This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Recommendations, Challenges, and More Information

Georges Peter, MD

JAMA. 1991;265(16):2111-2112.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Generic recommendations for childhood immunization include guidelines for administration of vaccine to infants and children with febrile and minor illnesses. The most recent recommendations issued by the Immunization Practices Advisory Committee (ACIP) of the US Public Health Service state that "minor illnesses such as mild upper respiratory infections (URI) with or without low-grade fever are not contraindications for vaccination."¹ The ACIP further notes the importance of taking every opportunity to provide age-appropriate vaccinations, particularly "in persons whose compliance with medical care cannot be assured." The American Academy of Pediatrics gives similar recommendations.²

Mild acute illness in some circumstances has been inappropriately considered a contraindication to vaccination. This misconception has contributed to missed opportunities to give measles vaccine to children who subsequently developed measles.³ This and other missed opportunities to vaccinate children against measles at the recommended age have been incriminated as important factors in the occurrence of . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Pediatrics, Rhode Island Hospital and Brown University, Providence, RI.

Footnotes
Reprint requests to Division of Pediatric Infectious Diseases, Rhode Island Hospital, 593 Eddy St, Providence, RI 02903 (Dr Peter).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?