title: Clinical practice implications of immunizations after pediatric bone marrow transplant: a literature review.
abstract: The number of pediatric bone marrow transplants is increasing for malignant and nonmalignant diseases. The number of survivors is also increasing, and their long-term health and protection from infection is increasingly important. To prevent infections, it is standard practice to re-immunize pediatric patients after bone marrow transplant (BMT) using the Centers for Disease Control and Prevention immunization guidelines; however, surveys in the United States and other parts of the world indicate that many BMT patients do not receive all the recommended immunizations. A literature review was conducted to identify research based on evidence for immunization following BMT and to recognize barriers to the process. Also, the immunization clinical guidelines from 2000 and 2011 for patients following BMT were compared and an updated clinical protocol and immunization schedule was developed to reflect the current evidence, encourage a change in practice, and discourage fragmented care.
authors.affiliation: Methodist Children's Hospital, San Antonio, TX 78229, USA. Julie.Luke@MHShealth.com
authors.forename: Julie L
authors.initials: JL
authors.lastname: Luke
authors.forename: Lisa
authors.initials: L
authors.lastname: McDonald
authors.forename: Veronica
authors.initials: V
authors.lastname: Jude
authors.forename: Ka Wah
authors.initials: KW
authors.lastname: Chan
authors.forename: Norma G
authors.initials: NG
authors.lastname: Cuellar
mesh_terms: D016026:Bone Marrow Transplantation; D002648:Child; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D014481:United States