In the United States, children are routinely immunized with two doses of a live attenuated vaccine containing measles, mumps, and rubella (MMR) antigens.
- Vaccine-induced immunity lasts for at least several decades; rates of secondary vaccine failure 10-15 years after immunization are ~5%. In contrast, natural infection leads to life-long immunity.
- Administration of immunoglobulin within 6 days of exposure, which can prevent or modify the disease in immunocompetent persons, is recommended for children <1 year old, immunocompromised pts, and pregnant women. A dose of 0.25 mL/kg is given to healthy pts and a dose of 0.5 mL/kg to immunocompromised hosts, with a maximal dose of 15 mL.