title: Vaccination of the immunocompromised child.
abstract: The development of vaccination is a major achievement in modern medicine. However, children treated with immunosuppression may not at all, or only in part, receive routine immunization due to uncertainty of its risks and effect. There is a substantial lack of pediatric studies concerning the efficacy and safety of vaccination in this patient group. Experience from similar adult groups and children with HIV infection can be used as a model for other disease categories. With increasing knowledge of the immunologic basis of vaccination and how immunosuppressive drugs interfere with the immune system, improved vaccines could be tailored, and adequate, individualized guidelines issued.
authors.affiliation: Paediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital, Karolinska University Hospital, Sweden. thomas.casswall@ki.se
authors.forename: Thomas H
authors.initials: TH
authors.lastname: Casswall
authors.forename: Björn
authors.initials: B
authors.lastname: Fischler
mesh_terms: D001424:Bacterial Infections / Q000517:prevention & control*; D001428:Bacterial Vaccines; D002986:Clinical Trials as Topic; D006801:Humans; D007115:Immunization Schedule; D016867:Immunocompromised Host; D014611:Vaccination; D014765:Viral Vaccines; D014777:Virus Diseases / Q000517:prevention & control*
chemical_list: D001428:Bacterial Vaccines; D014765:Viral Vaccines