<\/p>\n
\u00a0<\/p>\n
\u00a0<\/p>\n
Case #3:<\/span><\/span><\/p>\n \u00a0<\/span><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>You \u00a0<\/span><\/em><\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/em><\/strong>Which of the following IS NOT contraindicated?<\/span><\/em><\/strong><\/p>\n \u00a0<\/span><\/em><\/strong><\/p>\n \u00a0<\/span><\/span><\/em><\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>The answer is B, the Hepatitis A vaccine, which is \u00a0<\/span><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>\u00a0<\/span>Discuss the risks \u00a0<\/span><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>In general, known HIV \u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/p>\n \u00a0\u00a0\u00a0\u00a0 <\/span>It is important that HIV+ patients be given pneumococcal \u00a0<\/span><\/p>\n \u00a0\u00a0\u00a0\u00a0 <\/span>MMR vaccine should\u00a0 <\/span>NOT \u00a0<\/span><\/p>\n \u00a0\u00a0\u00a0\u00a0 <\/span>Oral Polio Vaccine should \u00a0<\/span><\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":" ADULT\u00a0\u00a0 IMMUNIZATIONS \u2013 ANSWERS \u00a0 \u00a0 Case #3: \u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0 You are seeing a 35 year-old HIV+ patient in the ACS clinic \u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Which of the following IS NOT contraindicated? \u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 The answer is B, the Hepatitis A vaccine, which is recombinant.\u00a0 The others are all live vaccines. \u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Discuss the….<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1212,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-1216","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1216","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/comments?post=1216"}],"version-history":[{"count":1,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1216\/revisions"}],"predecessor-version":[{"id":1221,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1216\/revisions\/1221"}],"up":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1212"}],"wp:attachment":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/media?parent=1216"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nare seeing a 35 year-old HIV+ patient in the ACS clinic <\/em><\/strong><\/span><\/p>\n
\nrecombinant.\u00a0 <\/span>The others are all live
\nvaccines.<\/span><\/p>\n
\nand benefits of immunizing an immunocompromised person, side effects and
\ncontraindications<\/span><\/em><\/strong>.<\/span><\/em><\/strong><\/p>\n
\ninfected persons should not receive live-virus or live-bacteria vaccines.<\/span><\/p>\n
\nvaccine, influenza vaccine every fall, and Hepatitis B vaccine in patients with
\nhigh-risk behavior and negative for Hep B Ab.
\n<\/span>All patients should be screened for hepatitis C as well, and if positive
\nshould be immunized against Hep B if nonimmune, and Hep A if indicated.\u00a0 <\/span>Tetanus-Diptheria toxoid is safe in
\nimmunocompromised persons, and can be given when warranted.<\/span><\/p>\n
\n<\/span>be administered to severely immunocompromised persons<\/em>.\u00a0 <\/span>MMR
\n<\/span>should routinely be administered at 15 months of age to HIV-infected
\nchildren.\u00a0 <\/span>It should also be considered
\nfor all symptomatic HIV-infected
\n<\/span>persons who would otherwise be eligible for the measles vaccine, since a
\nmeasles infection could be severe.<\/span><\/p>\n
\nnot be used to immunize immunocompromised patients, their household contacts,
\nor nursing personnel in close contact with these patients<\/em>.\u00a0 <\/span>Inactivated polio vaccine delivered
\nsubcutaneously is the preferred vaccine if warranted in the patient, or to
\nhousehold contacts. The oral polio vaccine is essentially not in use at all in
\nthe US, and has been replaced with the IPV (inactivated polio vaccine) given IM
\nor SQ.\u00a0 <\/span>Polio vaccine is not recommended
\nfor anyone over the age of 18.\u00a0 <\/span>Adults
\nliving in the US who have never received or completed the primary series of
\nimmunizations need not be vaccinated unless they are planning travel to an area
\nwhere exposure to wild-type virus is likely.
\n<\/span>Previously vaccinated adults can receive one booster if traveling to an
\nendemic polio area.<\/span><\/p>\n