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Immunization Action Coalition
IAC Express 2008
Issue number 748: August 18, 2008
 
Contents of this Issue
Select a title to jump to the article.
  1. CDC posts guidance on use of Pentacel and Pediarix vaccines
  2. CDC presents infection-control requirements for dialysis facilities and gives guidance on parenteral medication vials
  3. IAC updates three of its print materials
  4. HHS offers a toolkit of resources to improve influenza vaccination rates among healthcare personnel
  5. National Association of School Nurses encourages influenza vaccination and education
  6. For coalitions: August 19 is the date of IZTA's teleconference on the upcoming influenza season
  7. Reminder: CDC's webcast "Immunization Update 2008" is scheduled for August 28
  8. September 18 "Current Issues in Immunization" net conference to focus on 2008-09 seasonal influenza recommendations
  9. The Vaccine Education Center plans a Vaccine Education Symposium for September 27 in Philadelphia
  10. FDA approves use of the HIV drug Viread for treatment of chronic hepatitis B infection in adults
  11. Reminder: NIH Consensus Development Conference on the Management of Hepatitis B to be held October 20-22 in Bethesda
 
Abbreviations
AAFP, American Academy of Family Physicians; AAP, American Academy of Pediatrics; ACIP, Advisory Committee on Immunization Practices; AMA, American Medical Association; CDC, Centers for Disease Control and Prevention; FDA, Food and Drug Administration; IAC, Immunization Action Coalition; MMWR, Morbidity and Mortality Weekly Report; NCIRD, National Center for Immunization and Respiratory Diseases; NIVS, National Influenza Vaccine Summit; VIS, Vaccine Information Statement; VPD, vaccine-preventable disease; WHO, World Health Organization.
  
Issue 748: August 18, 2008
1.  CDC posts guidance on use of Pentacel and Pediarix vaccines

The two-page document "Guidance on the Use of Pentacel and Pediarix, August 2008" was recently posted on CDC's Vaccines & Immunizations web section. Pentacel, a combination DTaP-IPV-Hib vaccine, was recently approved by FDA; Pediarix is a combination DTaP-IPV-Hep B vaccine.

Intended for healthcare professionals, the document discusses the use of Pentacel during the current Hib vaccine shortage. It also contains four tables for guidance on schedules for Pentacel, Pediarix, and the single-antigen series for Hep B, Hib, IPV, and DTaP vaccines for healthy children during the Hib vaccine shortage.

To access "Guidance on the Use of Pentacel and Pediarix," go to:
http://www.cdc.gov/vaccines/pubs/downloads/pentacel-guidance.pdf

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2 CDC presents infection-control requirements for dialysis facilities and gives guidance on parenteral medication vials

CDC published "Infection Control Requirements for Dialysis Facilities and Clarification Regarding Guidance on Parenteral Medication Vials" in the August 15 issue of MMWR. A summary made available to the press is reprinted below in its entirety.


In dialysis and other healthcare settings, injected medications that are labeled for single-use should be used one time for one patient only. To avoid contamination and potential spread of infection in dialysis settings, medications and solutions must be handled using proper infection control precautions as described in CDC guidelines and now mandated through the new CMS Conditions for Coverage. This includes injection preparation using only new sterile needles/syringes in a clean area separate from patient treatment areas and contaminated items. Beginning in October 2008, outpatient dialysis facilities will be required by the Centers for Medicare and Medicaid Services (CMS) to follow CDC infection control guidelines that pertain to hemodialysis settings. These guidelines include recommendations for correct handling and use of injected medications. To prevent transmission of both bacteria and bloodborne viruses in hemodialysis settings, all injectable medications labeled as "single-use" should be used for one patient and be entered one time only. Medications packaged as multidose should be assigned to a single patient whenever possible. All parenteral medications should be prepared using sterile injection equipment in a clean area that is removed from the patient treatment area and separate from potentially contaminated items and surfaces.


To access a web-text (HTML) version of the MMWR article, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5732a3.htm

To access a ready-to-print (PDF) version of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5732.pdf

To receive a FREE electronic subscription to MMWR (which includes new ACIP recommendations), go to:
http://www.cdc.gov/mmwr/mmwrsubscribe.html

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3 IAC updates three of its print materials

IAC made the following changes to three of its educational pieces:

In the piece "Standing Orders for Administering Influenza Vaccines to Children & Adolescents," changes were made to the sections on recommended ages, precautions, and needle length. To access this revised IAC print resource, go to:
http://www.immunize.org/catg.d/p3074a.pdf

In the piece "Standing Orders for Administering Influenza Vaccines to Adults," changes were made to the section on precautions. To access this revised IAC print resource, go to:
http://www.immunize.org/catg.d/p3074.pdf

In the piece "Guide to Contraindications and Precautions to Commonly Used Vaccines," changes were made to the sections on rotavirus vaccine; diphtheria, tetanus, pertussis (DTaP) vaccine; tetanus, diphtheria (DT, Td) vaccines; and zoster vaccine. To access this revised IAC print resource, go to:
http://www.immunize.org/catg.d/p3072a.pdf

IAC's Print Materials web section has more than 175 FREE, ready-to-print English-language resources for healthcare professionals and the public--as well as many in translation. To access all of IAC's print resources, go to:
http://www.immunize.org/printmaterials

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4 HHS offers a toolkit of resources to improve influenza vaccination rates among healthcare personnel

The website of the Department of Health and Human Services (HHS) has a toolkit containing Internet links to numerous resources that promote annual influenza vaccination of healthcare personnel. Titled "Health Care Personnel Initiative to Improve Influenza Vaccination Toolkit," this resource is intended to give healthcare organizations, professional schools, professional organizations, and leaders valuable information that they can pass along to their colleagues and employees. The Internet materials that are included were chosen because of their proven success and novel approaches to prevention of and education about influenza and influenza vaccination.

