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[Immunisation schedule of the Spanish Association of Paediatrics: 2020 recommendations]

Francisco José Álvarez García1, María José Cilleruelo Ortega2, Javier Álvarez Aldeán3

  • 1Centro de Salud de Llanera, Severies, Asturias, España; Departamento de Medicina, Universidad de Oviedo, Oviedo, España.

Anales De Pediatria
|January 6, 2020
PubMed

Insights

The updated Spanish childhood immunization schedule recommends a 2+1 vaccine regimen for infants and boosters for older children. Key updates include routine rotavirus, meningococcal B, and HPV vaccines for all children, enhancing protection against serious diseases.

Area of Science:

  • Pediatrics
  • Immunology
  • Public Health

Background:

  • The Spanish Association for the Prevention of Accidents (CAV-AEP) annually reviews and updates the optimal childhood immunization schedule based on scientific evidence.
  • Current vaccination practices aim to provide comprehensive protection against vaccine-preventable diseases in children residing in Spain.

Purpose of the Study:

  • To present the latest recommended childhood immunization schedule for Spain for the upcoming year.
  • To incorporate new evidence and recommendations for vaccines against diseases like rotavirus, meningococcal B, and HPV.

Main Methods:

  • The CAV-AEP's annual publication synthesizes available scientific evidence and expert consensus.
  • Recommendations are based on efficacy, safety, and public health impact assessments.

Main Results:

  • A 2+1 schedule (2, 4, 11 months) using hexavalent vaccines (DTPa-VPI-Hib-HB) and 13-valent pneumococcal conjugate vaccine is recommended.
  • Routine vaccination for rotavirus, meningococcal B (2+1 schedule), and HPV (for both genders at 12 years) is advised. Tdap boosters are recommended for adolescents and during pregnancy.
  • MMR and varicella vaccines are recommended with two doses, and MenACWY vaccine is recommended at 12 months (replacing MenC) and 12 years.

Conclusions:

  • The updated schedule aims to maximize protection against a wider range of infectious diseases in children and adolescents.
  • Emphasis is placed on universal vaccination, including HPV for both genders, and catch-up vaccination strategies.
  • The schedule integrates new vaccines and optimizes existing ones for improved public health outcomes in Spain.

Keywords:
AdolescentAdolescenteCalendario de vacunaciónChildEnfermedades inmunopreveniblesImmunisation scheduleInfantLactanteNiñoVaccine preventable diseasesVaccinesVacunas

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