{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:38:31Z","timestamp":1792658311318,"version":"4.5.0"},"reference-count":32,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"\n \n <\/jats:sec>\n \n BACKGROUND\/OBJECTIVES<\/jats:title>\n The Advisory Committee on Immunization Practices recommends the first dose of rotavirus vaccine (RVV) be delivered by a maximum age of 14 weeks, 6 days and that the vaccine not be delivered until time of discharge from the neonatal intensive care unit (NICU). We hypothesized that these guidelines limit the number of children who can be vaccinated with RVV.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n Children born on or after January 1, 2007, enrolled in the New Vaccine Surveillance Network from December 2014 to August 2024 aged at least 15 weeks with rotavirus-negative acute gastroenteritis or as a healthy control, and with known vaccination status were included. We identified factors associated with not initiating or completing the RVV series and missed opportunities for vaccination. Odds ratios (ORs) and 95% CIs were calculated using univariate logistic regression.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n A total of 24\u2009755 children met the inclusion criteria. The risk factors most strongly associated with not initiating RVV were receiving the diphtheria, tetanus, and pertussis vaccine at greater than or equal to age 15 weeks (OR, 30.0; 95% CI, 26.8\u201333.7), extremely preterm birth (OR, 14.6; 95% CI, 11.2\u201320.0), being born soon after RVV introduction (2007\u20132009) (OR, 3.3; 95% CI, 2.9\u20133.8), and having no health insurance (OR, 2.2; 95% CI, 1.8\u20132.7). More than 50% of extremely preterm infants in the NICU were not discharged until greater than or equal to age 15 weeks.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Re-evaluation of the vaccine guidelines to allow RVV administration in the NICU may remove barriers to vaccination and help improve RVV coverage.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/peds.2025-074382","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:02:30Z","timestamp":1780876950000},"source":"Crossref","is-referenced-by-count":1,"title":["Rotavirus Vaccine Coverage and Potential Barriers Among US Children Born From 2007 to 2024"],"prefix":"10.1542","volume":"158","author":[{"given":"Mary C.","family":"Moran","sequence":"first","affiliation":[{"name":"1Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary E.","family":"Wikswo","sequence":"additional","affiliation":[{"name":"1Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila C.","family":"Sahni","sequence":"additional","affiliation":[{"name":"2Department of Pediatrics, Baylor College of Medicine, Houston, Texas"},{"name":"3Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie A.","family":"Boom","sequence":"additional","affiliation":[{"name":"2Department of Pediatrics, Baylor College of Medicine, Houston, Texas"},{"name":"3Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rangaraj","family":"Selvarangan","sequence":"additional","affiliation":[{"name":"4Division of Infectious Disease, Children\u2019s Mercy Kansas City, Kansas City, Missouri"},{"name":"5University of Missouri at Kansas City School of Medicine, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Harrison","sequence":"additional","affiliation":[{"name":"4Division of Infectious Disease, Children\u2019s Mercy Kansas City, Kansas City, Missouri"},{"name":"5University of Missouri at Kansas City School of Medicine, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer E.","family":"Schuster","sequence":"additional","affiliation":[{"name":"4Division of Infectious Disease, Children\u2019s Mercy Kansas City, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel C.","family":"Payne","sequence":"additional","affiliation":[{"name":"6Division of Infectious Diseases, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"},{"name":"7Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Allen","family":"Staat","sequence":"additional","affiliation":[{"name":"6Division of Infectious Diseases, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"},{"name":"7Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Halasa","sequence":"additional","affiliation":[{"name":"8Division of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura S.","family":"Stewart","sequence":"additional","affiliation":[{"name":"8Division of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma Claire","family":"Gauthier","sequence":"additional","affiliation":[{"name":"8Division of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey A.","family":"Weinberg","sequence":"additional","affiliation":[{"name":"9Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York"},{"name":"10UR Medicine Golisano Children\u2019s Hospital, Rochester, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter G.","family":"Szilagyi","sequence":"additional","affiliation":[{"name":"9Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet A.","family":"Englund","sequence":"additional","affiliation":[{"name":"11Seattle Children\u2019s Research Institute, Seattle, Washington"},{"name":"12University of Washington School of Medicine, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen J.","family":"Klein","sequence":"additional","affiliation":[{"name":"11Seattle Children\u2019s Research Institute, Seattle, Washington"},{"name":"12University of Washington School of Medicine, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annika M.","family":"Hofstetter","sequence":"additional","affiliation":[{"name":"11Seattle Children\u2019s Research Institute, Seattle, Washington"},{"name":"12University of Washington School of Medicine, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marian G.","family":"Michaels","sequence":"additional","affiliation":[{"name":"13UPMC Children\u2019s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John V.","family":"Williams","sequence":"additional","affiliation":[{"name":"13UPMC Children\u2019s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania"},{"name":"14University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umesh D.","family":"Parashar","sequence":"additional","affiliation":[{"name":"1Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara A.","family":"Mirza","sequence":"additional","affiliation":[{"name":"1Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline E.","family":"Tate","sequence":"additional","affiliation":[{"name":"1Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"issue":"RR-2","key":"2026102203470190300_r1","first-page":"1","article-title":"Prevention of rotavirus gastroenteritis among infants and children: recommendations of the Advisory Committee on Immunization Practices (ACIP)","volume":"58","author":"Cortese","year":"2009","journal-title":"MMWR Recomm Rep."},{"key":"2026102203470190300_r2","volume-title":"Red Book: 2024-2027 Report of the Committee on Infectious Diseases","author":"Committee on Infectious Diseases, American Academy of Pediatrics","year":"2024","edition":"33rd ed"},{"issue":"33","key":"2026102203470190300_r3","doi-asserted-by":"crossref","first-page":"889","DOI":"10.15585\/mmwr.mm6433a1","article-title":"National, state, and selected local area vaccination coverage among children aged 19-35 months - United States, 2014","volume":"64","author":"Hill","year":"2015","journal-title":"MMWR 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