Technically Speaking: History of Fever ≥ 105 Degrees, Inconsolable Crying, and Hypotonic Episode Following a Previous DTaP Dose Are No Longer Precautions According to ACIP
Published on in Vaccine Update for Healthcare Providers
Published on in Vaccine Update for Healthcare Providers
On April 27, 2018, CDC published "Prevention of Pertussis, Tetanus, and Diphtheria with Vaccines in the United States: Recommendations of the Advisory Committee on Immunization Practices (ACIP)." This 44-page guidance document compiled and summarized all previously published ACIP recommendations for the use of DTaP, DT, Tdap, and Td vaccines. It replaces all previously published MMWR reports and policy notes regarding these vaccines.
While there were no major additions to the vaccine recommendations, some noteworthy changes were made to the precautions listed in the new guidance. The following items, formerly listed as precautions in earlier recommendations, are no longer included in Table 2: Contraindications and precautions for DTaP, Tdap, DT, and Td vaccines found on page 3.
The precautions that existed previously and that remain in the updated guidance are the following:
As of this writing (June 15, 2018), CDC has not yet updated its online "General Best Practice Guidelines for Immunization: Best Practices Guidance of the ACIP," which includes information about vaccine contraindications and precautions, but I have been informed by CDC it will be updated soon.
Contributed by: Deborah Wexler, MD
Categories: Vaccine Update June 2018, Technically Speaking
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