Rotavirus vaccine (Rotavac) under India's UIP is administered at 6, 10, and 14 weeks. A child presents at 18 weeks having received only the first dose at 6 weeks. What is the recommended action?

• A Restart the series from the beginning with dose 1
• B Do not administer further doses as the window has closed
• C Give only one more dose and consider the series complete
• D Administer remaining 2 doses now at 4-week intervals and complete the series ✓

Explanation

WHO and IAP guidelines state that rotavirus vaccination can continue beyond the recommended schedule if at least one dose was given before 15 weeks. If a child has received dose 1 before 15 weeks, remaining doses can be completed maintaining minimum 4-week intervals, up to a maximum age of 8 months (32 weeks) for the last dose. The series should be completed, not restarted.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.