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Medical News & Perspectives | April 4, 2012

Immunization Recommendations Expanded for Hepatitis B, HPV, Pertussis Vaccines

Bridget M. Kuehn

JAMA. 2012;307(13):1353-1354. doi:10.1001/jama.2012.367.

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Patients younger than 60 years who have diabetes should be routinely vaccinated against hepatitis B virus, and physicians should consider hepatitis B vaccinations for older patients with diabetes, according to new recommendations from advisors to the US Centers for Disease Control and Prevention (CDC).

The recommendations from the Advisory Committee on Immunization Practices (ACIP) mark the latest effort to curb the elevated rate of hepatitis B infection among patients with diabetes. Additional recommendations include expansion of human papillomavirus (HPV) vaccine coverage among boys and young men and a shift from vaccinating new mothers against pertussis postpartum to vaccinating them during pregnancy. The ACIP has also announced it would make its deliberations more transparent by instituting an evidence grading system for the research backing each recommendation.

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Inadequate infection control when using glucose monitoring devices for more than 1 patient has led to outbreaks of hepatitis B infection in patients with diabetes.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit^TM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 Credit^TM.

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Kuehn BM. Immunization Recommendations Expanded for Hepatitis B, HPV, Pertussis Vaccines. JAMA. 2012;307(13):1353-1354. doi:10.1001/jama.2012.367.

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