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| Name | Ask the Experts: Vaccination of Patients on Steroids |
| Video Uploader | Video From ImmunizeOrg |
| Upload Date | This Video Uploaded At 09-05-2023 17:13:54 |
| Video Discription | Welcome to Immunize.org’s Ask the Experts resources. This Ask the Experts question is presented by Immunize.org’s Kelly L. Moore, MD, MPH. Question: Should vaccines be withheld for patients on steroids? Answer: Steroid treatment, and possible immunosuppression, is primarily a concern with live virus vaccines. Steroid therapy that is short term (less than 2 weeks); alternate-day; physiologic replacement; topical (skin or eyes); aerosol; or given by intra-articular, bursal, or tendon injection are not considered contraindications to the use of live virus vaccines. The immunosuppressive effects of corticosteroid treatment vary, but many clinicians consider a dose equivalent to either 2 mg/kg of body weight or a total of 20 mg per day of prednisone (or equivalent) for 2 or more weeks as sufficiently immunosuppressive to raise concern about the safety of vaccination with live virus vaccines (e.g., MMR, varicella, live attenuated influenza, yellow fever). Providers should wait at least 1 month after discontinuation of therapy or reduction of dose before administering a live virus vaccine to patients who have received high systemically absorbed doses of corticosteroids for 2 weeks or more. Inactivated vaccines and toxoids can be administered to all immunocompromised patients in usual doses and schedules, although the response to these vaccines may be suboptimal. About Ask the Experts Immunize.org established Ask the Experts to provide practical answers to clinical questions about vaccines and vaccine administration. Our Immunize.org experts have answered more than 1,200 clinical questions like this one based on ACIP recommendations. You can find all of these questions and answers on our "Ask the Experts" page at http://www.immunize.org/askexperts. About Immunize.org Immunize.org supports healthcare professionals with educational resources and advocates to remove barriers to vaccination for all. We create and distribute educational materials for healthcare professionals and the public that enhance the delivery of safe and effective immunization services. We work to improve national and state vaccine policy. Immunize.org also facilitates communication about the safety, efficacy, and use of vaccines within the broad immunization community of patients, parents, healthcare organizations, and government health agencies. Stay up to date by subscribing to our free weekly newsletter, IZ Express, including ATE Special Editions at http://www.immunize.org. Stay current on immunization news; follow us on your favorite social media platform: Instagram: @ImmunizeOrg Facebook: @ImmunizeOrg LinkedIn: @Immunize.org Twitter: @ImmunizeOrg Immunize.org Legal Disclaimer: http://www.immunize.org/iacadmin/disclaimer.asp #savelivesimmunize #immunizeorg #vaccinessavelives #vaccineswork #vaccination nNo4e1bX2xw |
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