Hibbs et al listed errors that have been reported during the administration of oral live rotavirus vaccine. These can help target steps to reduce their occurrence. The authorus are from the Centers for Disease Control and Prevention.
Vaccine: oral live rotavirus - RotaTeq (Merck & Co) and Rotarix (GlaxoSmithKline)
Problem
Solution
not reading the package insert
Carefully read the package insert.
misinterpreting the instructions in the package insert
Test understanding after reading the package insert.
injecting the vaccine rather than giving orally
An oral dose needs to be given. Monitor the injection site for local reaction.
inadequate training, especially in giving an oral vaccine
Provide adequate training.
eye splashes during administration
Wear eye protection.
infant spits out, regurgitates or vomits during or after administration
Administer carefully and gently inside the cheek. If spitting, etc occurs then a replacement dose is not indicated.
failure to follow age and dosing instructions
Follow administration guidelines.
where:
• Rotarix is delivered in a syringe and may be mistaken as a parenteral vaccine.
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