| Immunization of preterm and low birth weight infants. American Academy of Pediatrics Committee on Infectious Diseases. | |
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MedLine Citation:
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PMID: 12837889 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Preterm (PT) infants are at increased risk of experiencing complications of vaccine-preventable diseases but are less likely to receive immunizations on time. Medically stable PT and low birth weight (LBW) infants should receive full doses of diphtheria, tetanus, acellular pertussis, Haemophilus influenzae type b, hepatitis B, poliovirus, and pneumococcal conjugate vaccines at a chronologic age consistent with the schedule recommended for full-term infants. Infants with birth weight less than 2000 g may require modification of the timing of hepatitis B immunoprophylaxis depending on maternal hepatitis B surface antigen status. All PT and LBW infants benefit from receiving influenza vaccine beginning at 6 months of age before the beginning of and during the influenza season. All vaccines routinely recommended during infancy are safe for use in PT and LBW infants. The occurrence of mild vaccine-attributable adverse events are similar in both full-term and PT vaccine recipients. Although the immunogenicity of some childhood vaccines may be decreased in the smallest PT infants, antibody concentrations achieved usually are protective. |
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Authors:
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Thomas N Saari; |
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Publication Detail:
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Type: Guideline; Journal Article; Practice Guideline |
Journal Detail:
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Title: Pediatrics Volume: 112 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2003 Jul |
Date Detail:
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Created Date: 2003-07-02 Completed Date: 2003-12-18 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: 193-8 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Bacterial Capsules Diphtheria-Tetanus-Pertussis Vaccine / administration & dosage Female Haemophilus Vaccines / administration & dosage Hepatitis B Hepatitis B Vaccines / administration & dosage Humans Immunization Schedule Immunoglobulins / administration & dosage Infant, Low Birth Weight* Infant, Newborn Infant, Premature* Influenza Vaccines / administration & dosage Pneumococcal Vaccines / administration & dosage Poliovirus Vaccine, Oral / administration & dosage Polysaccharides, Bacterial / administration & dosage Pregnancy Pregnancy Complications, Infectious Safety Vaccination* / adverse effects Vaccines / administration & dosage*, adverse effects Vaccines, Conjugate / administration & dosage |
| Chemical | |
Reg. No./Substance:
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0/Bacterial Capsules; 0/Diphtheria-Tetanus-Pertussis Vaccine; 0/Haemophilus Vaccines; 0/Haemophilus influenzae type b polysaccharide vaccine; 0/Hepatitis B Vaccines; 0/Immunoglobulins; 0/Influenza Vaccines; 0/Pneumococcal Vaccines; 0/Poliovirus Vaccine, Oral; 0/Polysaccharides, Bacterial; 0/Vaccines; 0/Vaccines, Conjugate; 0/hepatitis B hyperimmune globulin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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