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Recommendations for prevention and control of influenza in children, 2013-2014
Insights
Annual influenza immunization is recommended for children using updated trivalent or quadrivalent vaccines for the 2013-2014 season. Prompt identification of influenza infections aids in timely antiviral treatment to reduce illness and death.
Area of Science:
- Pediatrics
- Vaccinology
- Infectious Diseases
Background:
- Seasonal influenza poses a significant health risk to children, necessitating updated prevention and treatment strategies.
- The 2013-2014 influenza season introduced new vaccine formulations and reinforced existing recommendations.
Purpose of the Study:
- To provide updated recommendations for the routine use of seasonal influenza vaccines and antiviral medications in children.
- To inform healthcare providers about the composition of the 2013-2014 influenza vaccines and vaccination guidelines.
Main Methods:
- Review of current influenza strains and vaccine compositions for the 2013-2014 season.
- Analysis of existing guidelines for influenza vaccine administration and antiviral treatment in pediatric populations.
Main Results:
- The 2013-2014 trivalent influenza vaccine includes specific A/H1N1, A/H3N2, and B/Yamagata lineage strains.
- Quadrivalent influenza vaccines, offering broader protection with an additional B/Victoria lineage strain, are now available.
- Annual universal influenza immunization with either vaccine type is recommended for all children.
- The dosing algorithm for children aged 6 months to 8 years remains consistent with the previous season.
Conclusions:
- Healthcare personnel should actively promote influenza vaccination and infection control measures.
- Pediatricians must be vigilant in diagnosing influenza to ensure prompt initiation of antiviral therapy when necessary.
- Updated recommendations aim to minimize influenza-related morbidity and mortality in children.
Abstract:
The purpose of this statement is to update recommendations for routine use of seasonal influenza vaccine and antiviral medications for the prevention and treatment of influenza in children. Highlights for the upcoming 2013-2014 season include (1) this year's trivalent influenza vaccine contains an A/California/7/2009 (H1N1) pdm09-like virus (same as 2012-2013); an A/Texas/50/2012 (H3N2) virus (antigenically like the 2012-2013 strain); and a B/Massachusetts/2/2012-like virus (a B/Yamagata lineage like 2012-2013 but a different virus); (2) new quadrivalent influenza vaccines with an additional B virus (B/Brisbane/60/2008-like virus [B/Victoria lineage]) have been licensed by the US Food and Drug Administration; (3) annual universal influenza immunization is indicated with either a trivalent or quadrivalent vaccine (no preference); and (4) the dosing algorithm for administration of influenza vaccine to children 6 months through 8 years of age is unchanged from 2012-2013. As always, pediatricians, nurses, and all health care personnel should promote influenza vaccine use and infection control measures. In addition, pediatricians should promptly identify influenza infections to enable rapid antiviral treatment, when indicated, to reduce morbidity and mortality.
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