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Vaccine

Indication/Recommendations

Schedule

Contraindications/Precautions

Dosing/Administration

Pneumovax-‐23

Contraindications:

• Age ≥ 6 5

• Give 1 d ose i f u nvaccinated

• 0.5 m L I M

• Age < 6 5 w ith a ny o f t he f ollowing:

OR i f v accine h istory i s

Previous a naphylactic

•

Pneumococcal

unknown

reaction t o t his v accine o r

o Chronic C ardiac D isease ( Excluding H ypertension)

Polysaccharide

o Chronic P ulmonary D isease ( Including A sthma)

to a ny o f i ts c omponents

Avoid g iving w ithin 4

(PPSV)

o Chronic L iver D isease

weeks o f Z ostavax i f

o Alcoholism

Precautions:

possible.

o Diabetes

Moderate o r S evere A cute

•

o CSF L eaks

Illness

o Cigarette S moking

• Give a 1 -‐time r evaccination

o Candidates f or o r R ecipients o f C ochlear I mplants

if:

o People l iving i n s pecial e nvironments o r s ocial s ettings ( including

o Age ≥ 6 5 a nd 1

d ose

American I ndian/Alaska N atives a ge 5 0 t hrough 6 4)

was g iven p rior t o a ge

65 a nd a t l east 5 y ears

• HIGHEST R ISK P ATIENTS

have e lapsed

o Asplenia ( Anatomic o r F unctional)

o Sickle C ell D isease

o OR

o Immunocompromising C onditions

o Age 1 9 – 6 4 w ho a re a t

HIGHEST R ISK o r h ave

 HIV I nfection

rapid a ntibody l oss

 Leukemia

 Lymphoma

given t hat a t l east 5

 Hodgkin’s D isease

years h ave e lapsed

 Multiple M yeloma

 Generalized M alignancy

 Chronic R enal F ailure

 Nephrotic S yndrome

o Immunosuppressive C hemo ( Including C orticosteroids)

o Organ o r B one M arrow T ransplant P ts

Engerix-‐B

All a dults w ho w ant t o b e p rotected f rom H ep B

3 D oses a t 0 , 1 , a nd 6

Contraindications:

• 1 m L I M

•

Household c ontacts a nd s ex p artners o f H BsAg-‐Positive P eople

month s chedule

• Previous a naphylactic

• Shake w ell p rior t o

•

Hepatitis B

Must b e a t l east 4 w eeks

reaction t o t his v accine o r t o

withdrawal a nd u se

Injecting D rug U sers

•

between d oses 1 a nd 2

any o f i ts c omponents

• Hemodialysis—use 2 m L

Sexually A ctive P eople n ot i n a l ong t erm, m onogamous r elationship

•

Must b e a t l east 8 w eeks

Men w ho h ave s ex w ith m en

•

Precautions:

between d oses 2 a nd 3

Brands m ay b e u sed

Pts w ith H IV

•

• Moderate o r S evere A cute

interchangeably

Overall m ust b e a t l east

People s eeking S TD e valuation o r t reatment

•

Illness

16 w eeks b etween d oses

Hemodialysis P atients a nd t hose w ith r enal d isease t hat m ay r esult i n

•

1 a nd 3

dialysis

Healthcare p ersonnel a nd p ublic s afety w orkers w ho a re e xposed t o

•

NEVER r estart a s eries f or

blood

those w ho h ave f allen b ehind.

Clients/Staff o f i nstitutions f or t he d evelopmentally d isabled

•

Continue w here y ou l eft o ff.

Inmates o f l ong-‐term c orrectional f acilities

•

Certain I nternational T ravelers

•

• Adult h emodialysis p atients

People w ith C hronic L iver D isease

•

need 2 m L I M a t 0 , 1 , 2 , a nd

12 m onths

NOTE: s hould p rovide s erologic s creening f or i mmigrants f rom e ndemic

areas. I f p t i s c hronically i nfected, a ssure a ppropriate d isease m anagement.

For s ex p artners a nd h ousehold c ontacts o f H BsAg-‐Pos P atients, p rovide

serologic s creening A ND a dminister i nitial d ose o f H epB v accine a t s ame

visit.

Adult Immunization Indications

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