Immunosuppression
Canine vaccines immunizing against several infectious diseases are routinely manufactured as pre-mixed for administration as all-in-one-vaccines; that is, one inoculant contains many different antigens that are administered as a single "shot". Such vaccines are termed polyvalent vaccines as opposed to monovalent vaccines, which would contain only antigen directed at immunizing against a single infectious agent.
Concerns have often arisen regarding the widespread use of polyvalent vaccines because they are believed to cause a significant decrease in immune function known as immunosuppression. Immunosuppression may result when the amount of antigen introduced into the dog exceeds the ability of the immune system to respond. Such a condition is termed antigen-overload. Immunosuppression may also occur as a result of one antigen component of the vaccine preventing the immune system from responding to another antigen component of the polyvalent vaccine. This latter form of immunosuppression is termed vaccine interference.
Clinical studies exploring different polyvalent vaccines have demonstrated
a significant degree of immunosuppression associated with inoculation with
polyvalent vaccines; however, duration of immunosuppression was only 7-10
days. Therefore, from a clinical standpoint, such a brief period of immunosuppression
in an otherwise healthy dog is not considered cause for concern. However,
if a nutritional deficiency or hereditary immune disorder already compromises
a dog's immune system, the added immunsuppression may result in clinical
illness if the dog is exposed to an infectious disease within the 7-10
day margin. Alternatively, if the dog has already been exposed to an infectious
disease and is in the process of defending against a mild infection which
is asymptomatic, the increase in immunosuppression caused by administration
of the polyvalent vaccine may also result in clinical illness. In the latter
situation, clinical symptoms of infection will present within 24-48 hours
following vaccination. In these situations, it is common for many dog owners
to blame the vaccine for causing the disease, when in actuality, the vaccine
only made the underlying condition apparent. In light of this, in dogs
suspected of harboring mild infections or who may be immunosuppressed due
to other factors (immune disorders, seasonal allergies, certain medications),
vaccination with polyvalent vaccines should be postponed until the underlying
condition has resolved, or if risk for contracting infectious disease is
high, use of monovalent vaccines or killed vaccines might be an alternative
option.