II. Precautions
- Adults are under-vaccinated
- As of 2014, only 17% of U.S. adults have had a Tdap
- References
- (2015) Presc Lett 22(3): 13
III. Protocol: Age 18 to 60 years (or 65 years old)
-
Influenza Vaccine
- Offer annual Vaccination in all patients and especially high risk groups
- Tetanus Vaccine
-
HPV Vaccine (Gardasil)
- Women for catch-up under age 26 years (typically vaccinated at age 11-12 years old)
- Men for catch-up under age 22 years old, and in high risk groups up to age 26 years
- Hepatitis B Vaccine
-
MMR Vaccine
- One MMR Vaccine if born in 1957 or later
- Two MMR Vaccine if a college student, health care worker or travelers to certain regions
-
Meningococcal Vaccine
- Required by many colleges (those in 36 U.S. states)
- However, Meningitis cases are sporadic and of serotype B (not covered by U.S. meningoccal Vaccine)
IV. Protocol: Age 60 years (or 65) and older
-
Influenza Vaccine
- Annual Vaccination in all patients
- Tetanus Vaccine
-
Pneumococcal Vaccine (after age 65 years)
- Additional doses needed earlier for other indications (e.g. Asplenic, immunosuppressed, Tobacco Abuse)
- Consider giving at hospital discharge
- No prior Pneumovax 23
- Prevnar 13 after age 65 year birthday AND
- Pneumovax 23 at 6-12 months after Prevnar 13 dose
- Prior Pneumovax 23 after age 65 year birthday
- Prevnar 13 after age 65 year birthday (at least 12 months after Pneumovax)
- No further Pneumovax 23 needed
- Prior Pneumovax 23 before age 65 year birthday
- Prevnar 13 after age 65 year birthday AND
- Pneumovax 23 at 6-12 months after Prevnar 13 dose AND 5 years after last Pneumovax 23
- References
- (2014) Presc Lett 21(11): 63-64
- Zoster Vaccine (Zostavax)
- Give one dose
- Offer for age 50 years and older (especially over age 60 years old)
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Related Studies
| Concepts | Therapeutic or Preventive Procedure (T061) |
| English | Adult Immunization |
