La Vacuna de la Varicela

La vacuna de la varicela ha sido actualizada por el Advisory Committee on Inmmunization Practis estadounidense. Es un excelente repaso a la epidemiología antes y después de la instauración de la vacuna en EEUU, además de la eficacia, efectividad en niños y adultos.
Las nuevas recomendaciones se resumen en:

1)Implementation of a routine 2-dose varicella vaccination program for children, with the first dose administered at age 12–15 months and the second dose at age 4–6 years
2) A second dose catch-up varicella vaccination for children, adolescents, and adults who previously had received 1 dose
3)Routine vaccination of all healthy persons aged >13 years without evidence of immunity
4)Prenatal assessment and postpartum vaccination
5) Expanding the use of the varicella vaccine for HIV-infected children with age-specific CD4+T lymphocyte percentages of 15%–24% and adolescents and adults with CD4+T lymphocyte counts >200 cells/μL
6)Establishing middle school, high school, and college entry vaccination requirements.