Under the Universal Immunization Programme (UIP) in India, rotavirus vaccine was introduced in a phased manner. Which of the following correctly describes the currently recommended rotavirus vaccination schedule under IAP 2023 guidelines for a child receiving Rotavac (116E strain)?

• A 3 doses at 6, 10, and 14 weeks with maximum age of 32 weeks for last dose
• B 2 doses at 6 and 10 weeks, completing before 24 weeks
• C 3 doses at 6, 10, and 14 weeks with a minimum age of 6 weeks and maximum age for last dose of 8 months ✓
• D 2 doses at 2 and 4 months with booster at 6 months

Explanation

Rotavac (Bharat Biotech's 116E strain), the indigenously developed rotavirus vaccine included in India's UIP, is given as 3 oral doses at 6, 10, and 14 weeks of age. IAP recommends that the first dose should be given at minimum 6 weeks of age and the maximum age for the third/last dose is 8 months. Rotarix (RV1) uses a 2-dose schedule (6 and 10 weeks), while RotaTeq (RV5) uses a 3-dose schedule similar to Rotavac. Completing vaccination before the maximum age limit is crucial as late vaccination may be associated with intussusception risk.

Reference: Ghai Essential Pediatrics, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.