HIV 101: When to Immunize Inmates

From Brown Medical School

December 2002

Recommendations for Immunizations in HIV-Infected Inmates

Vaccine	CD4 <200	CD4 >200
Live
MMR	No	Yes
Varicella (VZV)	No	No
OPV	No	No
Inactivated
Pneumococcal	Yes	Yes
Tetanus-Diphtheria (Td)	Yes	Yes
Influenza	Yes	Yes
Hepatitis A	Yes	Yes
Hepatitis B	Yes	Yes
IPV	Yes	Yes

Recommendations for Immunizations in HIV-Infected Pregnant Inmates

Vaccine	CD4 <200	CD4 >200
Live
MMR	No	No
Varicella (VZV)	No	No
OPV	No	No
Inactivated
Pneumococcal	Yes	Yes
Tetanus-Diphtheria (Td)	Yes	Yes
Influenza	Yes	Yes
Hepatitis A	Yes	Yes
Hepatitis B	Yes	Yes
IPV	Yes	Yes

CDC's Recommended Adult Immunization Schedule, 2002-2003

Tetanus, Diphtheria (Td)	1 dose booster every 10 years
Influenza	1 annual dose
Pneumococcal	1 dose for persons with medical or other indications. (1 dose revaccination for immunosuppressive conditions)
Hepatitis A (Havrix, Vaqta)	2 doses (0, 6-12 months) for persons with medical, behavioral, occupational or other indications, including hepatitis C infection
Hepatitis B (Engerix-B, Recombivax HB)	3 doses (0, 1-2, 4-6 months) for persons with medical, behavioral, occupational, or other indications, including hepatitis C infection
Hepatitis A/B combination (Twinrix)	3 doses (0, 1-2, 4-6 months) for persons with medical, behavioral, occupational, or other indications, including hepatitis C infection
Measles, Mumps, Rubella (MMR)	1 dose if MMR vaccination history is unreliable; 2 doses for persons with occupational or other indications

Back to the HEPP Report December 2002 contents page.

This article was provided by Brown Medical School. It is a part of the publication HEPP Report.

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