Adult Immunization Schedule by Medical and Other Indications

Clinic A/P, adults

Adult Immunization Schedule by Medical and Other Indications, CDC.

https://www.cdc.gov/vaccines/schedules/hcp/imz/adult-conditions.html

Pneumococcal Vaccine

“Pneumococcal conjugate vaccine (PCV) is recommended for all children less than 5 years of age (SOR A). Although many cases of otitis media are due to pneumococcus, the vaccine is not recommended to prevent recurrent infections. However, immunization with pneumococcal polysaccharide vaccine (PPSV) is recommended prophylactically for children with certain medical conditions, such as cochlear implants, beginning at 2 years of age.

Smoking is now included in the list of chronic diseases or conditions that are indications for immunization with PPSV before 65. Chronic renal failure and immunocompromised conditions are indications for one-time revaccination after 5 years, but diabetes mellitus, COPD, and most other conditions are not. All individuals should be immunized with PPSV upon turning 65, unless there is evidence that they have been vaccinated within the previous 5 years (SOR A).” ABFM

Varicella Vaccine

“Varicella vaccine is recommended for all healthy adolescents and adults who have not received the vaccine and have no confirmed history of chickenpox (SOR A). Two doses are required, given at least 4 weeks apart. Particular attention should be given to immunizing women of reproductive age, international travelers, and close contacts of immunosuppressed patients. However, because the vaccine is a live virus, women of reproductive age should be counseled to delay conception for at least a month after receiving the second dose of the vaccine, and pregnant women should not receive the vaccine until after delivery.” ABFM
print