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AAP Issues 2013 Child/Adolescent Immunization Schedule

Posted by on Jan. 31, 2013 at 8:57 PM
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AAP Issues 2013 Child/Adolescent Immunization Schedule

Laurie Barclay, MD

DisclosuresJan 28, 2013

The American Academy of Pediatrics (AAP) has published the 2013 child/adolescent immunization schedule in an article published online January 28 in Pediatrics. One of the new recommendations is to administer tetanus, diphtheria, and acellular pertussis (Tdap) vaccine to adolescents and pregnant women.

Because of the complexity of the schedules, the AAP has redesigned them and allowed additional space in the footnotes to clarify specific recommendations. The AAP, the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention, and the American Academy of Family Physicians have approved the updated schedules.

"The 5-page 2013 format includes a single schedule for people 0 through 18 years of age, which will replace the previous schedules for people 0 to 6 years of age and 7 to 18 years of age," write Michael T. Brady, MD, chairperson, and colleagues from the Committee on Infectious Diseases, 2012 - 2013. "New columns have been added at 4 to 6 years and at 11 to 12 years of age to highlight school entry and adolescent vaccine age group recommendations."

Schedule changes from 2012 include the following:

  • Rotavirus vaccine: A footnote clarifies the number of doses for RV1 and RV5.

  • Tdap vaccine: Because the US prevalence of pertussis is increasing, the new recommendation is that adolescents receive the vaccine, as well as women during each pregnancy. This should improve protection of newborns from the morbidity and potential mortality of pertussis before they can safely be vaccinated with DTaP. However, data are limited on the safety and efficacy of multiple Tdap doses, and the AAP is reviewing available information before publishing a policy statement on whether it is appropriate to give additional Tdap doses in subsequent pregnancies.

  • Haemophilus influenzae type b vaccine: A footnote specifies that unvaccinated children at least 15 months of age should receive only 1 dose of this vaccine.

  • Pneumococcal vaccine: A footnote in the schedule lists the medical conditions for which 13-valent pneumococcal conjugate vaccine is indicated in children aged 24 to 71 months and indications for use of the 23-valent pneumococcal polysaccharide vaccine in children at least 2 years of age.

  • Meningococcal vaccine: A footnote includes guidance for vaccination of children aged 2 months through 10 years with high-risk conditions.

"Clinically significant adverse events that follow immunization should be reported to the Vaccine Adverse Event Reporting System," the authors write. "Information on new vaccine releases, vaccine supplies, and interim recommendations resulting from vaccine shortages and statements on specific vaccines can be found at and"

The authors filed conflict of interest statements with the AAP, and any conflicts were resolved through a process approved by the Board of Directors.

Pediatrics. Published online January 28, 2013.


by on Jan. 31, 2013 at 8:57 PM
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by Member on Feb. 1, 2013 at 12:46 AM

Of course, they added more to their already overloaded, recommended, schedule; the more, the merrier, which translates to: the more we can get them to take, the more $$$ we make...  jmo~  

by Member on Feb. 1, 2013 at 1:50 AM

If they're so effective, then why do women need tdap with EACH pregnancy? For some women, that's every couple of years...way earlier than a normal booster would be for adults. Hmm...

by Bronze Member on Feb. 1, 2013 at 11:25 AM
so with the tdap each pregnancy issue..theyre recommending it but admit no research has been done, so its not "officially" going on the schedule?
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by Member on Feb. 1, 2013 at 10:09 PM

The problem is that docotrs NEVER reprot adverse events.  If they get reproted at all, it is by parents.  Sicne docotrs don't report, it makes the vaccines look safer than they are.

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