What schedule should be used for children with cochlear implants who missed doses of pneumococcal conjugate vaccine due to the national vaccine shortage?
The pneumococcal conjugate vaccine (PCV-7) shortage has been resolved and most communities should have vaccine available. Children aged less than 5 years with cochlear implants who missed doses of pneumococcal conjugate vaccine during the shortage should receive additional doses according to the catch-up schedule for children at increased risk. The recommended PCV-7 regimens are available in a table within this July 16, 2003 [52(19);446-447] Early Release MMWR article located at www.cdc.gov/mmwr/preview/mmwrhtml/mm5219a6.htm Children with cochlear implants aged 24-59 months should be vaccinated according to the high risk schedules. Although it is preferred to complete the PCV-7 series in children aged less than 5 years before administering pneumococcal polysaccharide vaccine (PPV-23), during the PCV-7 shortage some children may have received PPV-23 before they completed the PCV-7 series. Children aged 24-59 months with incomplete PCV-7 vaccination who already received PPV-23 also shoul
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