Pediatric Bone Marrow Transplant: A Guide for Families

Special Concerns

Geri Quinn, RN, MSN and Janine Petitgout, RN, MA
Peer Review Status: Internally Peer Reviewed


Immunizations (baby shots)
The effects of the bone marrow transplant may have eliminated any protective feature of pre-transplant immunizations (polio, mumps, measles, etc.). Once your child is off of prednisone and immunoglobulin, blood will be drawn to see if your child needs to be re-immunized.

Your child should not be around any child, for at least one month, if the other child has received oral polio. Oral polio is usually given to children at two, four and six months of age and again prior to starting kindergarten. If a family member is due to receive their oral polio, they should receive inactivated polio. This is given in the form of a shot and poses no risk to your child.

BMT

Chicken Pox
If your child is exposed to someone who has chicken pox, notify your physician as soon as possible. An injection of Varicella Zoster Immune Globulin (VZIG) may be recommended, depending on your child's condition. VZIG prevents or lessens chicken pox when given within the first 72 hours after exposure. If your child is still on IVIG, then VZIG is not necessary. It is important to ask and remind parents of your child's friends, teachers, babysitters and other contacts to call you as soon as a child develops chicken pox.

Shingles, another form of chicken pox virus, may affect an individual who has previously had chicken pox. Your child should not be in contact with an individual who has an outbreak of shingles.

If you are to be seen in a doctors' office in the first 28 days after your exposure to chicken pox, please let the office know. Your child may need to be isolated from others who have not had chicken pox during your visit.

No Aspirin or Ibuprofen
If your child has discomfort or fever, first notify the doctor and you may then give tylenol. Do not give aspirin or ibuprofen as it can interfere with the function of platelets. Additionally, some over-the-counter medications for such things as cough, colds, and congestion may contain aspirin. Check the label carefully and ask the pharmacist for assistance.

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Last modification date: Mon Jun 30 14:11:48 2008
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