Tuesday, November 20, 2007

Adult Vaccines

There are new recommendations from the Advisory Committee on Immunization Practices (ACIP) for routine adult immunizations.

This schedule has also been approved by the American Academy of Family Physicians, American College of Obstetricians and Gynecologists, and American College of Physicians.

Changes in the 2007-2008 schedule from the previous one are as follows:

  • Chickenpox (Varicella) vaccine is recommended for all adults without evidence of immunity to chickenpox.


  • Shingles (Zoster) vaccine has been added to the age-based schedule and is recommended for persons 60 years of age or older. Zoster vaccine is specifically contraindicated for pregnancy, immunocompromising conditions, and HIV infection with CD4+ T lymphocyte count less than 200 cells/µL.

  • There were several wording changes from the report last year.


  • In the medical and other indications schedule, indications for influenza vaccination of healthcare personnel now note that healthcare workers can receive either trivalent inactivated influenza vaccine (TIV) or live, attenuated influenza vaccine (LAIV).


  • In the medical and other indications schedule, indications for meningococcal vaccine have been revised to note that 1 or more doses of vaccine may be needed.

General information about adult vaccinations, including recommendations on vaccination of persons with HIV and other immunosuppressive conditions is available from state and local health departments and at www.cdc.gov/vaccines/default.htm.

Vaccine information statements are available at www.cdc.gov/vaccines/pubs/vis/default.htm.

Persons can view, download, and print ACIP statements for each recommended vaccine and provisional vaccine recommendations at www.cdc.gov/vaccines/pubs/acip-list.htm."

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