PEDIATRICS Vol. 96 No. 2 August 1995, pp. 375
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Varicella Vaccine Guidelines

Albert F. DiNicola MD, FAAP1

1 University of California, Irvine, Universal Care Medical Group, Bellflower, CA 90706

The American Academy of Pediatrics' (AAP) recommendation1 to administer Varivax to patients lacking reliable histories of varicella infection is important. However, what constitutes a reliable history of previous vanicella infection? Because parents, at times, misinterpret the significance of their children's rashes; because studies2 suggest that 3% of children may be misdiagnosed as having chickenpox; and, because adolescents are at higher risk for severe complications to chickenpox, I would suggest that, in the 13 years and older age groups, one should err on the side of giving the Varivax immunization.