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General Best Practice Guidelines for Immunization						Print
													Updated August 1, 2023
																	Related Pages
										Best Practices Guidance
*Kroger A, Bahta L, Long S, Sanchez P*
Printer friendly version [1.23 MB, 198 pages]IntroductionPurpose and topics covered in this report...HistoryHistory of development of: Timing and Spacing, Contraindications and Precautions, Preventing and Managing Adverse Reactions...Timing and Spacing of ImmunobiologicsVaccine scheduling, supply and lapsed schedule, spacing of doses, simultaneous and nonsimulaneous administration, licensed combination vaccines, interchangeability of formulations, extra doses, conjugate vaccines...Contraindications and PrecautionsGeneral principles, standards of valid contraindications and precautions, and conditions incorrectly perceived as contraindications...Preventing and Managing Adverse ReactionsBenefit and risk communication, reporting adverse reactions, National Vaccine Injury Compensation Program...Vaccine AdministrationInfection control and sterile technique, route of administration, multiple and jet injections. alleviating discomfort and pain, clinical implications of nonstandard practices...Storage and Handling of ImmunobiologicsGeneral principles, storage temperature, response to out-of-range temperature reading...Altered ImmunocompetenceGeneral principles, recipients of hematopoietic cell transplants, conditions or drugs that might cause immunodeficiencies...Special SituationsConcurrent administration of antimicrobial agents and vaccines, administration of live vaccines and Tuberculin Skin Tests (TSTs) and Interferon-gamma Release Assays (IGRAs), vaccination of preterm infants, breastfeeding and vaccination, vaccination during pregnancy, persons vaccinated outside the United States, vaccinating persons with increased bleeding risk...Vaccination RecordsRecords of healthcare providers, personal records of patients, Immunization Information Systems (IISs)...Vaccination ProgramsGeneral principles, vaccination of children and adolescents, adult vaccination, evidence-based interventions to increase vaccination coverage, other general programmatic Issues...Vaccine Information SourcesInformation sources from "CDC-INFO Contact Center" to "Vaccine Education Center"...Appendix 1: GlossaryDefinitions from "adverse event" to "vaccine"...Appendix 2: MembershipAdvisory Committee on Immunization Practices membership list, October 2014, members of the General Recommendations on Immunization Work Group...General Best Practice Guidelines for ImmunizationList of Errata/UpdatesContinuing EducationCE Details: General Best Practice Guidelines for Immunization course**Suggested citation:** Kroger A, Bahta L, Long S, Sanchez P. General Best Practice Guidelines for Immunization. Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP)
							
					
							Last Reviewed:  August 1, 2023						Source: 	National Center for Immunization and Respiratory Diseases
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General Best Practice Guidelinesplus icon
Introduction
History
Timing and Spacing of Immunobiologics
Contraindications and Precautions
Preventing and Managing Adverse Reactions
Vaccine Administration
Storage and Handling of Immunobiologics
Altered Immunocompetence
Special Situations
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