Immunization of the Infant in the Hospital
Edward F. Bell, MD
Peer Review Status: Internally Peer Reviewed
- The first dose of hepatitis B vaccine is recommended before discharge from the hospital or at the chronological age of 2 months, whichever comes first.
- At two, four and six months after birth (chronological not corrected age), the immunizations recommended by the American Academy of Pediatrics and the Centers for Disease Control and Prevention (http://www.cdc.gov/vaccines/schedules/index.html) should be given, with the proviso that live virus vaccines should not be given to infants who are still hospitalized.
- Infants with chronic lung disease who are 6 months or older should be given influenza virus vaccine when available each season (as should their immediate family members and hospital caregivers).
- Passive immunization against respiratory syncytial virus should be given according to unit policy.
- A signed informed consent is required prior to administration of immunizations.
- Please record the immunizations given in the appropriate place in the patient’s medical record and give the parents an immunization card with the dates and vaccines marked. Remind the parents when the next immunizations will be due.
- Please include the immunization history in the interim, transfer, and discharge summaries.
Centers for Disease Control and Prevention. Birth-18 years and “catch-up” immunization schedules. http://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html.