A national survey of immunization practices following allogeneic bone marrow transplantation Journal Article
| Authors: | Henning, K. J.; White, M. H.; Sepkowitz, K. A.; Armstrong, D. |
| Article Title: | A national survey of immunization practices following allogeneic bone marrow transplantation |
| Abstract: | Objectives.-To describe the frequency and patterns of use of routine childhood and hepatitis B, pneumococcal, influenza, and meningococcal vaccines following allogeneic bone marrow transplantation (BMT). Design, Setting, and Participants.-Survey of all US transplantation centers participating in the National Marrow Donor Program (NMDP) during 1994. Main Outcome Measures.-Use, timing, and total doses of selected vaccines given to patients younger than 7 years and patients aged 7 years or older following allogeneic BMT. Results.-Of 66 centers associated with the NMDP, 45 (68%) responded. A total of 97% of centers performing transplants on patients younger than 7 years and 88% of centers performing transplants on patients aged 7 years or older gave either the diphtheria-tetanus vaccine or the diphtheria-tetanus-pertussis vaccine compared with 77% and 58% usage, respectively, of Haemophilus influenza type b conjugate vaccine (P=.03 and .003, respectively). Centers were more likely to administer inactivated poliovirus and measles-mumps-rubella vaccines to patients younger than 7 years than to the older age group (94% vs 73% for poliovirus, P=02; and 94% vs 70% for measles-mumps-rubella, P=.01). About one half of centers routinely administer hepatitis B vaccine and approximately three quarters immunize with pneumococcal and influenza vaccines. Few programs, regardless of age of bone marrow recipient, use multiple vaccine (≤2) doses. The number of schedules reported for specific vaccines varied widely (3-11 schedules per vaccine). Conclusions.-Despite convincing evidence that patients lose protective antibodies to vaccine-preventable diseases following allogeneic BMT and accumulating data showing the safety and efficacy of many vaccines after BMT, vaccines are underutilized and schedules vary widely at US transplant centers. National guidelines for optimal doses and timing of vaccines after BMT are warranted. |
| Keywords: | adolescent; child; child, preschool; transplantation, homologous; united states; clinical practice; pneumococcus vaccine; allogenic bone marrow transplantation; bacterial proteins; vaccination; bone marrow transplantation; hepatitis b vaccine; population surveillance; influenza vaccine; bacterial vaccines; health care surveys; vaccine; drug use; measles vaccine; diphtheria pertussis tetanus vaccine; diphtheria tetanus vaccine; meningococcus vaccine; immunization; diphtheria-tetanus-pertussis vaccine; influenza vaccines; measles mumps rubella vaccine; poliomyelitis vaccine; haemophilus influenzae type b vaccine; haemophilus vaccines; meningococcal vaccines; pneumococcal vaccines; mumps vaccine; rubella vaccine; hepatitis b vaccines; humans; human; priority journal; article; vaccines, combined; bone banks; measles-mumps-rubella vaccine; poliovirus vaccine, inactivated |
| Journal Title: | JAMA - Journal of the American Medical Association |
| Volume: | 277 |
| Issue: | 14 |
| ISSN: | 0098-7484 |
| Publisher: | American Medical Association |
| Date Published: | 1997-04-09 |
| Start Page: | 1148 |
| End Page: | 1151 |
| Language: | English |
| PUBMED: | 9087470 |
| PROVIDER: | scopus |
| DOI: | 10.1001/jama.1997.03540380062032 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 17 March 2017 -- Source: Scopus |
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