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Immunizations for children and teens with suppressed immune systemsIImmunizations for children and teens with suppressed immune systemsImmunizations for children and teens with suppressed immune systemsEnglishPreventionChild (0-12 years);Teen (13-18 years)NANADrug treatmentCaregivers Adult (19+)NA2011-04-18T04:00:00ZAnne Griffiths, MD, FRCPC;Michelle Bridge, MD;Upton Allen, MBBS, MSc, FRCPC, FAAP;Karen Frost, BScN, RN, MN, NP-Peds9.0000000000000056.0000000000000981.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Treatment to suppress the immune system affects how your child’s body responds to routine immunizations. This guide discusses how to keep your child healthy while taking immune-suppressing treatment.</p><p>Your child is starting treatment that will suppress the immune system. This will affect how your child’s body responds to routine immunizations that protect your child against disease.</p><p>This guide explains how different vaccines interact with immune-suppressing treatment. It also discusses special situations like travel to other countries. You will need to work with your child’s regular health-care provider to make sure that your child is up-to-date on all necessary immunizations and to help keep your child healthy while taking immune-suppressing treatment.</p><p>If you have any questions, speak to your child’s doctor or the treatment team.</p><h2>Key points </h2> <ul> <li>Immune-suppressing treatment can make inactivated vaccines work less well and can make live vaccines cause disease. </li> <li>Your child should be up-to-date on all inactivated vaccines at least two weeks before starting immune-suppressing treatment. </li> <li>Your child should be up-to-date on all live vaccines at least four to six weeks before starting immune-suppressing treatment. </li> <li>Family members should be up-to-date on most vaccines, to help keep your child healthy.</li> <li>Work with your child’s doctor and the treatment team to make sure your child’s immunizations and immune-suppressing treatment work well together.</li> </ul><h2>Inactivated vaccines </h2> <p>Inactivated or "killed" vaccines do not contain any live viruses or bacteria that can cause disease. This means they are safe for patients whose immune system is suppressed. </p> <p>The main concern with these vaccines is that a suppressed immune system may not respond to them, so they may not work as well. Therefore, the goal with inactivated vaccines is to make sure that your child has had all of the necessary vaccines at least two weeks before starting immune-suppressing treatment.</p> <p>Inactivated vaccines include: </p> <ul> <li>tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap) </li> <li>inactivated polio virus vaccine (IPV) </li> <li><a href="/Article?contentid=149&language=English">haemophilus influenzae type B</a> (Hib) </li> <li><a href="/Article?contentid=151&language=English">human papillomavirus</a> (HPV) </li> <li>pneumococcus </li> <li>meningococcus </li> <li>hepatitis A and/or B </li> <li>influenza</li> </ul> <p>For hepatitis B vaccine, your child’s doctor may need to take a blood test to find out if your child has responded to the vaccine.</p> <p>If your child is already taking immune suppression treatment and there are no plans to stop the treatment, your doctor can give inactivated vaccines according to the regular schedule. In some circumstances, changes to the routine schedule may be needed.</p> <h2>Live vaccines</h2> <p>Live vaccines contain live viruses or bacteria that can cause disease. Patients whose immune system is suppressed should not take live vaccines.</p> <p>Your child should have any necessary live vaccines four to six weeks before starting immune-suppressing treatment.</p> <p>Live vaccines include: </p> <ul> <li>measles, mumps and rubella (MMR) </li> <li>varicella (chickenpox) </li> <li>live influenza vaccine given as a nasal spray (FluMist) </li> <li>rotavirus</li> </ul><p>This patient information pamphlet was developed through the collaborative efforts of the Inflammatory Bowel Disease Program and the Infectious Diseases Program, and sponsored by an unrestricted educational grant from Abbott Canada.</p>
