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Recommended Childhood and Adolescent Immunization Schedule for 2014

Summary and Comment |
February 26, 2014

Recommended Childhood and Adolescent Immunization Schedule for 2014

  1. Deborah Lehman, MD

The CDC Advisory Committee on Immunization Practices has released its new immunization schedule.

  1. Deborah Lehman, MD

The 2014 recommended pediatric immunization schedule is again presented as a single schedule for children and adolescents from birth through 18 years of age. A second table shows recommendations for catch-up immunizations. Extensive footnotes contain key clarifications of previous recommendations, including the following:

  • Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine: This is recommended as a single lifetime dose during adolescence; however, pregnant adolescents should receive one dose of vaccine with each pregnancy irrespective of time since last dose.

  • Haemophilus influenzae type b (Hib) vaccine: Incompletely vaccinated children aged 12 to 59 months who are at high risk for invasive Hib disease should receive two doses 8 weeks apart. This includes children with asplenia or HIV infection and chemotherapy recipients.

  • Pneumococcal vaccination in high-risk children: Administer the complete PCV13 series before administering PPSV23, with PPSV23 administered at least 8 weeks after completion of the PCV13 series. Children are identified for whom PPSV23 is indicated and for whom a booster after age 5 years is recommended.

  • Human papillomavirus virus vaccine intervals: Administer the third dose >12 weeks after the second dose and >24 weeks after the first dose.

  • Quadrivalent conjugate meningococcal vaccine: Children who should receive Meneveo starting at age 2 months include those with sickle cell disease or complement deficiency and travelers to endemic areas.

Comment

The updated schedule does not contain any dramatic changes but does clarify previous recommendations and adds trade names for many vaccines. Health care providers need to be aware of the updated schedules and know how to access them. New parent-friendly vaccine schedules also are available at http://www.cdc.gov/vaccines/schedules/index.html.

  • Disclosures for Deborah Lehman, MD at time of publication Nothing to disclose

Citation(s):

Reader Comments (2)

ELENA SHULIKOVSKY Physician, Internal Medicine, JGH, THROMBOSIS RESEARCH

USE YOUR JOURNAL AS A MAIN SOURCE SINCE 1992, CASE MANAGEMENT IS USUALLY VERY DIVERSE AND INTERESTING

Pedro Vargas

At 2 months of age how do you define "complement deficiency"?

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