Mumps primary prevention: Difference between revisions

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===CDC Vaccination Recommendations===
===CDC Vaccination Recommendations===
====Children====
====Children====
*Children should receive 2 doses of MMR vaccine:
*Children should receive 2 doses of MMR vaccine:<ref name="CDCMumps"></ref>
:*First dose at 12 - 15 months of age
:*First dose at 12 - 15 months of age
:*Second dose at 4 - 6 years of age
:*Second dose at 4 - 6 years of age

Revision as of 18:24, 15 March 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Primary Prevention

  • Mumps can be prevented with MMR (measles-mumps-rubella) vaccine.[1]
  • 2 doses of vaccine is 88% (range 66-95%) effective
  • 2 doses of vaccine is 78% (range 49-92%) effective
  • Multiple vaccine strains exist:[2]
  • The Jeryl Lynn strain is most commonly used in developed countries, but has been shown to have reduced efficacy in epidemic situations.
  • The Leningrad-Zagreb strain is commonly used in developing countries, but appears to have superior efficacy in epidemic situations.
  • In the US, MMR is now being supplanted by MMRV, which adds protection against Chickenpox

CDC Vaccination Recommendations

Children

  • Children should receive 2 doses of MMR vaccine:[1]
  • First dose at 12 - 15 months of age
  • Second dose at 4 - 6 years of age
  • Children can receive the second dose earlier as long as it is at least 28 days after the first dose

Post-High School Students

  • Students at post-high school educational institutions, such as college, trade schools, and training programs, who do not have evidence of immunity (protection) against mumps need two doses of MMR vaccine, separated by at least 28 days.

Adults

  • People who are born during or after 1957 who do not have evidence of immunity against mumps should get at least one dose of MMR vaccine.

International Travelers

  • Children 12 months of age or older should have two doses of MMR vaccine, separated by at least 28 days.
  • Teenagers and adults without evidence of immunity to mumps should have two doses of MMR vaccine, separated by at least 28 days.

References

  1. 1.0 1.1 Mumps Vaccination. Centers for Disease Control and Prevention (May 29, 2015). http://www.cdc.gov/mumps/vaccination.html Accessed March 15, 2016.
  2. Peltola H, Kulkarni PS, Kapre SV, Paunio M, Jadhav SS, Dhere RM (2007). "Mumps outbreaks in Canada and the United States: Time for new thinking on mumps vaccines". Clin Infect Dis. 45: 459&ndash, 66.


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