Anyone ≥15 months of age who is undergoing a splenectomy and is unimmunized(a) should receive one dose of Hib vaccine.Pneumococcal, meningococcal, and Hib vaccinations should be administered at least 14 days before elective splenectomy, if possible. Although the immunosuppressive effects of steroid treatment vary, the majority of clinicians consider a dose equivalent to either ≥2 mg/kg of body weight or ≥20 mg/day of prednisone or equivalent for persons who weigh >10 kg when administered for ≥14 consecutive days as sufficiently immunosuppressive to raise concern about the safety of vaccination with live-virus vaccines (Corticosteroid therapy usually is not a contraindication to administering live-virus vaccine when administration is 1) short term (i.e., <14 days); 2) a low to moderate dose (i.e., <20 mg of prednisone or equivalent per day or <2mg/kg body weight per day for a young child); 3) long-term, alternate-day treatment with short-acting preparations; 4) maintenance physiologic doses (replacement therapy); or 5) topical (skin or eyes), inhaled, or by intra-articular, bursal, or tendon injection (When feasible, clinicians should administer all indicated vaccines before initiation of chemotherapy, before treatment with other immunosuppressive drugs, and before radiation or splenectomy. Persons with altered immunocompetence generally are recommended to receive polysaccharide-based vaccines (PCV13, PPSV23, and Hib), on the basis of increased risk for disease if the vaccine is withheld. Azusa Pacific University, IMT Support Desk, 901 E. Alosta Ave., PO Box 7000, Azusa, CA 91702-7000 All new undergraduate students (including new transfer students) and all new international students, must:Failure to provide these records will result in a hold being placed on your student account so you will not be able to register for classes. Primary and secondary immunodeficiencies might include a combination of deficits in both cellular and humoral immunity. Regularly check your APU e-mail account and Campus Terminal. Georgia's immunization providers also have quick and easy access to immunization records on individuals and able to generate a variety of reports on their immunization status. Children 12-59 months with functional or anatomic asplenia and who are unvaccinated or who received only one dose of Hib disease before 12 months of age should receive 2 doses of Hib vaccine; those who received 2 or more doses of Hib before 12 months of age should receive one additional dose. Persons with functional or anatomic asplenia (including sickle cell disease) and persistent complement component deficiency (including persons taking eculizumab [Soliris]) (Hib conjugate vaccines are available in single or combined antigen preparations. 4. Advisory committee on immunization practices recommended immunization schedules for persons aged 0 through 18 years—United States, 2015. In addition to the immunizations mentioned above, the Student Health Center also offers travel immunizations to students, faculty, and staff who are traveling abroad. Inactivated vaccines administered during chemotherapy should be readministered after immune competence is regained. Patients who have quantitative B-cell deficiencies and are receiving immunoglobulin therapy should not receive either inactivated or live vaccines while receiving the immunoglobulin therapy because of concerns about effectiveness of the vaccines. The doctor can also sometimes do blood tests to see if you are immune to certain vaccine-preventable diseases.Today we move, travel, and change health care providers more than we did in previous generations. School staff that handle health records can enroll in IRIS to retrieve and print official copies of student immunization records, saving staff time otherwise spent following up with parents. Nonemergency smallpox vaccination is not recommended for children younger than 18 years or the general public. Recipients of hematopoietic cell transplants should be revaccinated with 3 doses of Hib vaccine, starting 6-12 months after successful transplant, regardless of vaccination history or age. When replying to an e-mail that you have received from an APU Student Exchange Coordinator, do not erase the contents of the e-mail that you are replying to (The Student Exchange Coordinators will not be able to know what matter you are replying to if yo For other forms of altered immunocompetence, if inactivated vaccines are indicated, the usual schedules are recommended. Programs that are licensed by the Department of Early Education and Care (EEC) must …

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