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Published on: February 22, 2019
Immunization issues in pediatric travelers
Corryn S Greenwood1, Nicholas P Greenwood, Philip R Fischer
1Department of Pediatric and Adolescent Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. greenwood.corryn@mayo.edu
Insights
Pediatric travelers need updated immunizations before international journeys. Vaccine schedules may require adjustments for premature, young, or immunocompromised children, with customized plans based on individual health and travel plans.
Area of Science:
- Pediatric travel medicine
- Immunology
- Public health
Background:
- International travel among children is rising.
- Ensuring adequate immunization for pediatric travelers is crucial.
- Routine vaccine schedules may need modification for specific pediatric populations.
Purpose of the Study:
- To review current evidence on immunizations for pediatric travelers.
- To highlight considerations for vaccinating vulnerable pediatric groups.
- To guide healthcare providers in customizing vaccine strategies for children traveling internationally.
Main Methods:
- Literature review of scientific evidence on pediatric travel immunizations.
- Analysis of vaccine response in premature, young, and immunocompromised children.
- Examination of accelerated vaccine schedules and customized protocols.
Main Results:
- Premature and young children may have altered responses to certain vaccines, necessitating adjusted timing and dosage.
- Immunocompromised children require individualized vaccination strategies based on their immune status.
- Accelerated vaccine schedules are a viable option for imminent travel.
- Personalized vaccine decisions are supported by scientific evidence, considering age, health, and itinerary.
Conclusions:
- Healthcare providers must be knowledgeable about routine and specialized immunization schedules for pediatric travelers.
- Tailoring vaccine decisions to individual children's needs is essential for safe and effective international travel.
- Proactive and informed immunization practices are key to protecting children undertaking international journeys.
Abstract:
An increasing number of children are traveling internationally. In preparation for their journeys, special attention must be given to immunizations. Providers should understand 'routine' vaccine schedules to ensure that pediatric travelers are up to date. Prematurely born and young children do not respond as well to some vaccines and require adjustment of timing and dosing. Vaccination of immunocompromised children requires consideration of their degree of immunodeficiency and the cause of their altered immunity. Accelerated vaccine schedules can be used when travel is imminent. Based on current scientific evidence, specific vaccine decisions can be customized related to the age, health and itinerary of individual travelers.
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