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If a patient has an ileostomy and has daily contact with the hygiene and care of his stoma, should he receive the smallpox vaccination?

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If a patient has an ileostomy and has daily contact with the hygiene and care of his stoma, should he receive the smallpox vaccination?

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Having an ileostomy is not a contraindication for receipt of smallpox vaccination. Observing the proper infection control procedures should be sufficient in preventing accidental inoculation of the stoma. However, if the patient had the ileostomy due to current cancer (for example), and is still on immunosuppressive medication, then he should not get the smallpox vaccination until he is in remission and off the treatment. Immunosuppression is a contraindication to smallpox vaccination.

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