The Center for Disease Control (CDC, 2009) recommendation for immunizing infants who are HIV positive is
a. Follow the routine immunization schedule.
b. Routine immunizations are administered; assess CD4+ counts before
administering the MMR and varicella vaccinations.
c. Do not give immunizations because of the infant's altered immune status.
d. Eliminate the pertussis vaccination because of the risk of convulsions.
B
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A Routine immunizations are appropriate; however, CD4+ cell counts should be
assessed before administering the MMR and varicella vaccines to establish
adequate immune system function.
B Routine immunizations are appropriate. CD4+ cells are monitored when
deciding whether to provide live virus vaccines. If the child is severely
immunocompromised, the MMR vaccine is not given. The varicella vaccine can
be considered on the basis of the child's CD4+ counts. Only inactivated polio
virus (IPV) should be used for HIV-infected children.
C Immunizations are given to infants who are HIV positive.
D The pertussis vaccination is not eliminated for an infant who is HIV positive.
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