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Are steroids a contraindication to vaccination?

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Are steroids a contraindication to vaccination?

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Live virus vaccines such as MMR, OPV, BCG and varicella-zoster vaccines, should not be given to children receiving high dose oral (more than 2 mg/kg/day prednisolone for more than one week) or parenteral (injected) corticosteroid therapy, or extensive topical (skin) steroid therapy for more than 2 weeks. Inactivated vaccines (eg. DTPa-hepB) may be less effective in this group but are not contraindicated. Therapy with inhaled steroids is not a contraindication to vaccination.

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