Key result
Infants vaccinated with Rotarix showed no strong evidence of porcine circovirus type 1 replication, and 21% did not shed rotavirus RNA beyond day 3.
Why the study?
Does Rotarix vaccination lead to replication and shedding of porcine circovirus type 1 DNA and rotavirus RNA in infants?
Observational (n=33)
Does Rotarix vaccination lead to replication and shedding of porcine circovirus type 1 DNA and rotavirus RNA in infants?
Following Rotarix vaccination, porcine circovirus type 1 DNA appears to undergo transient passage without replication, while rotavirus RNA shedding can be prolonged.
Supports transient PCV-1 passage without replication after Rotarix; leaves open transmission implications of prolonged RVA shedding in most infants.
Thirty-three infants aged ∼2 months had serial stool samples collected after receipt of Rotarix® vaccine dose 1, and were assessed for shedding of porcine circovirus type 1 DNA and Rotavirus group A RNA by molecular methods. We did not find strong evidence that porcine circovirus type 1 replication occurred. Porcine circovirus type 1 genome with the same sequence as that in Rotarix® was detected in a few infants as late as day ≥ 13; while this timing could suggest there may have been replication and not just transient passage through the gastrointestinal tract, the lack of increase in copy number in any infant supports transient passage and there are inherent limitations to the results. We found that 21% of infants did not shed Rotarix® RVA RNA beyond the day 3 sample, which may suggest lack of vaccine virus replication. Of the infants in whom Rotarix RVA RNA shedding continued, peak copy numbers were reached on days 3-5 for ∼40%, and after day 5 in ∼60%, and shedding can be prolonged (≥ 45 days).
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Mijatovic-Rustempasic et al. (2016) conducted an observational in Healthy infants (n=33). Rotarix vaccine was evaluated on Shedding of porcine circovirus type 1 DNA and Rotavirus group A RNA. Infants vaccinated with Rotarix showed no strong evidence of porcine circovirus type 1 replication, and 21% did not shed rotavirus RNA beyond day 3.
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