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By Jennifer Hamborsky, Lynne McIntyre, Charles Wolfe William Atkinson

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Sample text

Vaccination of Hematopoietic Stem Cell Transplant Recipients Hematopoietic stem cell transplant (HSCT) is the infusion of hematopoietic stem cells from a donor into a patient who has received chemotherapy and often radiation, both of which are usually bone marrow ablative. HSCT is used to treat a variety of neoplastic diseases, hematologic disorders, immunodeficiency syndromes, congenital enzyme deficiencies, and autoimmune disorders. , allogeneic HSCT). , Streptcoccus pneumoniae and Haemophilus influenzae type b]) decline during the 1–4 years after allogeneic or autologous HSCT if the recipient is not revaccinated.

Pockets of need” exist in our nation’s inner cities. Uptake is lagging for some antigens. 9%. Rates of influenza immunization are also unacceptably low among healthcare workers, an important target population for vaccination. Typically, fewer than 40% of healthcare workers receive influenza vaccine. Improvements in adult immunization rates have tapered off. According to data from the National Health Interview Survey, after a consistent increase in rates during the 1980s and early 1990s, improvements in influenza vaccination rates for adults 65 years of age and older have leveled off since 1997.

MMR. varicella, yellow fever) in the past 4 weeks, he or she should wait 28 days before receiving another live vaccine. Inactivated vaccines may be given at the same time or at any time before or after a live vaccine. Every person should be screened for contraindications and precautions before vaccination. org. ACKNOWLEDGMENT The editors thank Dr. Andrew Kroger, National Center for Immunization and Respiratory Diseases, CDC, for his assistance in updating this chapter. 29 General Recommendations on Immunization 2 Selected References American Academy of Pediatrics.

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Epidemiology and Prevention of Vaccine-Preventable Diseases (10th Edition) by Jennifer Hamborsky, Lynne McIntyre, Charles Wolfe William Atkinson


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