Immunisations chez les enfants et les adultes immunodéprimésIImmunisations chez les enfants et les adultes immunodéprimésImmunizations for children and teens with suppressed immune systemsFrenchPreventionChild (0-12 years);Teen (13-18 years)NANADrug treatmentCaregivers Adult (19+)NA2011-04-18T04:00:00ZAnne Griffiths, MD, FRCPC;Michelle Bridge, MD;Upton Allen, MBBS, MSc, FRCPC, FAAP;Karen Frost, BScN, RN, MN, NP-Peds9.0000000000000056.0000000000000981.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Le traitement immunosuppressif a une incidence sur la mesure dont le corps de votre enfant réagit aux immunisations de routine.<br></p><p>​Votre enfant entame un traitement qui sera immunosuppressif, ce qui affectera la façon dont son organisme réagit aux vaccins de routine qui le protègent contre des maladies.</p><p>Ce guide explique comment les différents vaccins interagissent avec un traitement immunosuppressif. Il aborde aussi des situations spéciales comme voyager à l'étranger. Vous devez collaborer avec le professionnel de la santé habituel de votre enfant pour vous assurer que votre enfant a reçu tous les vaccins nécessaires et pour garder votre enfant en santé pendant qu'il suit le traitement immunosuppressif.</p><p>Si vous avez des questions, communiquez avec le médecin ou l'équipe responsable du traitement de votre enfant.</p><br><h2>À​ retenir </h2> <ul> <li>Le traitement immunosuppressif peut rendre moins efficaces les vaccins à virus inactivés et peut mener aux vaccins à virus vivants de provoquer une maladie.</li> <li>Votre enfant doit être à jour en ce qui concerne tous les vaccins morts au moins deux semaines avant d'entamer un traitement immunosuppressif.</li> <li>Votre enfant doit être à jour en ce qui concerne tous les vaccins vivants au moins quatre à six semaines avant d'entamer un traitement immunosuppressif.</li> <li>Les membres de famille doivent être à jour en ce qui concerne la plupart des vaccins, afin de garder votre enfant en santé.</li> <li>Collaborez avec le médecin de votre enfant et avec l'équipe responsable du traitement pour vous assurer que les immunisations et le traitement immunosuppressif de votre enfant fonctionnent bien ensemble.<br></li> </ul><h2>Vaccins morts </h2><p>Les vaccins morts ou « tués » ne contiennent pas de virus ou de bactéries vivantes qui pourraient provoquer la maladie. Ceci signifie que ces vaccins sont sécuritaires dans le cas des patients ayant des systèmes immunitaires déprimés.</p><p>La préoccupation principale en matière de ces vaccins est la possibilité qu'un système immunitaire déprimé n'y réagisse pas, ce qui aurait comme résultat que l'efficacité du vaccin ne serait pas à la hauteur des attentes. Donc, l'objectif de l'utilisation d'un vaccin mort est de s'assurer que votre enfant a eu tous les vaccins nécessaires au moins deux semaines avant d'entamer un traitement immunosuppressif.</p><p>Les vaccins morts comprennent :</p><ul><li>le vaccin contre le tétanos et la diphtérie, ou le vaccin anticoquelucheux acellulaire; </li><li>le vaccin antipoliomyélitique inactivé;</li><li>le vaccin contre l'<a href="/Article?contentid=149&language=French">Haemophilus influenzae de type B</a>; </li><li>le vaccin contre le <a href="/Article?contentid=151&language=French">papillomavirus</a>;</li><li>le vaccin contre le pneumocoque;</li><li>le vaccin contre le méningocoque;</li><li>le vaccin contre l'hépatite A et/ou B;</li><li>le vaccin contre la grippe.</li></ul><p>Quant au vaccin contre l'hépatite B, il se peut que le médecin de votre enfant exige une analyse de sang pour déterminer si votre enfant a réagi au vaccin.</p><p>Si votre enfant est déjà en train de subir un traitement immunosuppressif et qu'on ne compte aucunement arrêter le traitement, votre médecin peut administrer des vaccins morts selon le calendrier normal. Certaines circonstances pourraient exiger des modifications au calendrier normal.</p><h2>Vaccins vivants</h2><p>Les vaccins vivants contiennent des virus ou de bactéries vivantes qui pourraient provoqués la maladie. Les patients ayant des systèmes immunitaires déprimés ne doivent pas prendre de vaccin vivant.</p><p>Votre enfant ne doit pas avoir de vaccin vivant nécessaire dans les 4 ou 6 semaines avant d'entamer un traitement immunosuppressif.</p><p>Les vaccins vivants comprennent : </p><ul><li>le vaccin contre la <a href="/Article?contentid=752&language=French">rougeole</a>, la rubéole et les oreillons (RRO);</li><li>le vaccin contre la <a href="/Article?contentid=760&language=French">varicelle</a>;</li><li>le vaccin vivant contre l'influenza administré comme une pulvérisation nasale (FluMist);</li><li>le vaccin vivant contre le rotavirus.</li></ul><p>Cette brochure d’information à l’intention des patients a été élaborée grâce aux efforts concertés du programme sur la maladie intestinale inflammatoire et du programme sur les maladies infectieuses. Sa réalisation a été rendue possible grâce à une subvention à l’éducation sans restriction d’Abbott Canada.</p>

 

 

