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Table 7 Immunization

From: The Italian Society for Pediatric Nephrology (SINePe) consensus document on the management of nephrotic syndrome in children: Part I - Diagnosis and treatment of the first episode and the first relapse

Vaccine

Inactivated/Live, Attenuated

High dose steroids

Low dose steroids

Hepatitis B

I

YES

YES

Pertussis

I

YES

YES

Diphtheria

I

YES

YES

Tetanus

I

YES

YES

Polio (Salk)

I

YES

YES

H. Influenzae type B

I

YES

YES

Pneumococcal

I

YES

YES

Meningococcal

I

YES

YES

Flu

I

YES

YES

Human Papillomavirus

I

YES

YES

Varicella

LA

NOa,b

NOc

Measles

LA

NOa,b

NOc

Mumps

LA

NOa,b

NOc

Rubella

LA

NOa,b

NOc

  1. a Scottish Guidelines: feasible when high dose steroids (2 mg/kg/die for more than 7 days or 1,5 mg/kg/die for a month) have been discontinued for at least 3 months
  2. b AAP: feasible one month after high-dose (≥2 mg /kg/die, or ≥20 mg/day if the child weighs more than 10 kg) corticosteroids discontinuation if the patient has been treated for more than 14 days, or immediately after the discontinuation if the patient has been treated for less than 14 days
  3. c We recommend the use of live attenuated vaccines only after 3 months of corticosteroids discontinuation
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Italian Journal of Pediatrics

ISSN: 1824-7288

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