Vaccine Recommendations for Adults Living With HIV Disease in the United States
May 1, 2004
Based on recommendations from the Centers for Disease Control (CDC).
|Vaccine||Recommended for People With HIV?||Number of Vaccinations||Additional Information|
|Influenza||Yes||One vaccination per year||FluMist®, a live attenuated influenza vaccine (LAIV) inhaled through the nose, should not be used by people with HIV|
|Pneumococcal||Yes||One vaccination with a booster vaccination after five years||Vaccination is recommended soon after you find out you have HIV disease. The vaccine protects from pneumococcal infections in the lungs only.|
|Hepatitis B Virus (HBV)||Yes||Three vaccinations||A blood test (HBV antibody test) can tell if you have been exposed to HBV. After completing the series, a blood test (antibody titer) will tell you if you need another booster shot for protection. (Note: Twinrix® is a three-shot hepatitis A/B combination vaccination.)|
|Hepatitis A (HAV)||Yes||Two vaccinations||A blood test (HAV antibody test) can tell if you have been exposed to HAV. Most doctors recommend an HAV vaccination for people living with HIV. (Note: Twinrix® is a three-shot hepatitis A/B combination vaccination.)|
|Tetanus/Diphtheria (Td)||Yes||Three childhood vaccinations followed by one booster vaccination every 10 years|
|Measles, Mumps and Rubella (MMR)||Depends||MMR is two vaccinations.|
Rubella alone is one booster vaccination
|Check your childhood and young adult medical history.|
The CDC does NOT recommend the MMR vaccination (or other measles containing vaccines) for people living with HIV whose CD4+ cell count is either below 200 cells/mm3 or whose CD4+ cell percentage is below 14% of their total lymphocytes.
|Varicella (the virus that causes chicken pox and shingles)||No||One to two doses depending on age||The Varicella vaccine is currently NOT recommended for people living with HIV. If you have NOT had Varicella, avoid contact with children and adults who currently have either active chickenpox or shingles.|
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