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Prepared for your next patient.

TM. Prepared for your next patient. Discussion of Changes to the 2013 Immunization Schedules. H. Cody Meissner , MD Floating Hospital for Children Tufts University School of Medicine. Disclaimers.

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Prepared for your next patient.

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  1. TM Prepared for your next patient. Discussion of Changes to the 2013 Immunization Schedules H. Cody Meissner, MD Floating Hospital for Children Tufts University School of Medicine

  2. Disclaimers • Statements and opinions expressed are those of the authors and not necessarily those of the American Academy of Pediatrics. • I have no relevant financial relationships with the manufacturers of any commercial products and/or providers of commercial services discussed in this presentation. • I do not intend to discuss an unapproved/investigative use of a commercial product/device in the presentation.

  3. Licensed Vaccines in the United States Special settings: • Adenovirus • Anthrax • Herpes zoster (shingles) • Japanese encephalitis virus • Rabies • Typhoid • Vaccinia (smallpox) • Yellow fever Routine childhood use: • Diphtheria, tetanus, pertussis • Haemophilusinfluenzae type b • Hepatitis A • Hepatitis B • Human papillomavirus • Influenza • Measles, mumps, rubella • Meningococcal • Pneumococcal • Poliomyelitis • Rotavirus • Varicella

  4. Note: The above recommendations must be read along with the footnotes on pages 6–8.

  5. Pertussis Deaths in the United States, 2000-2009

  6. Tdap and Pregnancy • Administer Tdap during each pregnancy, irrespective of previous Tdap history. • Optimal timing for Tdap is between 27 and 36 weeks gestation to maximize antibody transfer. • For women not previously vaccinated with Tdap, if Tdap not administered during pregnancy, administer Tdap immediately postpartum.

  7. Infant Meningococcal Vaccination • Infants at increased risk of meningococcal disease • Complement deficiency • Asplenia • Outbreaks due to vaccine serotype • Travel to endemic area • Infants not at increased risk of meningococcal disease • Vaccine not recommended for routine use

  8. Thank You Boston Floating Hospital, circa 1920

  9. For more information… On this topic and a host of other topics, visit www.pediatriccareonline.org. Pediatric Care Online is a convenient electronic resource for immediate expert help with virtually every pediatric clinical information need. Must-have resources are included in a comprehensive reference library and time-saving clinical tools.

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