- The American Academy of Pediatrics (AAP) has released updated immunization recommendations for children and adolescents in 2019, with several key changes in the following categories: influenza, hepatitis A virus (HAV), tetanus, diphtheria, pertussis (Tdap), Haemophilus influenzae type b, and pneumococcal conjugate vaccines.
- Schedule revised to ensure consistency with adult recommendations.
Why this matters
- Familiarity with updated recommendations, including the addition of vaccinations in pregnant adolescents (13-18 years), is essential.
- A parent-friendly vaccine schedule can help facilitate uptake.
- Influenza: live attenuated influenza vaccine is acceptable for children aged >2 years lacking contraindications/as appropriate.
- Consult newly added “special situations” for guidance on egg allergy.
- HAV: minimum vaccination age 12 months.
- Combined HepA/HepB (Twinrix) suitable as 3- or 4-dose series for adolescents aged >18 years.
- International travel: vaccinate infants aged 6-11 months, unvaccinated infants aged >12 months, first dose before departure.
- Tdap: Administer routine Tdap dose in children aged 11-12 years if they have received a Tdap or DTaP (diphtheria, tetanus, and pertussis) vaccine inadvertently or as part of a catch-up schedule between ages 7 and 10 years.
- Information on use in tetanus prophylaxis in wound management.
- H influenzae type b, pneumococcal conjugate: criteria added regarding routine and catch-up vaccinations, including when doses are needed/unneeded.