Journal
INDIAN PEDIATRICS
Volume 58, Issue 1, Pages 44-53Publisher
SPRINGER INDIA
DOI: 10.1007/s13312-021-2096-7
Keywords
Guidelines; Inactivated polio vaccine; Pneumococcal vaccine; Rabies vaccine; Varicella vaccine
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The revision of immunization recommendations includes a booster dose of IPV for children aged 4-6 who have received the initial doses, emphasis on the importance of IPV, timing recommendation for varicella vaccine, and a uniform dosing recommendation for inactivated influenza vaccines.
Justification In view of new developments in vaccinology and the availability of new vaccines, there is a need to revise/review the existing immunization recommendations. Process Advisory Committee on Vaccines and Immunization Practices (ACVIP) of Indian Academy of Pediatrics (IAP) had a physical meeting in March, 2020 followed by online meetings (September-October, 2020), to discuss the updates and new recommendations. Opinion of each member was sought on the various recommendations and updates, following which an evidence-based consensus was reached. Objectives To review and revise the IAP recommendations for 2020-21 and issue recommendations on existing and new vaccines. Recommendations The major changes include recommendation of a booster dose of injectable polio vaccine (IPV) at 4-6 years for children who have received the initial IPV doses as per the ACVIP/IAP schedule, re-emphasis on the importance of IPV in the primary immunization schedule, preferred timing of second dose of varicella vaccine at 3-6 months after the first dose, and uniform dosing recommendation of 0.5 mL (15 mu g HA) for inactivated influenza vaccines.
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