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Changes to Tdap, HPV, Hepatitis B Vaccine Recommendations Among 2012 Schedule Highlights
By Matt Brown
In June, the ACIP recommended that pregnant women who have never received the Tdap vaccine should be immunized during their second or third trimester rather than in the immediate postpartum period. The 2012 schedule also reflects the ACIP's call for health care personnel to receive a single dose of Tdap vaccine if they have not received it previously.
In October, the ACIP voted to recommend routine hepatitis B immunization of unvaccinated adults with diabetes who are younger than age 60 and optional use of the vaccine in diabetic adults 60 and older. The recommendation was based on evidence that patients with diabetes are at increased risk for hepatitis B because of shared testing equipment.
- The CDC has released its 2012 recommended immunization schedules for children, adolescents and adults, as well as the new version of the catch-up schedule.
- Some of the more significant changes concern tetanus, diphtheria and acellular pertussis vaccine administration among health care personnel and pregnant women, administration of hepatitis B vaccine in people with diabetes, and the addition of the quadrivalent human papillomavirus vaccine for boys and young men.
Perhaps some of the most complicated ACIP recommendations, according to Loehr are those specific to the administration of HPV4 vaccine for boys and young men.
"The ACIP now recommends routine HPV4 vaccination in boys 11 to 12 years of age, with catch-up vaccinations at age 13 to 21," Loehr said. "It is acceptable, however, to begin HPV4 vaccination in boys as young as 9 years of age.
"HPV4 vaccination is also recommended in previously unvaccinated men ages 22 to 26 who have human immuno¬deficiency virus infection, those who are immunosupressed or men who have sex with men. For other men ages 22 to 26, the ACIP makes a category B recommendation for HPV4 vaccination."
Loehr said it also should be noted that the ACIP recommends that children 6 months to 8 years of age receive two doses of influenza vaccine during the current season if they did not receive at least one dose of the vaccine during the 2010-11 season.