home | refresh
Medical Pearls from the Internet Medical Association


Routine Adult Immunizations: a) HEPATITIS A/B for high risk patients; b) PAPILLOMAVIRUS for non-pregnant females < 27 yo preferably prior to becoming sexually active. Contraindicated in pregnancy. c) INFLUENZA annually. d) MMR if unreliable history and born after 1956. Re-vaccinate if given killed or unknown vaccine type between 1963 and 1967. Contraindicated in pregnancy. e) MENINGOCOCCAL for high risk patients (HIV, college students, military recruits, high risk area). f) PNEUMOCOCCAL one time for all patients > 65 yo. Repeat x 1 after 5 yr for CRF, asplenia, sickle cell, or immunocompromised. g) TETANUS every 10 yr. h) VARICELLA for high risk adults. Contraindicated in pregnancy. i) ZOSTER for all persons > 60 yr. Contraindicated in pregnancy, immunocompromised. IMPORTANT NOTE: vaccination schedules can change frequently, see http://www.cdc.gov/vaccines/ for the latest information.



Epocrates Online    (retrieved Feb, 2014). There are currently 999 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2020 by the Internet Medical Association. Click Here to view more medical pearls.