What are the recommendations regarding persons who regularly use inhaled or topical steroids? Is this a contraindication for administration of the vaccine?
The Advisory Committee on Immunization Practices in the General Recommendations on Immunization has stated: “The exact amount of systemically absorbed corticosteroids and the duration of administration needed to suppress the immune system of an otherwise immunocompetent person are not well-defined. The majority of experts agree that corticosteroid therapy usually is not a contraindication to administering live-virus vaccine when it is short-term (i.e., <2 weeks); a low to moderate dose; long-term, alternate-day treatment with short-acting preparations; maintenance physiologic doses (replacement therapy); or administered topically (skin or eyes) or by intra-articular, bursal, or tendon injection. Although of theoretical concern, no evidence of increased severity of reactions to live vaccines has been reported among persons receiving corticosteroid therapy by aerosol, and such therapy is not a reason to delay vaccination.
The Advisory Committee on Immunization Practices in the General Recommendations on Immunization has stated: “The exact amount of systemically absorbed corticosteroids and the duration of administration needed to suppress the immune system of an otherwise immunocompetent person are not well-defined. The majority of experts agree that corticosteroid therapy usually is not a contraindication to administering live-virus vaccine when it is short-term (i.e., <2 weeks); a low to moderate dose; long-term, alternate-day treatment with short-acting preparations; maintenance physiologic doses (replacement therapy); or administered topically (skin or eyes) or by intra-articular, bursal, or tendon injection.
Related Questions
- What are the recommendations regarding persons who regularly use inhaled or topical steroids? Is this a contraindication for administration of the vaccine?
- Is there any contraindication to the use of inhaled steroids in asthma patients who have tuberculosis or who are immunocompromised (e.g. HIV patients)?
- Can persons be charged for vaccine administration in public health-organized large scale vaccination clinics?