To access the toolkit, go to:
http://www.hhs.gov/ophs/programs/initiatives/vacctoolkit

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5 National Association of School Nurses encourages influenza vaccination and education

The website of the Childhood Influenza Immunization Coalition (CIIC) recently posted an article published in the July 2008 issue of the newsletter of the National Association of School Nurses (NASN). The article, titled "Influenza: Keeping Schools Healthy Through Education and Vaccination," was written by CIIC moderator Carol J. Baker, MD, and CIIC member representative and NASN nursing education director Nichole Bobo, RN, MSN. It discusses the key roles that school nurses play in encouraging influenza vaccination among school students and staff.

To access the article, go to: http://www.preventchildhoodinfluenza.org/news and scroll down to the article title.

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6 For coalitions: August 19 is the date of IZTA's teleconference on the upcoming influenza season

The Immunization Coalitions Technical Assistance Network (IZTA) conference call on August 19 will provide an overview of CDC's plans for communicating about influenza vaccine in the 2008-09 influenza season. It will also include a discussion of the CDC educational materials that will be available to assist U.S. communities in promoting influenza vaccination. IZTA is a program of the Center for Health Communication, Academy for Educational Development.

The presenter is CDC's Alan Janssen, MSPH.

The August 19 call will be held at 1PM, ET. To register, send an email to izta@aed.org Include this message: "Sign me up for the influenza communications update."

To access earlier programs, go to:
http://www.izta.org/confcall.cfm

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7 Reminder: CDC's webcast "Immunization Update 2008" is scheduled for August 28

Scheduled from noon to 2PM ET on August 28, the webcast "Immunization Update 2008" will provide up-to-date information on the rapidly changing field of immunization. Anticipated topics include influenza and zoster vaccines, recently approved vaccines, and updates on vaccine supplies and vaccine safety.

The course instructors include William L. Atkinson, MD, MPH; Donna L. Weaver, MN, RN; Andrew T. Kroger, MD, MPH, and guest experts. All are with the CDC's National Center for Immunization and Respiratory Diseases.

To access the webcast, go to: http://www2a.cdc.gov/PHTN/webcast/immupdate2008 A replay of this program will be available through the URL above shortly after the August 28 webcast.

Note: There will NOT be a satellite broadcast of this program, as there was in previous years.

Registration is not required. HOWEVER, ONLINE REGISTRATION IS REQUIRED TO RECEIVE CONTINUING EDUCATION CREDITS. To register, go to: http://www2a.cdc.gov/TCEOnline

Continuing Education for this activity will open on August 28 and expire on September 29. For full accreditation statements, including information about pharmacy credit, go to: http://www2.cdc.gov/phtn/immupdate2008

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8 September 18 "Current Issues in Immunization" net conference to focus on 2008-09 seasonal influenza recommendations

The next "Current Issues in Immunization" net conference will be held on September 18 from noon to 1PM ET. Moderated by CDC's Andrew T. Kroger, MD, MPH, the net conference will focus on the seasonal influenza recommendations for 2008-09.

Registration is limited and will close on September 16 (at midnight ET) or when the course is full. To register, go to: http://www2.cdc.gov/vaccines/ed/ciinc

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9 The Vaccine Education Center plans a Vaccine Education Symposium for September 27 in Philadelphia

The Vaccine Education Center at Children's Hospital of Philadelphia (CHOP) is sponsoring a one-day symposium for health professionals on September 27. The program includes the following topics:

  • Vaccine safety
  • HIV vaccine development
  • Mandating influenza vaccine
  • Mandating HPV vaccine
  • The role and need for mandates
  • Influenza vaccine: Moving toward universal recommendations
  • Communicating science to the public: Lessons learned from the vaccines and autism controversy

To access a ready-to-print (PDF) version of the symposium brochure, go to:
http://www.chop.edu/cme/2008/vec/pdf/vaccine_cme08.pdf

To have a brochure mailed to you, phone (215) 590-5263 or fax (215) 590-4342.

To register for the symposium, go to: https://www.chop.edu/cme/2008/vec/regis.cfm#form The registration deadline is September 15.

For additional information, contact CHOP's Continuing Medical Education Department at (215) 590-5263 or visit http://www.chop.edu/cme

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10.  FDA approves use of the HIV drug Viread for treatment of chronic hepatitis B infection in adults

On August 11, FDA issued a supplement to its approval of tenofovir disoproxil fumarate (Viread; Gilead). The drug is now indicated for use in treating chronic hepatitis B infection in adults. Previously, it was approved only for treating HIV infection.

To access the approval letter, go to:
http://www.fda.gov/cder/foi/appletter/2008/021356s025ltr.pdf

To access the package insert posted on the Gilead website, go to: http://www.gileadhiv.com/pdf/VireadFPI.pdf

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11.  Reminder: NIH Consensus Development Conference on the Management of Hepatitis B to be held October 20-22 in Bethesda

The National Institute of Health's (NIH) Consensus Development Conference on the Management of Hepatitis B will be held October 20-22, in Bethesda, MD. This conference is sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases and the Office of Medical Applications of Research.

Speakers and attendees at this conference will discuss issues related to the benefits and risks of current therapeutic options for HBV infection, including which persons should be treated, what measures are appropriate to monitor therapy and assess outcomes, and what the greatest needs are for future research.

For more information, including the preliminary agenda, go to:
http://consensus.nih.gov/2008/2008HepatitisBCDC120main.htm

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