General Best Practice Guidelines for Immunization

PUBLISHED: Apr 21, 2017
Relevant to: Ambulatory Care, Home Health, Hospitals, Long Term Care, Medical Office

The Centers for Disease Control and Prevention (CDC) has released the General Best Practice Guidelines for Immunization to replace the General Recommendations on Immunization (2011). The guide has been released in an online version, intended to be a “living document” which can be quickly updated to give vaccination providers the most up-to-date guidance on vaccination practice.

This vaccination best practice guidance is intended for clinicians and other health care providers who vaccinate patients in varied settings, including hospitals, provider offices, pharmacies, schools, community health centers, and public health clinics.

The updated guidelines include:

  • New information on simultaneous vaccination and febrile seizures
  • Enhancement of the definition of a “precaution” to include any condition that might confuse diagnostic accuracy
  • Confirmation that if a patient is not acutely moderately or severely ill, vaccination during hospitalization is a best practice
  • More descriptive characterization of anaphylactic allergy
  • Incorporation of protocols for management of anaphylactic allergy
  • Allowances for alternate route (subcutaneous instead of intramuscular) for hepatitis A vaccination
  • An age cutoff of 12 years through 17 years of age for validating a dose of intradermal influenza vaccine
  • Deletion of much of the content from storage and handling, including storage units, temperature monitoring, and expiration dates (because this content is now codified and continually updated in the CDC’s Vaccine Storage and Handling Toolkit.)
  • Incorporation of Infectious Diseases Society of America guidance on vaccination of persons with altered immunocompetence
  • Timing of intramuscular administration in patients with bleeding disorders
  • Updated data on vaccination record policy
  • Additional impacts of the Affordable Care Act on adult vaccination
  • Updated programmatic contact information on source material for vaccine information.

Follow the link below to access the new guidelines.

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