lunes, 23 de julio de 2018

General Best Practice Guidelines for Immunization

ACIP General Best Practice Guidelines for Immunization | Recommendations | CDC
Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People

General Best Practice Guidelines for Immunization

Kroger AT, Duchin J, Vázquez M

July 18, 2018

  
  • PAGE 52[18 pages]Contraindications and Precautions
    Table 4-1
    Three precautions have been removed from the DTaP row.
    Collapse or shock-like state (i.e., hypotonic hyporesponsive episode) within 48 hours after receiving a previous dose of DTP/DTaP
    Seizure ≤3 days after receiving a previous dose of DTP/DTaP
    Persistent, inconsolable crying lasting ≥3 hours within 48 hours after receiving a previous dose of DTP/DTaP

  • PAGE 56[18 pages]Contraindications and Precautions
    Table 4-1
    VARICELLA ROW / PRECAUTIONS COLUMN
    “Use of aspirin or aspirin-containing products(j)”.  Harmonized with the Adult Schedule. With accompanying footnote that explains the circumstances behind waiting for 6 weeks after varicella vaccine to receive aspirin or aspirin-containing products.

  • PAGE 59[18 pages]Contraindications and Precautions
    Table 4-2
    HEADER
    Changed to: “Conditions incorrectly perceived as contraindications or precautions to vaccination” – because none of the conditions listed are contraindications, and none of the conditions listed are precautions.


  • PAGE 99[26 pages]Vaccine Administration
    Table 6-1
    RZV ROW / DOSE COLUMN
    New volume 0.5 cc, along with a footnote that states that only 0.5 cc should be withdraw even if more vaccine remains in the vial.

May 14, 2018



October 23, 2017

  • PAGE 30[38 pages]Timing and Spacing of Immunobiologics
    Table 3-1, Footnote (f)
    “The minimum recommended interval between DTaP-3 and DTaP-4 is 6 months. However, DTaP-4 need not be repeated if administered at least 4 months after DTaP-3. This is a special grace period of 2 months which can be used if evaluating records retrospectively. An additional 4 days cannot be added to this grace period prospectively, but can be added retrospectively.” This is to accommodate recent SME email that allows double dipping of the grace period (adding 4 days to the 2 months) for retrospective validation of series WHOSE 4th DOSE WAS ADMINISTERED AT 12 months of age. But this double dipping cannot be applied prospectively, meaning we will only allow a 4 day grace period added to a prospective 6 month interval, and we will only allow a four month interval prospectively (not four months plus four days) if the fourth dose would be  administered after 12 months of age.  CDSi has been updated to accommodate this.
  
  • PAGE 54[18 pages]Contraindications and Precautions
    Table 4-1
    LAIV ROW / CONTRAINDICATIONS COLUMN
    “LAIV4 should not be administered to persons who have taken influenza antivirals medications within the previous 48 hours.” To harmonize with the adult schedule.
  

  • PAGE 54[18 pages]Contraindications and Precautions
    Table 4-1
    MMR ROW / CONTRAINDICATIONS COLUMN
    “Family history of altered immunocompetence”. To harmonize AND REFERENCED with the vaccine-specific statements to accommodate infants and toddlers with occult heritable congenital immunodeficiencies.

  • PAGE 56[18 pages]Contraindications and Precautions
    TABLE 4-1
    VARICELLA ROW / CONTRAINDICATIONS COLUMN
    “Family history of altered immunocompetence”. To harmonize AND REFERENCED with the vaccine-specific statements to accommodate infants and toddlers with occult heritable congenital immunodeficiencies.

  • PAGE 56[18 pages]Contraindications and Precautions
    Table 4-1
    VARICELLA ROW / PRECAUTIONS COLUMN
    “Receipt of specific antiviral drugs (acyclovir, famiciclovir, or valacyclovir) 24 hours before vaccination (avoid use of these antiviral drugs for 14 days after vaccination).”

  • PAGE 57[18 pages]Contraindications and Precautions
    Table 4-1
    ZOSTER ROW / PRECAUTIONS COLUMN
    “Receipt of specific antiviral drugs (acyclovir, famiciclovir, or valacyclovir) 24 hours before vaccination (avoid use of these antiviral drugs for 14 days after vaccination).”
  

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