Evidence map›Paper›PMID 23313652›Full record

ArticleVaccine2013

Uptake of oral rotavirus vaccine and timeliness of routine immunization in Brazil's National Immunization Program.

Brendan Flannery, Samia Samad, José Cássio de Moraes, Jacqueline E Tate, M Carolina Danovaro-Holliday, Lúcia Helena de Oliveira, Jeanette J Rainey

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Brendan FlanneryUS Centers for Disease Control and Prevention, Atlanta, GA 30333, United States. bflannery@cdc.gov
Samia Samad
José Cássio de Moraes
Jacqueline E Tate
M Carolina Danovaro-Holliday
Lúcia Helena de Oliveira
Jeanette J Rainey
Centers for Disease Control and Prevention · USWorld Health Organization Regional Office for the Americas · USFaculdade de Ciências Médicas da Santa Casa de São Paulo · BRMinistério da Saúde · BR

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

introductionIn March, 2006, oral rotavirus vaccine was added to Brazil's infant immunization schedule with recommended upper age limits for initiating (by age 14 weeks) and completing (by age 24 weeks) the two-dose series to minimize age-specific risk of intussusception following rotavirus vaccination. Several years after introduction, estimated coverage with rotavirus vaccine (83%) was lower compared to coverage for other recommended childhood immunizations (≥94%).

methodsWe analyzed data from Brazil's national immunization program on uptake of oral rotavirus vaccine by geographic region and compared administrative coverage estimates for first and second doses of oral rotavirus vaccine (Rota1 and Rota2) with first and second doses of diphtheria-tetanus-pertussis-Haemophilus influenzae type b vaccine (DTP-Hib1 and DTP-Hib2). For 27 Brazilian cities, we compared differences between estimated rotavirus and DTP-Hib coverage in 2010 with delayed receipt of DTP-Hib vaccine among a cohort of children surveyed before rotavirus introduction.

resultsIn 2010, infant vaccination coverage was 99.0% for DTP-Hib1 versus 95.2% for Rota1 (3.8% difference), and 98.4% for DTP-Hib2 versus 83.0% for Rota2 (15.4% difference), with substantial regional variation. Differences between DTP-Hib and rotavirus vaccination coverage in Brazilian cities correlated with delay in DTP-Hib vaccination among children surveyed. Age restrictions for initiating and completing the rotavirus vaccination series likely contributed to lower coverage with rotavirus vaccine in Brazil.

conclusionTo maximize benefits of rotavirus vaccination, strategies are needed to improve timeliness of routine immunizations; monitoring rotavirus vaccine uptake and intussusception risk is needed to guide further recommendations for rotavirus vaccination.

Indexed as

Immunization ProgramsImmunization ScheduleBrazilChild, PreschoolDiphtheria-Tetanus-Pertussis VaccineHaemophilus influenzaeHaemophilus VaccinesHumansInfantMaleMembrane GlycoproteinsRotavirusRotavirus VaccinesVaccinationdiphtheria-tetanus-pertussis-haemophilus b conjugate vaccineDiphtheria-Tetanus-Pertussis VaccineHaemophilus VaccinesMembrane GlycoproteinsRotavirus VaccinesS-layer proteins

Identifiers

PMID23313652
PMCPMC4758463
OpenAlexW2027805116

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.