Comparison of iatrogenic pain between rotavirus vaccination before and after vaccine injection in 2-month-old infants

Hui Chu Yin, Whei Mei Shih, Hsiu Lan Lee, Huei Jing Yang, Yu Li Chen, Shao Wen Cheng, Chun Yuh Yang, Ya Wen Chiu, Yi Hao Weng

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Oral rotavirus vaccine (RV) administration in conjunction with other injectable vaccines has been used worldwide. However, whether the sequence of RV administration is associated with the reduction of injection-induced pain remains unclear. In this randomized controlled trial, we enrolled 6–12-wk-old healthy infants. The pain response of the infants was scored on the basis of their crying, irritability, facial expression, gagging and distress. A multivariate logistic regression model was used to compare the pain response after adjustment for possible confounders. We enrolled 352 infants, of whom 176 infants received RV before injection (experimental group) and 176 infants received an RV after injection (comparison group). Sex, number of injections, main caregiver, feeding type, and RV type did not differ significantly between the 2 groups. Multivariate regression analyses showed that, at 30 s after the intervention, the episode of gagging was more frequent in the comparison group than in the experimental group (p = 0.004). At 180 s after the intervention, the infants cried more often in the comparison group (p < 0.001). Furthermore, the infants in the experimental group more often relaxed (p < 0.001), rested quietly (p = 0.001), and were smiling (p = 0.001) than did those in the comparison group. Our results indicate that compared with oral RV administration after injection, oral RV administration before injection is more effective in reducing injection-induced pain in 2-mo-old infants. The findings can provide a clinical strategy for relieving pain from vaccination in young infants.

Original languageEnglish
Pages (from-to)1136-1140
Number of pages5
JournalHuman Vaccines and Immunotherapeutics
Volume13
Issue number5
DOIs
Publication statusPublished - May 4 2017

Fingerprint

Rotavirus
Rotavirus Vaccines
Vaccination
Vaccines
Pain
Injections
Gagging
Logistic Models
Smiling
Crying
Facial Expression
Caregivers
Multivariate Analysis
Randomized Controlled Trials
Regression Analysis

Keywords

  • infant
  • injection
  • pain
  • rotavirus vaccine
  • vaccination

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Pharmacology

Cite this

Comparison of iatrogenic pain between rotavirus vaccination before and after vaccine injection in 2-month-old infants. / Yin, Hui Chu; Shih, Whei Mei; Lee, Hsiu Lan; Yang, Huei Jing; Chen, Yu Li; Cheng, Shao Wen; Yang, Chun Yuh; Chiu, Ya Wen; Weng, Yi Hao.

In: Human Vaccines and Immunotherapeutics, Vol. 13, No. 5, 04.05.2017, p. 1136-1140.

Research output: Contribution to journalArticle

Yin, Hui Chu ; Shih, Whei Mei ; Lee, Hsiu Lan ; Yang, Huei Jing ; Chen, Yu Li ; Cheng, Shao Wen ; Yang, Chun Yuh ; Chiu, Ya Wen ; Weng, Yi Hao. / Comparison of iatrogenic pain between rotavirus vaccination before and after vaccine injection in 2-month-old infants. In: Human Vaccines and Immunotherapeutics. 2017 ; Vol. 13, No. 5. pp. 1136-1140.
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