The art of immunization requires the provider to apply sound knowledge of vaccines and their administration with careful analysis of an individual's risk.
As the acceptance and practice of immunization is increasing day by day, we do face several circumstances where the routine schedule of immunization is to be altered as per the individual need, allergies, contraindication and special circumstances. Hence we are in a state where a specific guideline, based on substantial evidences and studies, are required for vaccinating these children under special circumstances.
Here we will be discussing most common encountered special circumstances in practicing immunization.
1. Vaccination of Preterm Infants
2. Lapsed Vaccination Schedule
3. Not immunized in the first year of life
4. Unknown or Uncertain Vaccination Status
5. Adolescent vaccination
6. Adopted child vaccination
7. Child residing in institutions
8. Child residing in refugee camps
9. Vaccination of Contacts of Persons with Altered Immunocompetence
10. Recipients of Hematopoietic Stem Cell Transplant
12. Other Immunosuppressive Drugs
13. Concurrently Administering Antimicrobial Agents and Vaccines
14. Anatomic or Functional Asplenia
15. Vaccination of child with coagulopathy
16. Vaccination of child with progressive neurological disorder
17. Past reaction or allergy.
18. Severe Allergy to Vaccine Components
19. Tuberculosis Screening and Skin Test Reactivity
20. Latex Allergy
21. Breast Feeding and Vaccination
22. Vaccination During Pregnancy
23. Pre / Post exposure immunization
24. Foreign travel / specific area
25. Immunization during epidemics
26. Immunization of Thalassemic child
27. Immunization of diabetic child
28. Vaccination of child with heart disease
29. Post surgical immunization
30. Vaccination with Inactivated Vaccines
31. Vaccination with Live-Attenuated Vaccines