A 12-month-old with Kawasaki disease received IV immunoglobulin (IVIG) 2 months ago. The child is in the clinic for follow-up and scheduled immunizations. Which vaccine should be delayed?

Vaccine for Measles, Mumps, Rubella, Varicella should be delayed.

Explanation:

Generally IVIG usually inhibit the immune response, to the live pathogen used to induce response in the vaccine. Consequently, given another vaccine immediately may have adverse effect on the immune system of the child. Therefore a period of intervals should be set between administration of IVIG and other vaccines.

Based on standard recommendation; this depends on the nature of vaccine the child needs. Thus if

the child needs vaccine for Measles, Mumps, Rubella, the delay should be 10monts.

A peroid of 5-months is needed to wait if Varicella vaccine is needed.