miércoles, 31 de octubre de 2007

Inmunizaciones: Varicela

Prevention of Varicella. Recommendations of the Advisory Committee on Immunization Practices (ACIP)- CDC
In June 2005 and June 2006, ACIP adopted new recommendations regarding the use of live, attenuated varicella vaccines for prevention of varicella. This report revises, updates, and replaces the 1996 and 1999 ACIP statements for prevention of varicella.
The new recommendations include:
1) implementation of a routine 2-dose varicella vaccination program for children, with the first dose administered at age 12--15 months and the second dose at age 4--6 years;
2) a second dose catch-up varicella vaccination for children, adolescents, and adults who previously had received 1 dose;
3) routine vaccination of all healthy persons aged >13 years without evidence of immunity;
4) prenatal assessment and postpartum vaccination;
5) expanding the use of the varicella vaccine for HIV-infected children with age-specific CD4+T lymphocyte percentages of 15%--24% and adolescents and adults with CD4+T lymphocyte counts >200 cells/µL; and
6) establishing middle school, high school, and college entry vaccination requirements.
ACIP also approved criteria for evidence of immunity to varicella.
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5604a1.htm