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Schemes with killed vaccines such as those proposed by the WHO may be used, even in seropositive children and in children whose HIV status is not known. The live oral polio vaccine (Sabin) is better replaced by the inactivated Salk vaccine in known HIV+ children. BCG is best avoided in known HIV+ children. For safety’s sake yellow fever vaccination should be avoided, although the risks are probably minimal. More recent data indicate that vaccination is safe when the CD4-count is higher than 200. When the CD4-cells are more than 400, the immunogenicity of the vaccine is reliable.
The following vaccines are advised : Pneumovax, Tetanus, Hepatitis A and B, Influenza.
Category: Medical Subject Notes , Medicine Notes , Pharmacology Notes
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