ACIP Provisional Recommendations for Measles-Mumps-Rubella (MMR)

ACIP Provisional Recommendations for Measles-Mumps-Rubella (MMR)
‘Evidence of Immunity’ Requirements for Healthcare Personnel
Date of ACIP vote: June 24, 2009
Date of posting of provisional recommendations: August 28, 2009

On June 24, 2009 the ACIP voted on revised recommendations for measles-mumps-rubella (MMR) ‘evidence of immunity’ requirements for healthcare personnel. The Healthcare Infection Control Practices Advisory Committee (HICPAC) has endorsed these changes.
Summary of new recommendations:

Adequate presumptive evidence of immunity to measles, rubella, and mumps for persons who work in health care facilities:

Measles:
a.Documented administration of two doses of live measles virus vaccine1 or
b.Laboratory evidence of immunity or laboratory confirmation of disease or
c.Born before 1957234

Rubella:
a.Documented administration of one dose of live rubella virus vaccine1 or
b.Laboratory evidence of immunity or laboratory confirmation of disease or
c.Born before 1957 (except women of childbearing age who could become pregnant)234

Mumps:
a.Documented administration of two doses of live mumps virus vaccine1 or
b.Laboratory evidence of immunity or laboratory confirmation of disease or
c.Born before 1957234

1 The first dose should be administered on or after the first birthday; the second dose of measles and mumps-containing vaccine should be administered no earlier than one month (i.e., a minimum of 28 days) after the first dose. Combined MMR vaccine generally should be used whenever any of its component vaccines is indicated.
2 May vary depending on current state or local requirements.
3 For unvaccinated personnel born before 1957 who lack laboratory evidence of measles, mumps and/or rubella immunity or laboratory confirmation of disease, healthcare facilities should consider vaccinating personnel with two doses of MMR vaccine at the appropriate interval (for measles and mumps) and one dose of MMR vaccine (for rubella), respectively.
4 For unvaccinated personnel born before 1957 who lack laboratory evidence of measles, mumps and/or rubella immunity or laboratory confirmation of disease, healthcare facilities should recommend two doses of MMR vaccine during an outbreak of measles or mumps and one dose during an outbreak of rubella.
 These recommendations update two previous ACIP documents:
1. Immunization of Health Care Workers: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Hospital Infection Control Practices Advisory Committee (HICPAC). Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/00050577.htm
2. Measles, Mumps, and Rubella----Vaccine Use and Strategies for Elimination of Measles, Rubella, and Congenital Rubella Syndrome and the Control of Mumps: Recommendations of the Advisory Committee on Immunization Practices. Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/00050577.htm.
This document available at: www.cdc.gov/vaccines/recs/provisional/default.htm

abrir aquí:
http://www.cdc.gov/vaccines/recs/provisional/downloads/mmr-evidence-immunity-Aug2009-508.pdf