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

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 parente...

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Bibliographic Details
Main Authors: Rebeca Saborido-Fiaño (Author), Nazareth Martinón-Torres (Author), Vanesa Crujeiras-Martinez (Author), Maria Luz Couce (Author), Rosaura Leis (Author)
Format: Book
Published: Taylor & Francis Group, 2021-08-01T00:00:00Z.
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Summary: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.
Item Description:2164-5515
2164-554X
10.1080/21645515.2021.1891816