Immunizations for children and teens with suppressed immune systems1987.00000000000Immunizations for children and teens with suppressed immune systemsImmunizations for children and teens with suppressed immune systemsIEnglishPreventionChild (0-12 years);Teen (13-18 years)NANADrug treatmentCaregivers Adult (19+)NA2011-04-18T04:00:00ZAnne Griffiths, MD, FRCPC;Michelle Bridge, MD;Upton Allen, MBBS, MSc, FRCPC, FAAP;Karen Frost, BScN, RN, MN, NP-Peds9.0000000000000056.0000000000000981.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Treatment to suppress the immune system affects how your child’s body responds to routine immunizations. This guide discusses how to keep your child healthy while taking immune-suppressing treatment.</p><p>Your child is starting treatment that will suppress the immune system. This will affect how your child’s body responds to routine immunizations that protect your child against disease.</p><p>This guide explains how different vaccines interact with immune-suppressing treatment. It also discusses special situations like travel to other countries. You will need to work with your child’s regular health-care provider to make sure that your child is up-to-date on all necessary immunizations and to help keep your child healthy while taking immune-suppressing treatment.</p><p>If you have any questions, speak to your child’s doctor or the treatment team.</p><h2>What causes a suppressed immune system?</h2> <p>The following treatments can all suppress the immune system: </p> <ul> <li>high doses of steroids for at least two weeks </li> <li><a href="/Article?contentid=80&language=English">azathioprine</a> </li> <li><a href="/Article?contentid=182&language=English">6-mercaptopurine</a> (6-MP)</li> <li><a href="/Article?contentid=185&language=English">methotrexate</a> </li> <li>anti-TNF agents such as infliximab and <a href="/Article?contentid=66&language=English">adalimumab</a></li> </ul> <p>Malnutrition can also suppress the immune system.</p><h2>Key points </h2> <ul> <li>Immune-suppressing treatment can make inactivated vaccines work less well and can make live vaccines cause disease. </li> <li>Your child should be up-to-date on all inactivated vaccines at least two weeks before starting immune-suppressing treatment. </li> <li>Your child should be up-to-date on all live vaccines at least four to six weeks before starting immune-suppressing treatment. </li> <li>Family members should be up-to-date on most vaccines, to help keep your child healthy.</li> <li>Work with your child’s doctor and the treatment team to make sure your child’s immunizations and immune-suppressing treatment work well together.</li> </ul><h2>Inactivated vaccines </h2> <p>Inactivated or "killed" vaccines do not contain any live viruses or bacteria that can cause disease. This means they are safe for patients whose immune system is suppressed. </p> <p>The main concern with these vaccines is that a suppressed immune system may not respond to them, so they may not work as well. Therefore, the goal with inactivated vaccines is to make sure that your child has had all of the necessary vaccines at least two weeks before starting immune-suppressing treatment.</p> <p>Inactivated vaccines include: </p> <ul> <li>tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap) </li> <li>inactivated polio virus vaccine (IPV) </li> <li><a href="/Article?contentid=149&language=English">haemophilus influenzae type B</a> (Hib) </li> <li><a href="/Article?contentid=151&language=English">human papillomavirus</a> (HPV) </li> <li>pneumococcus </li> <li>meningococcus </li> <li>hepatitis A and/or B </li> <li>influenza</li> </ul> <p>For hepatitis B vaccine, your child’s doctor may need to take a blood test to find out if your child has responded to the vaccine.</p> <p>If your child is already taking immune suppression treatment and there are no plans to stop the treatment, your doctor can give inactivated vaccines according to the regular schedule. In some circumstances, changes to the routine schedule may be needed.</p> <h2>Live vaccines</h2> <p>Live vaccines contain live viruses or bacteria that can cause disease. Patients whose immune system is suppressed should not take live vaccines.