In 1991, the new edition of the Report on the Committee on Infectious Diseases (the Red Book) has been published by the American Academy of Pediatrics (AAP), providing the most recent recommendations and guidelines for control and management of infectious diseases in infants and children.1 These recommendations and guidelines are based on information available through October, 1990 and replace those given in the 1988 Red Book. To aid physicians and other health care professionals in assimulating new recommendations and information into their practices, a summary of major changes is given in the Red Book. This summary is reprinted here (with minor changes). Subsequent recommendations of the American Academy of Pediatrics are published as committee statements in AAP News and Pediatrics. In keeping with the 2-to 3-year intervals between the editions of the Red Book, the next edition is anticipated in late 1993 or 1994.
Major changes in recommendations and related information in the 1991 Red Book are summarized as follows:
1. Immunization Recommendations. The schedules for routine immunization incorporate the changes in recommendations for Haemophilus b, as of October, 1990 (See "Note.") and measles vaccines. In view of the increased complexity of immunization schedules, particular attention should be given to the footnotes in the immunization schedules. The schedule recommended by the World Health Organization Expanded Programme on Immunization (EPI) is also included.
2. Reporting of Adverse Events. The new procedure for reporting adverse events following administration of vaccines (VAERS) is described.
3. Contraindications to Vaccines. The recommendation concerning a minor illness as a possible contraindication to diphtheria-tetanus-pertussis (DTP) immunization has been modified.
- Copyright © 1991 by the American Academy of Pediatrics