ACIP Provisional Recommendations for the Use of Combination Vaccines

ACIP Provisional Recommendations for the Use of Combination Vaccines
Date of ACIP vote: June 24, 2009
Date of posting of provisional recommendations: August 28, 2009

These provisional recommendations when published in the MMWR, will replace those of the 1999 MMWR Recommendation and Reports document: Centers for Disease Control and Prevention. Combination Vaccines for Childhood Immunization: Recommendations of the Advisory Committee on Immunization Practices, the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP). MMWR 1999; 48(No. RR-5).
The new recommendations apply to all age groups.
Definition of Combination Vaccine
A product whose components can be equally divided into independently available routine vaccines.
General Recommendations for Use
The use of a combination vaccine generally is preferred over separate injections of its equivalent component vaccines. Considerations should include provider assessment, patient preference, and the potential for adverse events.

Provider assessment should include the number of injections, vaccine availability, likelihood of improved coverage, likelihood of patient return, and storage and cost consideration.
These recommendations on use of combination vaccines will be included as a section in General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (MMWR 2006;56(No.RR-15)); revision in preparation.
 Provider assessment should include the number of injections, vaccine availability, likelihood of improved coverage, likelihood of patient return, and storage and cost consideration.
This document available at: www.cdc.gov/vaccines/recs/provisional/default.htm

abrir aquí:
http://www.cdc.gov/vaccines/recs/provisional/downloads/combo-vax-Aug2009-508.pdf