Impact of rotavirus vaccination on seizure hospitalizations in children: A systematic review

Vaccine. 2022 Nov 8;40(47):6711-6721. doi: 10.1016/j.vaccine.2022.09.096. Epub 2022 Oct 22.

Abstract

Background: Previous studies found conflicting results about the effect of rotavirus (RV) vaccination on seizure hospitalizations in children younger than 5 years old.

Objectives: To evaluate the evidence of the impact of RV vaccination on the prevention of seizure hospitalizations in children.

Methods: A systematic review was conducted in the electronic database MEDLINE of all observational studies in children younger than 5 years old published since 2006. Two reviewers performed title/abstract, full-text review, and data extraction.

Results: Thirteen studies met eligibility criteria. Nine studies reported a significant reduction in seizure hospitalizations upon RV vaccine introduction, three studies reported an absence of significant impact, and one study reported a significant rise in seizure hospitalization after the introduction of RV vaccines.

Limitations: The great variability between study designs, case definitions and potential biases prevent quantifying the impact of RV vaccination against seizure hospitalizations.

Conclusions: RV vaccination might prevent seizure hospitalizations in children; however, robust, and well-designed studies are needed to better determine the strength of this association.

Keywords: Rotavirus; Rotavirus vaccines; children; convusions; seizures.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Child
  • Child, Preschool
  • Hospitalization
  • Humans
  • Infant
  • Rotavirus Infections* / prevention & control
  • Rotavirus Vaccines*
  • Rotavirus*
  • Seizures / prevention & control
  • Vaccination

Substances

  • Rotavirus Vaccines