given at the same time as other childhood vaccines?

Rotavirus vaccine can be administered with any of the following routine childhood vaccines without interfering with their effectiveness:

– Diphtheria–tetanus–pertussis vaccine (DTP)– Haemophilus influenzae type b vaccine (Hib)– Inactivated polio vaccine (IPV)– Hepatitis B vaccine– Pneumococcal vaccine– Oral polio vaccine (OPV)

Give oral vaccines like OPV and rotavirus vaccine first, then give other injectable childhood vaccines

Rotavirus vaccine administration, Module 4 | 10 April 20239 |

The child is 6 weeks old. You give him/her OPV, rotavirus and pentavalent vaccines.

In which order should you give the vaccines?

What should you do in this scenario?What should you do in this scenario?

Rotavirus vaccine administration, Module 4 | 10 April 202310 |

The child should be seated in a semi reclining position to take the vaccine orally

How to position the child for rotavirus vaccination?

How to position the child for rotavirus vaccination?

Rotavirus vaccine administration, Module 4 | 10 April 202311 |

How to position the vaccine? How to position the vaccine?

Open the child’s mouth by gently pressing the cheeks together

Angle the tube towards the inner cheek

Rotavirus vaccine administration, Module 4 | 10 April 202312 |

How to administer the vaccine? How to administer the vaccine?

Administer the vaccine by pressing the tube– Squeeze the tube slowly

Make sure the child is swallowing the vaccine– Hold the cheeks together and

stroke him/her under the chin to help with swallowing

Rotavirus vaccine administration, Module 4 | 10 April 202313 |

What to do if the infant spits out part of the vaccine?

What to do if the infant spits out part of the vaccine?

A dose of rotavirus vaccine is larger than a dose of oral polio vaccine (RotaTq™ = 2 mL, Polio= 3 drops)

To prevent spitting– Place the tip of the tube towards the inside of the child's cheek– Slowly administer the vaccine in small portions

A replacement dose is not needed if an incomplete dose is administered for any reason

– E.g. infant spits or regurgitates the vaccine

Rotavirus vaccine administration, Module 4 | 10 April 202314 |

How many vials to take for outreach?How many vials to take for outreach?

Rotavirus vaccine can be given at the same time as pentavalent vaccine

For outreach take the same amount of pentavalent single dose vials as rotavirus vaccine tubes

Unused and sealed rotavirus tubes brought back from outreach should be immediately kept in the refrigerator for use in the next session

Rotavirus vaccine administration, Module 4 | 10 April 202315 |

Key messagesKey messages

Check and interpret expiration date on the tube cap before giving the vaccine

When opening the rotavirus vaccine tube, twist the tube cap clockwise to remove the tip seal

Give the OPV and rotavirus vaccine first, then administer other injectable vaccines

The rotavirus vaccine dose quantity is larger than that of oral polio vaccine (RotaTeq™ 2 mL) and infants may not take the full dose all at once

– To prevent spitting, slowly administer the vaccine in small amounts and properly place the tip of the tube towards the inside of the child's cheek

– If the infant spits out some or all of the vaccine, a replacement dose is not needed during that visit

Rotavirus vaccine administration, Module 4 | 10 April 202316 |

End of moduleEnd of module

Thank youfor your attention !