Table 2. Routine Immunizations in HIV-Infected Adults
Vaccine
Status
Haemophilus influenzae, type B, vaccine
Consider in selected settings;
see comments
Hepatitis A vaccine
Recommended in selected settings;
see comments
Hepatitis B vaccine
Recommended in selected settings;
see comments
Human papillomavirus (HPV) vaccine
Ideally given prior to any sexual activity.
Females aged 9-26 but may consider in
other groups as per text
Influenza vaccine
Inactivated influenza vaccine
recommended; do not use live
attenuated intransal vaccine (FluMist®)
Pneumococcal vaccine
Recommended
Polio vaccine
OPV contraindicated;
IPV should be given if indicated
Tetanus toxoid
Same as for patient without HIV infection
Varicella Vaccine
Consider in selected settings: see comments
CD4, cluster of differentiation 4; HIV, human immunodeficiency virus; HBsAb, hepatitis B surface
antibody; HPV, human papillomavirus; IM, intramuscular; IPV, intravenous polio vaccine;
mL, milliliter; mm, millimeter; OPV, oral polio vaccine; SC, subcutaneous; Td, tetanus diphtheria
vaccine; Tdap, tetanus, diphtheria, and pertussis vaccine
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