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Immunization Schedule for HIV-Infected Adults

for Health Care Providers

Table 1. Immunization Schedule for HIV-Infected Adults

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Vaccine ↓Indication →HIV infection, CD4 T-lymphocyte count
* Covered by the Vaccine Injury Compensation Program

1 HPV vaccination is FDA approved for males aged 9-26, routine administration has not yet been recommended by ACIP.

2 Administer only if specific risk factors for meningococcus.

Figure For all persons in this category who meet the age requirements and who lack evidence of immunity (eg, lack documentation of vaccination or have no evidence of prior infection)
Figure Recommended if some other risk factor is present (eg, on the basis of medical, occupational, lifestyle, or other indication)

Adapted from the Advisory Committee on Immunization Practices (ACIP) Adult Immunization Schedule. For detailed information on immunizations against influenza, pneumococcal disease, hepatitis B, human papillomavirus, varicella, and hepatitis A, refer to the Guidelines for Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents. For information on immunizations against tetanus, diphtheria, pertussis, measles, mumps, rubella, and meningococcal disease, refer to recommendations of the ACIPLink will take you outside the VA website..
<200 cells/µL≥200 cells/µL
Tetanus, diphtheria, pertussis (Td/Tdap)*Substitute one-time dose of Tdap for Td booster; then boost with Td every 10 years
Human papillomavirus1*3 doses for females through age 26 years
Varicella*Contraindicated2 doses
ZosterContraindicatedNo recommendation
Measles, mumps, rubella*Contraindicated1 or 2 doses
Influenza (inactivated)*1 dose TIV annually
Pneumococcal (polysaccharide)1 dose; one-time revaccination recommended after 5 years (or at age >65 years)
Hepatitis A*2 doses
Hepatitis B*3 doses
Meningoccoccal2*1 or more doses

From Immunizations
Primary Care of Veterans with HIV
Office of Clinical Public Health Programs
Veterans Health Administration, 2009