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This Article Extract Full Text (PDF) 2006 Immunization Schedule P3Rs: Submit a response Alert me when this article is cited Alert me when P3Rs are posted Alert me if a correction is posted Citation Map Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My File Cabinet Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Search for Related Content PubMed PubMed Citation Related Collections Infectious Disease & Immunity Related AAP Red Book topics: Pertussis (Whooping Cough) Influenza Hepatitis A Diphtheria Tetanus (Lockjaw)

Recommended Childhood and Adolescent Immunization Schedule—United States, 2006

The annual recommended childhood and adolescent immunization schedule for January–December 2006 was approved by the American Academy of Pediatrics, the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention, and the American Academy of Family Physicians is issued for 2006. This schedule reflects current recommendations for use of US Food and Drug Administration–licensed vaccines. The 2006 schedule reflects the following major changes.

• The fourth dose of diphtheria and tetanus toxoids and acellular pertussis (DTaP) may be administered as early as 12 months of age, provided 6 months have elapsed since the third dose and the child is unlikely to return at 15 to 18 months of age.
  
• A single dose of an adolescent preparation of tetanus and diphtheria toxoids and acellular pertussis vaccine (Tdap) is recommended at 11 to 12 years of age for those who have completed the recommended DTP/DTaP series and have not received a tetanus-diphtheria (Td) booster dose. Adolescents 13 to 18 years of age who missed the 11- to 12-year-old Td or Tdap booster dose or in whom it has been 5 years or more since the Td booster dose also should receive a single dose of Tdap if they have completed the DTP/DTaP series.¹
  
• A single dose of meningococcal conjugate vaccine (MCV4) is recommended for all 11- to 12-year-olds as well as unimmunized adolescents at high school entry (15 years of age). All college freshman who will be living in a dormitory also should be immunized, preferably with MCV4, although meningococcal polysaccharide vaccine is an acceptable alternative.²
  
• Influenza vaccine should be administered annually to all high-risk children, including children with conditions that can compromise respiratory function or handling of respiratory secretions or that can increase the risk for aspiration.
  
• Hepatitis A vaccine, licensed for administration to children 12 months of age and older, is now recommended for universal administration to all children at 1 to 2 years (12 to 23 months) of age and for certain high-risk groups. The 2 doses in the series should be separated by at least 6 months.
  

Clinically significant adverse events that follow immunization should be reported to the Vaccine Adverse Event Reporting System (VAERS). Guidance about how to obtain and complete a VAERS form can be obtained on the Internet at www.vaers.hhs.gov or by calling 800-822-7967. Information on new vaccine releases, vaccine supplies, and statements on specific vaccines can be found at www.aap.org and www.cdc.gov/nip. Vaccine-related updates are available online at www.aapredbook.org.

	Committee on Infectious Diseases, 2005–2006

TOP Committee on Infectious... Liaisons Ex Officio Consultant Staff REFERENCES

 
Keith R. Powell, MD, Chairperson

Robert S. Baltimore, MD

Henry H. Bernstein, DO

Joseph A. Bocchini, Jr, MD

John S. Bradley, MD

Michael T. Brady, MD

Penelope H. Dennehy, MD

Robert W. Frenck, Jr, MD

David W. Kimberlin, MD

Sarah S. Long, MD

Julia A. McMillan, MD

Lorry G. Rubin, MD

	Liaisons

TOP Committee on Infectious... Liaisons Ex Officio Consultant Staff REFERENCES

 
Richard D. Clover, MD

American Academy of Family Physicians

Stephen L. Cochi, MD

Centers for Disease Control and Prevention

Joanne Embree, MD

Canadian Paediatric Society

Marc A. Fischer, MD

Centers for Disease Control and Prevention

Mamodikoe Makhene, MD

National Institutes of Health

Douglas R. Pratt, MD

Food and Drug Administration

Benjamin Schwartz, MD

National Vaccine Program Office

Jeffrey R. Starke, MD

American Thoracic Society

Jack Swanson, MD

Practice Action Group

	Ex Officio

TOP Committee on Infectious... Liaisons Ex Officio Consultant Staff REFERENCES

 
Larry K. Pickering, MD

Red Book Editor

	Consultant

TOP Committee on Infectious... Liaisons Ex Officio Consultant Staff REFERENCES

 
Edgar O. Ledbetter, MD

	Staff

TOP Committee on Infectious... Liaisons Ex Officio Consultant Staff REFERENCES

 
Alison Siwek, MPH

	REFERENCES

TOP Committee on Infectious... Liaisons Ex Officio Consultant Staff REFERENCES

 

1. American Academy of Pediatrics, Committee on Infectious Disease. Prevention of pertussis among adolescents: recommendations for use of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine. Pediatrics. 2006; In press
2. American Academy of Pediatrics, Committee on Infectious Diseases. Prevention and control of meningococcal disease: recommendations for use of meningococcal vaccines in pediatric patients. Pediatrics. 2005;116 :496 –505[Abstract/Free Full Text]

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This Article Extract Full Text (PDF) 2006 Immunization Schedule P3Rs: Submit a response Alert me when this article is cited Alert me when P3Rs are posted Alert me if a correction is posted Citation Map Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My File Cabinet Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Search for Related Content PubMed PubMed Citation Related Collections Infectious Disease & Immunity Related AAP Red Book topics: Pertussis (Whooping Cough) Influenza Hepatitis A Diphtheria Tetanus (Lockjaw)

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