This is the current release of the guideline.

American Academy of Pediatrics (AAP) Policies are reviewed every 3 years by the authoring body, at which time a recommendation is made that the policy be retired, revised, or reaffirmed without change. Until the Board of Directors approves a revision or reaffirmation, or retires a statement, the current policy remains in effect.

Vaccine-preventable diseases, such as:

• Diphtheria
• Tetanus
• Pertussis
• Poliomyelitis
• Measles
• Mumps
• Rubella
• Haemophilus influenzae b infection

Prevention

Family Practice
Pediatrics
Preventive Medicine

Physicians

To present recommendations for increasing immunization coverage in provider offices

All children, especially children who are members of a racial or ethnic minority, who are poor, or who live in inner-city or rural areas

1. Participation in American Academy of Pediatric activities, such as promoting comprehensive health care, collaborating with local public and private child health services, removing economic barriers, reducing socioeconomic and racial disparities, advocating for adequate vaccine reimbursement rate and adequate supplies, and supporting ongoing education
2. Assessment and improvement of practices’ effectiveness in immunizing children
3. Use of current vaccine information statements to educate parents
4. Reporting of all vaccine-related adverse events
5. Support and implementation of the Standards for Child and Adolescent Immunization Practices

Immunization rates

Hand-searches of Published Literature (Primary Sources)
Hand-searches of Published Literature (Secondary Sources)
Searches of Electronic Databases

Not stated

Not stated

Weighting According to a Rating Scheme (Scheme Given)

Rated as strong, sufficient or insufficient evidence based on the number and quality of the studies for each recommendation.

Review

Not stated

Expert Consensus

Not stated

Not applicable

A formal cost analysis was not performed and published cost analyses were not reviewed.

Peer Review

Not stated

None provided

The type of evidence supporting each recommendation is summarized in a background document cited in the report.

Improvements in the vaccine delivery system can lead to increased immunization rates for children from diverse backgrounds and economic groups.

Not stated

The guidance in this report does not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate.

An implementation strategy was not provided.

Staying Healthy

Effectiveness
Patient-centeredness

Not applicable: The guideline was not adapted from another source.

2003 Oct

American Academy of Pediatrics - Medical Specialty Society

American Academy of Pediatrics

Committee on Community Health Services
Committee on Practice and Ambulatory Medicine

Committee on Community Health Services, 2002-2003: Helen M. DuPlessis, MD, MPH, Chairperson: Wyndolyn C. Bell, MD; Suzanne C. Boulter, MD; Denice Cora-Bramble, MD; Charles Feild, MD, MPH; Gilbert A. Handal, MD; Murray L. Katcher, MD, PhD; Francis E. Rushton, Jr, MD; *David L. Wood, MD, MPH

Past Committee Members: Arthur Lavin, MD; Paul Melinkovich, MD

Liaisons: Jose H. Belardo, MSW, MS, United States Maternal and Child Health Bureau; Lance E. Rodewald, MD, Ambulatory Pediatric Association; Denia A. Varrasso, MD, Immunization Subcommittee, Chairperson

Staff: Carmen A. Mejia, MA

Committee on Practice and Ambulatory Medicine, 2002-2003: Kyle E. Yasuda, MD, Chairperson; Lawrence D. Hammer, MD; Norman R. Harbaugh, Jr, MD; Philip G. Itkin, MD; P. John Jakubec, MD; Robert D. Walker, MD

Past Committee Members: F. Lane France, MD; Thomas J. Herr, MD; Allan S. Lieberthal, MD; Jack Swanson, MD; Katherine Teets Grimm, MD

Liaisons: Adrienne A. Bien, Medical Group Management Association; Todd Davis, MD, Ambulatory Pediatric Association; Winston S. Price, MD, National Medical Association

Staff: Robert H. Sebring, PhD

*Lead author

Not stated

This is the current release of the guideline.

American Academy of Pediatrics (AAP) Policies are reviewed every 3 years by the authoring body, at which time a recommendation is made that the policy be retired, revised, or reaffirmed without change. Until the Board of Directors approves a revision or reaffirmation, or retires a statement, the current policy remains in effect.

None available

None available

This NGC summary was completed by ECRI on February 19, 2004. The information was verified by the guideline developer on March 29, 2004.

This NGC summary is based on the original guideline, which is subject to the guideline developer's copyright restrictions. Please contact the Permissions Editor, American Academy of Pediatrics (AAP), 141 Northwest Point Blvd, Elk Grove Village, IL 60007.