[Vaccination in premature infants: an issue many times forgotten]

Marcela Potin1, M Alicia Valencia

  • 1Departamento de Pediatría, Escuela de Medicina, Pontificia Universidad Católica de Chile. mpotin@med.puc.cl

Insights

Vaccines are safe and effective for premature infants, protecting them from serious diseases. Following the recommended immunization schedule, including extra vaccines, is crucial for preterm infant health.

Area of Science:

  • Pediatrics
  • Immunology
  • Public Health

Context:

  • Premature infants are at high risk for severe vaccine-preventable diseases.
  • Misconceptions about vaccine safety and efficacy in preterms lead to missed immunization opportunities.
  • The impact of infectious diseases is often underestimated in premature infants.

Purpose:

  • To highlight the importance of timely and complete immunization in premature infants.
  • To address misconceptions regarding vaccine safety and immunogenicity in this vulnerable population.
  • To emphasize the critical role of vaccination in preventing severe outcomes from infectious diseases.

Summary:

  • Vaccines are generally safe and effective for premature infants, offering protection against serious diseases.
  • There is no evidence of increased vaccine-associated adverse reactions in premature infants compared to full-term infants.
  • While most preterms respond well, extremely premature infants (<1500g) may have a diminished immune response.

Impact:

  • Adherence to the Expanded Program on Immunization (EPI) schedule, based on chronological age, is vital.
  • Premature infant follow-up programs should incorporate additional vaccines like pneumococcal conjugate and influenza vaccines.
  • Vaccinating close contacts, including older children and adults, with influenza and acellular pertussis vaccines is an important strategy to protect preterms.

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