Pocket ObGyn – Vaccinations

Pocket ObGyn – Vaccinations
See Abbreviations

Figure 1.1 Recommended United States Adult Immunization Schedule 2014

	Age group (yrs)
Vaccine	19–26 yo	27–64 yo			≥65 yo
Influenza	1 dose annually
Tetanus, diphtheria, pertussis (Td/Tdap)	Substitute 1-time dose of Tdap for Td booster; then boost with Td every 10 yrs
Varicella	2 doses, if non-immune
Human papillomavirus (HPV) Female	3 doses
Zoster				>60 yo 1 dose
Measles, mumps, rubella (MMR)	Born before 1957 give 1 or 2 doses
Pneumococcal polysaccharide (PPSV23)	1 or 2 doses				1 dose
Meningococcal	1 or more doses
Hepatitis A	2 doses
Hepatitis B	3 doses
Haemophilus influenzae type b (Hib)	1 or 3 doses

For all in this category who lack documentation or evidence of previous infection. Zoster vaccine regardless of prior history.

Recommended if medical, occupational, lifestyle or other risks.

No recommendation.

From Advisory Committee on Immunization Practices, Department of Health and Human Services, Centers for Disease Control and Prevention. More information and complete recommendations and notes: www.cdc.gov/vaccines/schedules/ hcp/adult.html. Accessed April 12, 2014.

Indication       Vaccine             Pregnancy   Immuno- compromising conditions (excluding human immunodeficiency virus [HIV]) HIV infection CD4+ T lymphocyte count             Diabetes           Health care personnel <200 cells/µL ≥200 cells/µL Influenza 1 dose IIV annually 1 dose IIV or LAIV annually Tetanus, diphtheria, pertussis (Td/Tdap) 1 dose Tdap each pregnancy Substitute 1-time dose of Tdap for Td booster; then boost with Td every 10 yrs Varicella Contraindicated 2 doses Human papillomavirus (HPV) Female   3 doses through age 26 yr Zoster Contraindicated   1 dose for all >60 yo Measles, mumps, rubella (MMR) Contraindicated 1 or 2 doses Pneumococcal polysaccharide (PPSV23)   1 or 2 doses   Meningococcal 1 or more doses Hepatitis A 2 doses Hepatitis B 3 d ses Haemophilus influenzae type b (Hib)   Post-bone marrow transplant only 1 or 3 doses

Figure 1.2 Adult vaccines by medical indication 2014

For all in this category who meet age requirements and lack immunity.

Recommended if medical, occupational, lifestyle, or other risks.

No recommendation.

IIV, inactivated influenza vaccine; LAIV, live attenuated influenza vaccine. From Advisory Committee on Immunization Practices. Complete recommendations and notes: www.cdc.gov/vaccines/schedules/hcp/adult.html. Accessed April 12, 2014.

See Abbreviations