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Purpose, Audience, Authors, and Acknowledgements
All adults may eventually require the following immunizations: influenza, pneumococcal, and tetanus. Adults may require the following immunizations: hepatitis B, hepatitis A, human papilloma virus, measles, mumps, rubella, varicella, and meningoccoccal. This self-study activity provides information on priority populations, initial vaccination, and revaccination regarding each of these common immunizations for adults.
The 2007 revision adds:
- Gardasil® (the human papillomavirus vaccine) has been recommended for women ≤26 years except in pregnancy.
- Influenza vaccine is recommended for adults who are close contacts of children aged 0-59 months rather than 0-23 months.
- A second dose of measles, mumps, rubella (MMR) vaccine is recommended for mumps protection in certain age groups and with certain risk factors.
- Tetanus, diphtheria and acellular pertussis (Tdap) vaccine has been added for one dose, one time for adults 64 and younger in place of one dose of Tetanus diptheria, adult (Td). In pregnancy, use Td only.
- The definition of immunity to varicella has been clarified and two doses of varicella vaccine recommended for all adults without evidence of immunity.
- In anticipation of the use of Zostavax ® (varicella zoster vaccine) for those ≥60 years within the next year, Varivax ® (chicken pox vaccine) is recommended only for persons up to age 60 years.
This self-study activity is appropriate for primary care clinicians and other health care providers providing preventive health care for adults.
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Team Leader |
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Margie C Andreae, MD
Pediatrics and Communicable Diseases |
Candia Baker Laughlin, RN, MS
Ambulatory Care Nursing Administration |
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Team Members |
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Mary Barry-Bodine, RN, BSN
Nursing, Health Center
Susan Blitz, MD, MPH
General Internal Medicine
Jean Malouin, MD, MPH
Family Medicine |
Anthony W. Opipari, MD
Obstetrics & Gynecology
Darcie Streetman, PharmD
College of Pharmacy
Linda Warren, RN, MSA
UMHHC Immunization Coordinator
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| Consultant |
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Sandro K. Cinti, MD
Infectious Disease |
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Author Disclosures |
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Margie Andreae, MD, owns self-managed stock in GlaxoSmithKline. None of the other team members nor the consultant have financial relationships with commercial companies whose products are discussed in this CME activity. |
UMHS Guidelines Oversight Team: |
Connie Standiford, MD
William Chavey, MD
Van Harrison, PhD |
Literature search services: |
Taubman Medical Library |
Production of Internet format of guideline: |
Ellen Patrick-Dunlavey |
Web site design and maintenance: |
Murat Yashin |
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