Vaccination Schedule: HIV-Infected Adults

VACCINATION SCHEDULE: HIV-INFECTED ADULTS
*Adapted from the Advisory Committee on Immu– nization Practices (ACIP) Adult Immunization Schedule. For more information on the following immunizations refer to the Guidelines for Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents and the recommendations of the ACIP.

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

Vaccine	CD4 T-lymphocyte count
Vaccine	<200 cells/µL	≥200 cells/µL
Influenza (inactivated)†	1 dose IIV annually
Pneumococcal polysaccharide (PPSV23)	1 dose; one time revaccination recommended after 5yr (or at age >65yrs)
Pneumococcal 13‑valent conjugate (PCV13)	1 dose*
Hepatitis B†	3 doses
Tetanus, diphtheria, pertussis (Td/Tdap)†	Substitute one-time dose of Tdap for Td booster; then boost with Td every 10yrs
Human papillomavirus (HPV)†	3 doses for males and females through age 26yrs
Measles, mumps, rubella (MMR)†	Contraindicated	1 or 2 doses
Varicella†	Contraindicated	2 doses
Hepatitis A†	2 doses
Meningococcal†	1 or more doses
NOTES
*Pneumococcal vaccine-naive: 1 dose of PCV13, then 1 dose of PPSV23 8wks later. Previously received ≥1 doses of PPSV23: give PCV13 dose ≥1yr after the last PPSV23 dose was received. Additional PPSV23 doses required: give 1st dose ≥8wks after PCV13 and ≥5yrs after most recent PPSV23 dose. †Covered by the Vaccine Injury Compensation Program.
REFERENCES
Guidelines for Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents. 2013 May. Available at: http://aidsinfo.nih.gov/contentfiles/ lvguidelines/adult_oi.pdf (Rev. 10/2015)

Vaccination Schedule: HIV-Infected Adults

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