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[Immunisation schedule of the Spanish Association of Paediatrics: 2019 recommendations]
David Moreno-Pérez1, Francisco José Álvarez García2, Javier Álvarez Aldeán3
1Hospital Materno-Infantil, Hospital Regional Universitario de Málaga, Grupo de Investigación IBIMA; Departamento de Pediatría y Farmacología, Facultad de Medicina, Universidad de Málaga, Málaga, España.
Insights
The Spanish Association of Paediatrics recommends updated childhood immunisation schedules, including hexavalent, pneumococcal, MMR, and varicella vaccines. Key updates include HPV and meningococcal (MenACWY and MenB) vaccinations for broader protection.
Area of Science:
- Pediatrics
- Immunology
- Public Health
Background:
- The Advisory Committee on Vaccines provides annual optimal immunisation schedules for children in Spain.
- Current schedules are based on the latest scientific evidence and vaccine availability.
Purpose of the Study:
- To outline the recommended immunisation schedule for children residing in Spain.
- To detail funded and non-funded vaccination recommendations, including new vaccine introductions and catch-up strategies.
Main Methods:
- Review of available evidence on current vaccines.
- Annual publication of the optimal immunisation schedule by the Advisory Committee on Vaccines.
- Inclusion of funded and non-funded immunisation recommendations.
Main Results:
- Recommended funded schedule: 2+1 strategy (2, 4, 11 months) with hexavalent (DTPa-IPV-Hib-HB) and 13-valent pneumococcal vaccines.
- Booster doses recommended for DTPa (6 years), poliomyelitis, and Tdap (adolescents, pregnant women).
- Two-dose schedules for MMR and varicella; HPV vaccination recommended for both genders at 12 years; MenACWY vaccination at 12 months and 12-14 years.
- Non-funded recommendations include meningococcal B vaccination (2+1 schedule) and rotavirus vaccination for all infants.
Conclusions:
- The updated schedule aims to improve vaccination coverage and protect children against vaccine-preventable diseases.
- Emphasis on expanding vaccination to both genders for HPV and recommending MenACWY and MenB vaccines.
- Calls for increased efforts to improve overall vaccination uptake in the child population.
Abstract:
The Advisory Committee on Vaccines of the Spanish Association of Paediatrics annually publishes the immunisation schedule considered optimal for children resident in Spain, according to available evidence on current vaccines. As regards funded immunisations, the 2+1 strategy (2, 4, 11 months) with hexavalent (DTPa-IPV-Hib-HB) and 13-valent pneumococcal vaccines are recommended. Administration of the 6-year booster dose with DTPa is recommended, with a poliomyelitis dose for children who had received the 2+1 scheme, as well as Tdap vaccine for adolescents and pregnant women in every pregnancy between 27 and 32 weeks gestation. The 2-dose scheme should be used for MMR (12 months and 3-4 years) and varicella (15 months and 3-4 years). MMRV vaccine could be applied as the second dose. Vaccination against HPV is recommended in both genders, preferably at 12 years of age. A stronger effort should be made to improve vaccination coverage. The new 9-valent vaccine is now available, expanding the coverage for both genders. Tetravalent meningococcal vaccine (MenACWY) is recommended at 12 months and 12-14 years, with a catch-up up at 19 years of age. It is also recommended in infants older than 6 weeks of age with risk factors, or travellers to countries with high incidence of ACWY meningococcal serogroups. As regards non-funded immunisations, it is recommended meningococcal B vaccination, with a 2+1 schedule, and requests that it be included in the National Immunisation Program. Vaccination against rotavirus is recommended in all infants.
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