What are recommendations for cleaning up rotavirus vaccine that is regurgitated by an infant or spilled by the provider? Does the dose need to be repeated?

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What are recommendations for cleaning up rotavirus vaccine that is regurgitated by an infant or spilled by the provider? Does the dose need to be repeated?

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There are no specific recommendations for cleanup. It would seem reasonable to treat any cloth/tissue used for cleanup as medical waste and dispose of it in a biohazard container. ACIP does have recommendations regarding completion of the vaccine series. The dose should NOT be repeated. You should document what happened and that the dose was administered. Then at the appropriate interval, complete the series with remaining dose(s), http://www.cdc.gov/mmwr/PDF/rr/rr5512.pdf [198KB – 16 pages] (page 9).