</p> <p>Your child should have any necessary live vaccines four to six weeks before starting immune-suppressing treatment.</p> <p>Live vaccines include: </p> <ul> <li>measles, mumps and rubella (MMR) </li> <li>varicella (chickenpox) </li> <li>live influenza vaccine given as a nasal spray (FluMist) </li> <li>rotavirus</li> </ul><h2>If your child will be travelling</h2><p>If your child will be travelling, speak to your child’s doctor at least six to eight weeks beforehand. Make sure that all your child’s routine vaccinations are up-to-date, especially MMR, tetanus and pertussis (whooping cough).</p><p>Depending on where your child is travelling, the doctor may recommend other vaccines as well. </p><p>The following inactivated vaccines are safe to give to a child whose immune system is suppressed: </p><ul><li>typhoid (injectable) </li><li>Japanese encephalitis </li><li>rabies</li></ul><p>The following live vaccines are not safe to give to a child whose immune system is suppressed: </p><ul><li>yellow fever </li><li>typhoid (oral) </li><li>Bacillus Calmette-Guérin (BCG)</li></ul><p>Your child’s doctor may also suggest consulting an infectious disease specialist or a travel medicine specialist.</p><h2>Immunizing family members</h2><p>If your child is taking immune-suppressing treatment, you and any family members who live in the same household should be vaccinated. This will help keep your child healthy.</p><p>However, some live vaccines work by causing a very mild form of the disease. For most people, this is completely safe, but people who have received these vaccines can pass germs to other people. This could make your child sick.</p><p>The following live vaccines are safe to give to family members: </p><ul><li>measles, mumps and rubella (MMR) </li><li>yellow fever </li><li>oral typhoid</li></ul><p>The following live vaccines are safe with some restrictions: </p><ul><li>Chickenpox (varicella): About 5% of people who receive this vaccine develop a rash. If this happens, the child whose immune system is suppressed should avoid contact with this person. Contact your child’s doctor if this happens, as your child may need to take treatment to prevent infection.</li><li>Rotavirus: It is possible that people who receive this vaccine may have live virus in their feces (stool). If your family members receive the rotavirus vaccine, wash hands thoroughly and often.</li></ul><p>People who receive oral polio vaccine have live virus in their feces. Family members should not receive this vaccine. This vaccine is not used in Canada.</p><p>It is safe for family members to take all inactivated vaccines. These cannot be passed on to your child.</p><h2>If your child has been exposed to an infectious disease</h2><p>If your child has been exposed to an infectious disease, call your child’s doctor right away. Your child may need to have treatment to prevent infection. </p><p>Your child will need treatment after being exposed to any of the following diseases: </p><ul><li><a href="/Article?contentid=760&language=English">chickenpox (varicella)</a> </li><li><a href="/Article?contentid=752&language=English">measles</a> </li><li><a href="/Article?contentid=819&language=English">hepatitis A</a></li></ul><h2>If your child is stopping immune suppression treatment</h2><p>The effects of immune-suppressing treatment last for a while, even after your child stops taking it. After stopping treatment, your child’s doctor should wait at least three months before giving any immunizations. This should give your child’s immune system time to recover and respond well to the immunizations. </p><p>Sometimes, a longer time period may be needed for certain immune-suppressing treatments.</p><p>There may also be some instances when your doctor may want to give an inactivated vaccine earlier (i.e., tetanus exposure), although there may be a chance your child’s immune system will not respond to it. </p><p>It is important to discuss these exceptional cases with your doctor.</p><p>This patient information pamphlet was developed through the collaborative efforts of the Inflammatory Bowel Disease Program and the Infectious Diseases Program, and sponsored by an unrestricted educational grant from Abbott Canada.</p>https://assets.aboutkidshealth.ca/AKHAssets/immunizations_for_children_with_supressed_immune_systems.jpgImmunizations for children and teens with suppressed immune systems

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