TAILIEUCHUNG - Chapter 116. Immunization Principles and Vaccine Use (Part 7)

As noted above, the number of licensed vaccines and the strategies for their best use change constantly as new products, new indications, and new information become available. The Advisory Committee on Immunization Practices (ACIP) regularly amends immunization recommendations to reflect the evolution of vaccines and vaccination policy in the United States. Changes for 2006 include the following points: to implement standing orders to administer hepatitis B vaccine—soon after birth and before hospital discharge—to all infants except those with documented hepatitis B–negative mothers; to target adults at high risk for hepatitis B vaccination | Chapter 116. Immunization Principles and Vaccine Use Part 7 As noted above the number of licensed vaccines and the strategies for their best use change constantly as new products new indications and new information become available. The Advisory Committee on Immunization Practices ACIP regularly amends immunization recommendations to reflect the evolution of vaccines and vaccination policy in the United States. Changes for 2006 include the following points to implement standing orders to administer hepatitis B vaccine soon after birth and before hospital discharge to all infants except those with documented hepatitis B-negative mothers to target adults at high risk for hepatitis B vaccination to use a new tetanus toxoid reduced-dose diphtheria toxoid plus acellular pertussis combination vaccine Tdap formulated for adolescents and adults in place of Td to provide meningococcal conjugate vaccine MCV4 to all children at 11-12 years of age to unvaccinated adolescents at age 15 and to all college freshmen living in dormitories to administer hepatitis A vaccine to all children at 1 year of age to administer three doses of the newly licensed rotavirus vaccine at 2 4 and 6 months of age with the first dose given by 12 weeks of age and the last by 32 weeks of age to immunize children 6 months to 5 years of age with influenza vaccine and to expand routine use of the vaccine for their household contacts and out-of-home caregivers to administer Tdap to protect health care personnel from pertussis and to reduce their potential to transmit nosocomial infections assigning the highest priority to those who have direct contact with infants 1 year old and to administer HPV vaccine routinely to girls at 11-12 years of age. Vaccines for Routine Use Infants and Children It is current practice for all children in the United States to receive DTaP poliovirus MMR Hib hepatitis B and varicella vaccines and to receive pneumococcal conjugate hepatitis A and rotavirus vaccines in the absence

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• Immunization Principles and Vaccine Use
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• Harrisons Internal Medicine
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• Preventing Morbidity
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