The
most effective preventive measure is the identification of
susceptibles by a careful history of prior or current atopic
dermatitis in the vaccinee or potential contact of the vaccinee
with such persons.
Individuals with current or prior eczema should not
be vaccinated. Normal candidates for vaccination who have
contact with persons with eczema should not be vaccinated
unless they can avoid person-to-person contact with the susceptible
person(s) until the scab separates from the vaccination lesion.
In established eczema vaccinatum, appropriate skin care is
recommended to diminish bacterial contamination of the vaccination
sites. Consultation with a dermatologist familiar with this
disease may assist in developing appropriate measures to accomplish
this goal.
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