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[Immunisation schedule of the Pediatric Spanish Association: 2021 recommendations]

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

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

Anales De Pediatria
|January 9, 2021
PubMed

Insights

The CAV-AEP recommends an updated childhood immunization schedule in Spain, including hexavalent, pneumococcal, rotavirus, meningococcal B and ACWY vaccines. Key updates include a 6-year booster, Tdap in pregnancy, and universal HPV vaccination for all genders.

Area of Science:

  • Pediatrics
  • Immunology
  • Public Health

Background:

  • The Spanish Association for the Prevention of Accidents (CAV-AEP) annually reviews and publishes optimal immunization schedules for children and adolescents in Spain.
  • Evidence-based recommendations are crucial for maintaining high vaccination coverage and preventing vaccine-preventable diseases.

Purpose of the Study:

  • To present the updated annual immunization schedule recommended by the CAV-AEP for children and adolescents in Spain.
  • To outline specific vaccine recommendations, including schedules, age groups, and catch-up strategies.

Main Methods:

  • The recommendations are based on the latest available scientific evidence and epidemiological data.
  • The schedule incorporates routine vaccinations, booster doses, and specific vaccines for high-risk groups or travel indications.

Main Results:

  • The recommended schedule includes a 2+1 schedule for hexavalent (DTPa-VPI-Hib-HB) and 13-valent pneumococcal conjugate vaccines.
  • Key updates include a 6-year booster, Tdap vaccination in adolescents and during pregnancy, systematic rotavirus vaccination, and routine inclusion of Meningococcal B vaccine.
  • The schedule also recommends Meningococcal ACWY vaccine at 12 months (replacing MenC) and 12 years, universal HPV vaccination regardless of gender at 12 years, and specific schedules for MMR and varicella vaccines.

Conclusions:

  • The CAV-AEP's updated schedule aims to optimize protection against vaccine-preventable diseases in the Spanish pediatric population.
  • Emphasis is placed on achieving high coverage for all recommended vaccines, including newly incorporated ones like HPV and Meningococcal B.
  • The schedule provides a comprehensive framework for healthcare providers to ensure timely and complete immunization of children and adolescents.

Keywords:
AdolescentAdolescenteCalendario de vacunaciónChildEnfermedades inmunopreveniblesImmunisation scheduleInfantLactanteNiñoVaccine preventable diseasesVaccinesVacunas

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