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==Recommendations==
==Recommendations==


=== Recommended schedule of vaccination for adults aged 19 and older, by '''age group''', in the United States: ===
{| class="wikitable"
! rowspan="2" |Vaccine
! colspan="5" |Age in Years
|-
|19-21
|22-26
|27-59
|60-64
|>65
|-
|'''Influenza'''
| colspan="5" |1 dose annualy
|-
|'''Td/Tdap'''
| colspan="5" |Substitute Tdap for Td once, then give Td booster evry 10 years
|-
|'''MMR'''
| colspan="3" |1 or 2 doses depending on indication
|
|
|-
|'''VAR'''
| colspan="5" |2 doses
|-
|'''HZV'''
|
|
|
| colspan="2" |1 dose
|-
|'''HPV-Female'''
| colspan="2" |3 doses
|
|
|
|-
|'''HPV-Male'''
|3 doses
|  '''3 doses'''
|
|
|
|-
|'''PCV13'''
| colspan="4" |                                          '''1 dose'''
|1 dose
|-
|PPSV23
| colspan="4" |                      '''1 or 2 doses depending on indication'''
|1 dose
|-
|HepA
| colspan="5" |                      '''2 or 3 doses depending on vaccine'''
|-
|HepB
| colspan="5" |                                          '''3 doses'''
|-
|MenACWY or MPSV4
| colspan="5" |                      '''1 or 3 doses depending on indication'''
|-
|MenB
| colspan="5" |                      '''2 or 3 doses depending on vaccine'''
|-
|Hib
| colspan="5" |                      '''1 or 3 doses depending on indication'''
|}


=== Recommended schedule of vaccination for adults aged 19 and older, by '''medical condition and other indications''', in the United States: ===
{| class="wikitable"
! rowspan="2" |Vaccine
! rowspan="2" |Pregnancy
! rowspan="2" |Immunocompromised
(except HIV)
! colspan="2" |HIV infection
CD4+ count (cells/uL)
! rowspan="2" |Asplenia, persistent
complement deficiencies
! rowspan="2" |Kidney failure,
End stage renal disease


on hemodialysis
! rowspan="2" |Heart of Lung disease,
chronic alcoholism
! rowspan="2" |Chronic liver
disease
! rowspan="2" |Diabetes
! rowspan="2" |Healthcare
Personnel
! rowspan="2" |Men who have
sex with men
|-
|'''<200'''
|'''>200'''
|-
!Influenza
! colspan="11" |1 dose annualy
|-
!Td/Tdap
!1 dose Tdap each pregnancy
! colspan="10" |Substitute Tdap for Td once, then Td booster every 10 years
|-
!MMR
! colspan="3" |Contraindicated
! colspan="8" |1 or 2 doses depending on indication
|-
!VAR
! colspan="3" |Contraindicated
! colspan="8" |2 doses
|-
!HZV
! colspan="3" |Contraindicated
!
! colspan="7" |1 dose
|-
!HPV-Female
!
! colspan="9" |3 doses through age 26 years
!
|-
!HPV-Male
!
! colspan="3" |3 doses through age 26 years
! colspan="6" |3 doses through age 21 years
!3 doses through age 26 years
|-
!PCV13
!
! colspan="5" |1 dose
! colspan="5" |1 dose
|-
!PPSV23
!1 to 3 doses depending on indication
! colspan="8" |1 to 3 doses depending on indication
! colspan="2" |1 to 3 doses depending on indication
|-
!HepA
! colspan="7" |2 or 3 doses depending on vaccine
!2 or 3 doses depending on vaccine
! colspan="2" |2 or 3 doses depending on vaccine
!2 or 3 doses depending on vaccine
|-
!HepB
! colspan="2" |3 doses
! colspan="2" |3 doses
!3 doses
!3 doses
!3 doses
! colspan="4" |3 doses
|-
!MenACWY or MPSV4
! colspan="2" |1 or more doses depending on indication
! colspan="3" |1 or more doses depending on indication
! colspan="6" |1 or more doses depending on indication
|-
!MenB
!
! colspan="3" |2-3 doses depending on vaccine
!2-3 doses depending on vaccine
! colspan="6" |2-3 doses depending on vaccine
|-
!Hib
!
!3 doses post-HSCT
recipients only
! colspan="2" |1 dose
!1 dose
! colspan="6" |1 dose
|}
== General Information and Special Populations: ==
== Contraindications and Precautions for Adult Vaccinations: ==


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 21:21, 6 April 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];

Overview

Recommendations

Recommended schedule of vaccination for adults aged 19 and older, by age group, in the United States:

Vaccine Age in Years
19-21 22-26 27-59 60-64 >65
Influenza 1 dose annualy
Td/Tdap Substitute Tdap for Td once, then give Td booster evry 10 years
MMR 1 or 2 doses depending on indication
VAR 2 doses
HZV 1 dose
HPV-Female 3 doses
HPV-Male 3 doses 3 doses
PCV13 1 dose 1 dose
PPSV23 1 or 2 doses depending on indication 1 dose
HepA 2 or 3 doses depending on vaccine
HepB 3 doses
MenACWY or MPSV4 1 or 3 doses depending on indication
MenB 2 or 3 doses depending on vaccine
Hib 1 or 3 doses depending on indication

Recommended schedule of vaccination for adults aged 19 and older, by medical condition and other indications, in the United States:

Vaccine Pregnancy Immunocompromised

(except HIV)

HIV infection

CD4+ count (cells/uL)

Asplenia, persistent

complement deficiencies

Kidney failure,

End stage renal disease

on hemodialysis

Heart of Lung disease,

chronic alcoholism

Chronic liver

disease

Diabetes Healthcare

Personnel

Men who have

sex with men

<200 >200
Influenza 1 dose annualy
Td/Tdap 1 dose Tdap each pregnancy Substitute Tdap for Td once, then Td booster every 10 years
MMR Contraindicated 1 or 2 doses depending on indication
VAR Contraindicated 2 doses
HZV Contraindicated 1 dose
HPV-Female 3 doses through age 26 years
HPV-Male 3 doses through age 26 years 3 doses through age 21 years 3 doses through age 26 years
PCV13 1 dose 1 dose
PPSV23 1 to 3 doses depending on indication 1 to 3 doses depending on indication 1 to 3 doses depending on indication
HepA 2 or 3 doses depending on vaccine 2 or 3 doses depending on vaccine 2 or 3 doses depending on vaccine 2 or 3 doses depending on vaccine
HepB 3 doses 3 doses 3 doses 3 doses 3 doses 3 doses
MenACWY or MPSV4 1 or more doses depending on indication 1 or more doses depending on indication 1 or more doses depending on indication
MenB 2-3 doses depending on vaccine 2-3 doses depending on vaccine 2-3 doses depending on vaccine
Hib 3 doses post-HSCT

recipients only

1 dose 1 dose 1 dose

General Information and Special Populations:

Contraindications and Precautions for Adult Vaccinations:

References

Retrieved from "https://www.wikidoc.org/index.php?title=Adult_vaccinations&oldid=1305826"