I have at least 3 patients (female 11-13 yo) who received the first dose of Gardasil in 2009 or 2010 and just now (second semester of 2012) are coming back for the two doses left. What do you think we should do?
Should we re-initiate the three doses scheme?,
Give the two missed doses with a six months separation?,
Do not give more doses?,
Other solution?
Thank you for your input...
No vaccine series needs to be restarted because of an interval that is longer than recommended (with the exception of oral typhoid vaccine in certain circumstances). You should continue the series where it was interrupted. In rr5515.pdf (Recommendations of the Advisory Committee on Immunization Practices (ACIP)) from 2006 look the paragraph Lapsed Vaccination Schedule p11
If the HPV vaccine schedule is interrupted, the vaccine series does not need to be restarted. In mm5920.pdf (CDC/ MORBITIDY AND MORTALITY WEEKLY REPORT)
page 19
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