Infectious Diseases in International Adoptees From South Korea

Yunji Lee, MSN, PNP, RN; Patricia Jackson Allen, MS, RN, PNP, FAAN

Disclosures

Pediatr Nurs. 2008;34(6):480-485,489. 

In This Article

Recommendations for Immunization of Adoptees From South Korea

The AAP (2006b) recommends the following options for immunization of internationally adopted children: 1) repeat all doses of vaccines when their immunization records are not reliable, 2) accept previous immunizations for which there is documentation of vaccines administered according to the U.S. immunization schedules (dates of administration, number of doses, intervals between doses, and age of the child at the time of immunization), and 3) use serotesting to assess a child's immunity to diseases and make decisions about what vaccines to administer based on the results. The CDC (2007a) emphasizes that if there is any doubt as to whether the immunizations were properly administered or were immunogenic, they should be repeated because vaccination is generally safe, and this approach will avoid the need to obtain and interpret serologic tests.

Vaccination schedules for children in South Korea are summarized in Table 5. Most vaccines required in the U.S. are also routinely administered in South Korea. Haemophilus influenzae type b conjugate vaccine (Hib), pneumococcal vaccine, hepatitis A vaccine, and the second varicella should be administered to Korean adopted children as needed (CDC, 2007a).

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