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Letter to the editor concerning the article 'Safety of vaccines administration in hereditary fructose intolerance'.


ABSTRACT: The most important approach for the management of hereditary fructose intolerance is a strict avoidance of fructose, sucrose and sorbitol from the diet and medications. A safe threshold of 2.4 mg/kg/dose was recently established by the Instituto Superiore di Sanità of Italy for both oral and parenteral routes, thus shouldering a safe administration of a majority of vaccines in these patients. This would not include, Rotarix® pre-established oral suspension and Rotateq® vaccines, which are indeed contraindicated. Moreover, Rotarix® white powder and solvent for oral suspension would only be safely administered at a weight above 9.3 kg.Overall, these recommendations to avoid rotavirus vaccination are difficult to implement because these vaccines are given during exclusive breastfeeding, prior to fructose-containing food introduction.

SUBMITTER: Saborido-Fiano R 

PROVIDER: S-EPMC8475572 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature

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Letter to the editor concerning the article 'Safety of vaccines administration in hereditary fructose intolerance'.

Saborido-Fiaño Rebeca R   Martinón-Torres Nazareth N   Crujeiras-Martinez Vanesa V   Couce Maria Luz ML   Leis Rosaura R  

Human vaccines & immunotherapeutics 20210302 8


The most important approach for the management of hereditary fructose intolerance is a strict avoidance of fructose, sucrose and sorbitol from the diet and medications. A safe threshold of 2.4 mg/kg/dose was recently established by the <i>Instituto Superiore di Sanità</i> of Italy for both oral and parenteral routes, thus shouldering a safe administration of a majority of vaccines in these patients. This would not include, Rotarix® pre-established oral suspension and Rotateq® vaccines, which are  ...[more]

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