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Related Experiment Videos

[Immunization for children treated for solid tumors: what are the guidelines?].

P Marec-Bérard1, D Floret, M Schell

  • 1Département d'oncologie pédiatrique, centre Léon-Bérard, 28, rue Laënnec, 69373 Lyon, 08, France. marec@lyon.fnclcc.fr

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|August 4, 2001
PubMed
Summary

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[The development of vaccination policy].

Revue des maladies respiratoires·2019

Children undergoing chemotherapy for solid tumors should delay most immunizations. Guidelines suggest waiting 3-6 months post-chemotherapy for routine vaccines and up to 12 months for certain boosters, with exceptions for specific conditions.

Area of Science:

  • Pediatric Oncology
  • Immunology
  • Vaccinology

Context:

  • Chemotherapy (CT) for solid tumors can impact a child's immune system, leading to uncertainty regarding appropriate vaccination schedules.
  • Lack of consensus exists on the optimal timing for immunizations in pediatric cancer patients undergoing CT.

Purpose:

  • To establish evidence-based guidelines for childhood immunization during and after chemotherapy treatment for solid tumors.
  • To provide recommendations on vaccine administration timing based on CT intensity and patient age.

Summary:

  • Most vaccines are contraindicated during chemotherapy, with hepatitis B vaccine being a potential exception.
  • A 3-month post-CT interval is recommended before initiating new vaccinations or boosters for diphtheria, tetanus, polio, pertussis, and Haemophilus influenzae type b in children under 5.

Related Experiment Videos

  • A 6-month interval is advised for live vaccines (mumps, measles, rubella) if initial immunization or revaccination is needed and serology is negative.
  • Following high-dose CT, a 12-month interval and normalized lymphocyte count are required before boosters, with antibody titers checked.
  • Varicella vaccination is not routinely recommended; pneumococcal vaccine is advised for asplenic patients. Other vaccines require individual assessment.
  • Impact:

    • Provides clear guidance for clinicians managing pediatric cancer patients, improving vaccine safety and efficacy.
    • Aims to optimize long-term immune protection for survivors of childhood solid tumors.
    • Facilitates standardized vaccination protocols in pediatric oncology settings.