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The following text is from an archived Red Book® edition and may not reflect current recommendations or information. To view the current edition, click here.
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Section 1. Active and Passive Immunization
IMMUNIZATION IN SPECIAL CLINICAL CIRCUMSTANCES
Children in Residential Institutions
Children housed in institutions pose special problems for control of certain infectious diseases. Ensuring appropriate immunization is important because of the risk of transmission within the facility and because conditions that led to institutionalization may increase the risk of complications from the disease. All children entering a residential institution should have received recommended immunizations for their age (see Fig 1.1, p 26, and Table 1.7, p 28). If they have not been immunized appropriately, arrangements should be made to administer these immunizations as soon as possible. Staff members should be familiar with standard precautions and procedures for handling contaminated blood and body fluids as well as trauma with bleeding. For residents who acquire potentially transmissible infectious agents while living in an institution, isolation precautions similar to those recommended for hospitalized patients should be followed (see Infection Control for Hospitalized Children, p 153). Specific diseases of concern include the following (see the disease-specific chapters in Section 3 for detailed recommendations).
Measles. Epidemics can occur among susceptible children in institutional settings. Recommendations for managing children in an institutional setting when a case of measles is recognized are as follows: (1)
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Related text in Red Book:
- Minimum Ages and Minimum Intervals Between Vaccine Doses
Red Book 2006: 25-33.[Extract] [Full Version] - Infection Control for Hospitalized Children
Red Book 2006: 153-154.[Extract] [Full Version] - Pneumococcal Infections
Red Book 2006: 525-537.[Extract] [Full Version] - Varicella-Zoster Infections
Red Book 2006: 711-725.[Extract] [Full Version] - Hepatitis A
Red Book 2006: 326-335.[Extract] [Full Version] - Hepatitis B
Red Book 2006: 335-355.[Extract] [Full Version] - Influenza
Red Book 2006: 401-411.[Extract] [Full Version] - Measles
Red Book 2006: 441-452.[Extract] [Full Version] - Pertussis (Whooping Cough)
Red Book 2006: 498-520.[Extract] [Full Version]
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