General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP)

"This report is a revision of General Recommendations on Immunization and updates the 2002 statement by the Advisory Committee on Immunization Practices (ACIP) (CDC. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices and the American Academy of Family Physicians. MMWR 2002;51[No. RR-2]). This report is intended to serve as a general reference on vaccines and immunization. The principal changes include 1) expansion of the discussion of vaccination spacing and timing; 2) an increased emphasis on the importance of injection technique/age/body mass in determining appropriate needle length; 3) expansion of the discussion of storage and handling of vaccines, with a table defining the appropriate storage temperature range for inactivated and live vaccines; 4) expansion of the discussion of altered immunocompetence, including new recommendations about use of live-attenuated vaccines with therapeutic monoclonal antibodies; and 5) minor changes to the recommendations about vaccination during pregnancy and vaccination of internationally adopted children, in accordance with new ACIP vaccine-specific recommendations for use of inactivated influenza vaccine and hepatitis B vaccine. The most recent ACIP recommendations for each specific vaccine should be consulted for comprehensive discussion.." - p. 1Introduction -- Timing and spacing of immunobiologics -- Contraindications and precautions -- Vaccine administration -- Storage and handling of immunobiologics -- Altered immunocompetence -- Special situations -- Vaccination records -- Reporting adverse events after vaccination -- Vaccination programs -- Vaccine information sources -- Acknowledgments -- References -- Abbreviations used in this publication -- Definitions used in this reportprepared by Andrew T. Kroger, William L. Atkinson, Edgar K. Marcuse, Larry K. Pickering."December 1, 2006."Cover title."The material in this report originated in the National Center for Immunization and Respiratory Diseases, Anne Schuchat, Director and Immunization Services Division, Lance Rodewald, Director." - p. 1Also available via the World Wide Web.Includes bibliographical references (p. 40-46)