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Immunization Update

The Immunization Update is designed to provide you with current information and prevention recommendations on Immunizations as released by the Centers for Disease Control that come in between the full revision of the guideline. Below is a list of the updates currently published and the affected immunizations.

Immunization Update May 2014

The ICSI Immunizations work group has created new recommendations for the Tdap vaccination and has re-written Annotation #9. In addition, the recommendations for the meningococcal vaccine have been modified. Therefore, Annotations #19 and 23 have been updated.

As a result of the new meningococcal combined vaccine, Annotation #10 for Hib has also been revised.

Guideline Summary

Revision Date: March 2012
Sixteenth Edition

Scope and Target Population

To protect persons of all ages in the United States from infectious diseases through the use of vaccines.


  1. Increase the percentage of patients who are up-to-date with recommended immunizations.
  2. Increase the percentage of patients/parents who receive education regarding immunizations.

Clinical Highlights

  • Utilize all clinical encounters as opportunities to assess a patient's immunization status.
  • Administer at each clinical encounter all immunizations that are due or overdue unless true contraindications exist.
  • Educate patients (parents, if applicable) regarding the importance of infant, childhood, adolescent and adult immunizations, the recommended schedule and the need to maintain a personal record of immunizations and childhood diseases.
  • Document reasons for not administering immunizations that are clinically indicated, and flag the record for a recall appointment.
  • Document the future plan for administering immunizations.
  • Report immunizations to immunization registries and Vaccine Adverse Event Reporting System (VAERS).
  • Provide vaccine information sheets.

Additional Background

Change in immunization practice is occurring at an ever-increasing pace. Recommendations from national advisory bodies are subject to frequent revision, with the addition of new vaccines further complicating the schedule. It is imperative that providers are informed regarding all schedule options and are utilizing all opportunities to fully immunize all patients.