文摘
<p>The Advisory Committee on Vaccines of the Spanish Pediatric Association updates the immunization schedule annually, taking into account epidemiological data and evidence of the effectiveness and efficiency of vaccines.<p>This vaccination schedule includes grades of recommendation. The committee has graded as universal vaccines those that all children should receive, as recommended those with a profile of universal childhood vaccines which all children should receive but which can be prioritized according to the resources available for public funding and as for risk groups those targeting groups of people in epidemiological situations of risk. The Committee considers it a priority to achieve a common immunization schedule for Spain.<p>The Committee reaffirms the recommendation to include pneumococcal vaccination in the routine vaccination schedule. Vaccination against varicella in the second year of life is an effective strategy and therefore a desirable goal.<p>Vaccination against rotavirus is recommended for all infants, given the morbidity and high burden on the health care system. Due to the current problems of availability of both vaccines, associated with the recent finding of the presence of circovirus, the Committee urges that rotavirus vaccination should be restarted as soon as possible, as it is considered desirable for the health for all children in Spain.<p>The Committee adheres to the recommendations of the National Health Coordination Council in reference to routine vaccination against HPV for all girls aged 11 to 14 years and stresses the need for influenza and hepatitis A vaccination of all patients with risk factors for these diseases. Finally, it stresses the need to update incomplete immunization schedules using catch-up immunization schedules.