15-year experience with rotavirus vaccination in Mexico: a systematic literature review

Autor: Maria Yolanda Cervantes-Apolinar, Dagna Constenla, Roberto Carreño-Manjarrez, Ángel Alexis Flores, Eduardo Ortega-Barria, Adriana Guzman-Holst
Rok vydání: 2021
Předmět:
Zdroj: Human Vaccines & Immunotherapeutics
article-version (VoR) Version of Record
ISSN: 2164-554X
2164-5515
DOI: 10.1080/21645515.2021.1936859
Popis: A systematic review was conducted in Mexico to consolidate and evaluate evidence after 15 years of rotavirus vaccination, according to the National Immunization Program. Five databases were screened to identify published articles (January 2000–February 2020) with evidence on all clinical and epidemiological endpoints (e.g. immunogenicity, safety, efficacy, impact/effectiveness) of rotavirus vaccination in Mexico. Twenty-two articles were identified (observational studies including health-economic models: 17; randomized controlled trials: 5). Fourteen studies evaluated a human attenuated vaccine (HRV), four studies evaluated both vaccines, and only two evaluated a bovine-human reassortant vaccine, with local efficacy data only for HRV. Local evidence shows vaccines are safe, immunogenic, efficacious, and provide an acceptable risk-benefit profile. The benefits of both vaccines in alleviating the burden of all-cause diarrhea mortality and morbidity are documented in several local post-licensure studies. Findings signify overall benefits of rotavirus vaccination and support the continued use of rotavirus vaccine in Mexico.
Databáze: OpenAIRE