title: Polio immunization: dealing with new recommendations and helping parents understand the changes.
abstract: After remaining unaltered for almost 3 decades, the guidelines for polio immunization have recently undergone some major changes. A shift away from use of the live oral poliovirus vaccine has occurred, and an increasing preference is being shown for the killed injectable poliovirus vaccine for at least the first 2 doses. The purposes of this article are to review the history of polio and polio vaccines; compare the risks, benefits, and indications of the 2 available vaccines; discuss the rationale for changes in recommendations; and help nurse practitioners guide parents in making decisions about vaccines.
authors.affiliation: Childrens Hospital Inc., Columbus, Ohio.
authors.forename: L
authors.initials: L
authors.lastname: Wadsworth
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D006266:Health Education / Q000331:legislation & jurisprudence / Q000379:methods*; D006801:Humans; D007115:Immunization Schedule; D007223:Infant; D010290:Parents / Q000193:education* / Q000523:psychology; D010371:Pediatric Nursing / Q000379:methods; D011051:Poliomyelitis / Q000517:prevention & control*; D011054:Poliovirus Vaccine, Inactivated / Q000008:administration & dosage*; D017410:Practice Guidelines as Topic; D011368:Professional-Family Relations; D014481:United States; D014611:Vaccination / Q000379:methods / Q000592:standards*
chemical_list: D011054:Poliovirus Vaccine, Inactivated