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  1. Article ; Online: What's in a number? The value of titers as routine proof of immunity for medical students.

    Charlton, Carmen L / Bailey, Ashley-Nicole M / Thompson, L Alexa / Kanji, Jamil N / Marshall, Natalie C

    Vaccine

    2023  Volume 41, Issue 17, Page(s) 2734–2738

    Abstract: Objectives: To assess the guideline concordance of medical school requirements for students' proof-of-immunity in the United States (US) and Canada.: Methods: National guidelines for healthcare worker proof-of-immunity to measles, mumps, rubella, and ...

    Abstract Objectives: To assess the guideline concordance of medical school requirements for students' proof-of-immunity in the United States (US) and Canada.
    Methods: National guidelines for healthcare worker proof-of-immunity to measles, mumps, rubella, and varicella were compared to admission requirements for 62 US and 17 Canadian medical schools.
    Results: All surveyed schools accepted at least one recommended form of proof-of-immunity, however, contrary to national guidelines, 16% of surveyed US schools asked for a serologic titer, and only 73-79% US schools accepted vaccination as the sole proof-of-immunity.
    Conclusions: The requirement of numerical, non-standardized serologic testing highlights an oversight in medical school admissions documentation. The requirement for quantitative values to demonstrate immunity is not practical from a laboratory standpoint, and is not needed to show individual immunity to these vaccine-preventable diseases. Until a more standardized process is adopted, laboratories will need to provide clear documentation and direction for quantitative titer requests.
    MeSH term(s) Humans ; United States ; Students, Medical ; Canada ; Measles/prevention & control ; Rubella/prevention & control ; Chickenpox/prevention & control ; Chickenpox Vaccine ; Vaccination ; Measles-Mumps-Rubella Vaccine ; Mumps ; Schools, Medical ; Antibodies, Viral
    Chemical Substances Chickenpox Vaccine ; Measles-Mumps-Rubella Vaccine ; Antibodies, Viral
    Language English
    Publishing date 2023-03-21
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 605674-x
    ISSN 1873-2518 ; 0264-410X
    ISSN (online) 1873-2518
    ISSN 0264-410X
    DOI 10.1016/j.vaccine.2023.03.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: What’s in a number? The value of titers as routine proof of immunity for medical students

    Charlton, Carmen L. / Bailey, Ashley-Nicole M. / Thompson, L. Alexa / Kanji, Jamil N. / Marshall, Natalie C.

    Elsevier Ltd Vaccine. 2023 Apr., v. 41, no. 17 p.2734-2738

    2023  

    Abstract: To assess the guideline concordance of medical school requirements for students’ proof-of-immunity in the United States (US) and Canada. National guidelines for healthcare worker proof-of-immunity to measles, mumps, rubella, and varicella were compared ... ...

    Abstract To assess the guideline concordance of medical school requirements for students’ proof-of-immunity in the United States (US) and Canada. National guidelines for healthcare worker proof-of-immunity to measles, mumps, rubella, and varicella were compared to admission requirements for 62 US and 17 Canadian medical schools. All surveyed schools accepted at least one recommended form of proof-of-immunity, however, contrary to national guidelines, 16% of surveyed US schools asked for a serologic titer, and only 73–79% US schools accepted vaccination as the sole proof-of-immunity. The requirement of numerical, non-standardized serologic testing highlights an oversight in medical school admissions documentation. The requirement for quantitative values to demonstrate immunity is not practical from a laboratory standpoint, and is not needed to show individual immunity to these vaccine-preventable diseases. Until a more standardized process is adopted, laboratories will need to provide clear documentation and direction for quantitative titer requests.
    Keywords chickenpox ; guidelines ; health care workers ; immunity ; measles ; vaccination ; vaccines ; Canada ; MMRV ; Proof-of-immunity ; Rubella ; Varicella ; Mumps
    Language English
    Dates of publication 2023-04
    Size p. 2734-2738.
    Publishing place Elsevier Ltd
    Document type Article ; Online
    ZDB-ID 605674-x
    ISSN 1873-2518 ; 0264-410X
    ISSN (online) 1873-2518
    ISSN 0264-410X
    DOI 10.1016/j.vaccine.2023.03.009
    Database NAL-Catalogue (AGRICOLA)

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