Summary of vaccination recommendations for HIV infected individuals

summary of vaccination recommendations for HIV infected individuals

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Adults

• vaccines with broad indications
  • hepatitis B
  • influenza
  • pneumococcus
  • human papilloma virus
  • hepatitis A
  • meningococcus
  • pertussis
  • pneumococcus
  • measles, mumps, rubella
  • varicella (chickenpox)
  • herpes zoster (shingles)
• vaccines with predominantly travel-related indications
  • cholera
  • Japanese encephalitis
  • tick-borne encephalitis
  • tetanus
  • diphtheria
  • poliovirus
  • rabies
  • typhoid
  • yellow Fever
• vaccines with selected indications for at-risk adults
  • anthrax
  • haemophilus Influenzae B
  • smallpox
• not preferred and contraindicated vaccines
  • hepatitis A/B - not preferred
  • hepatitis A/typhoid - not preferred
  • influenza - not preferred
  • smallpox live - contraindicated
  • tuberculosis - contraindicated
  • typhoid - contraindicated (1)

Children

• all infants should follow the UK primary childhood immunisation schedule. The primry immunisation should not be delayed
• infants should also be given polio, measles, mumps and rubella vaccines as the risk of these infections exceed the risks of immunization. The inactivated, Salk, polio vaccine may be preferable.
• Pneumovax may be given at two years old.
• HIV-infected adults and children should not be given BCG or yellow fever vaccines (2)

Reference:

• (1) Geretti AM et al. British HIV Association Guidelines on the Use of Vaccines in HIV-Positive Adults 2015. HIV Med. 2016;17 Suppl 3:s2-s81.
• (2) Children's HIV Association (CHIVA). Vaccination of HIV infected children (UK schedule, 2015)