Training for rotavirus vaccine introduction Module 4 Rotavirus

Training for rotavirus vaccine introduction Module 4 Rotavirus vaccine administration

Learning objectives l 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 l Duration – 45’ 2| Rotavirus vaccine administration, Module 4 | 12 December 2021

Key issues 1 How to check the quality of the vaccine? 2 How to prepare for vaccination? 3 How to administer the vaccine? 4 What to do if the child spits part of the vaccine out? 3| Rotavirus vaccine administration, Module 4 | 12 December 2021

How to check the quality of the vaccine? l Before administering the vaccine, always check the expiration date on the tube cap 4| Rotavirus vaccine administration, Module 4 | 12 December 2021

How to prepare for vaccination? (1/2) 5| Rotavirus vaccine administration, Module 4 | 12 December 2021

How to prepare for vaccination? (2/2) 6| Rotavirus vaccine administration, Module 4 | 12 December 2021

How to prepare for vaccination? (3/4) 7| Rotavirus vaccine administration, Module 4 | 12 December 2021

Can rotavirus vaccine be given at the same time as other childhood vaccines? l 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) l Give oral vaccines like OPV and rotavirus vaccine first, then give other injectable childhood vaccines 8| Rotavirus vaccine administration, Module 4 | 12 December 2021

What should you do in this scenario? The child is 6 weeks old. You give him/her OPV, rotavirus and pentavalent vaccines. In which order should you give the vaccines? 9| Rotavirus vaccine administration, Module 4 | 12 December 2021

How to position the child for rotavirus vaccination? l The child should be seated in a semi reclining position to take the vaccine orally 10 | Rotavirus vaccine administration, Module 4 | 12 December 2021

How to position the vaccine? l Open the child’s mouth by gently pressing the cheeks together l Angle the tube towards the inner cheek 11 | Rotavirus vaccine administration, Module 4 | 12 December 2021

How to administer the vaccine? l Administer the vaccine by pressing the tube – Squeeze the tube slowly l Make sure the child is swallowing the vaccine – Hold the cheeks together and stroke him/her under the chin to help with swallowing 12 | Rotavirus vaccine administration, Module 4 | 12 December 2021

What to do if the infant spits out part of the vaccine? l A dose of rotavirus vaccine is larger than a dose of oral polio vaccine (Rota. Tq™ = 2 m. L, Polio= 3 drops) l To prevent spitting – Place the tip of the tube towards the inside of the child's cheek – Slowly administer the vaccine in small portions l A replacement dose may be given if an incomplete dose is administered for any reason – E. g. infant spits or regurgitates the vaccine 13 | Rotavirus vaccine administration, Module 4 | 12 December 2021

How many vials to take for outreach? l Rotavirus vaccine can be given at the same time as pentavalent vaccine l For outreach take the same amount of pentavalent single dose vials as rotavirus vaccine tubes l Unused and sealed rotavirus tubes brought back from outreach should be immediately kept in the refrigerator for use in the next session 14 | Rotavirus vaccine administration, Module 4 | 12 December 2021

Key messages l Check and interpret expiration date on the tube cap before giving the vaccine l When opening the rotavirus vaccine tube, twist the tube cap clockwise to remove the tip seal l Give the OPV and rotavirus vaccine first, then administer other injectable vaccines l The rotavirus vaccine dose quantity is larger than that of oral polio vaccine (Rota. Teq™ 2 m. L) 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 may be given during that visit 15 | Rotavirus vaccine administration, Module 4 | 12 December 2021

End of module Thank you for your attention! 16 | Rotavirus vaccine administration, Module 4 | 12 December 2021