Pr Med: HIV and Immunization
meduploader - 05-16-09 13:38

Live Vaccines that are contraindicated in HIV
Varicella Vaccine
Oral Polio Vaccine ( IPV is safe)
Oral typhoid vaccine ( parenteral inactivated typhoid vaccine is safe alternative)
Yellow fever vaccine (Yellow fever vaccine virus poses a theoretical risk of encephalitis to those with severe immunosuppression or known HIV infection à such patients should not receive the vaccine. If travel to an endemic area unavoidable, patients should be advised of the risk, instructed in methods for avoiding vector mosquitoes, and supplied with vaccination waiver letters by their physicians.
Live Vaccines in HIV that are indicated because Benefit exceeds Risk
Measles Mumps Rubella Vaccine (MMR Vaccine)
Non-Live Vaccines indicated in HIV
Immunogenecity will be better if the CD4 count is higher. If you are starting HAART, Consider delaying the vaccination until CD4 Count>200. Vaccination is optional in patients with low CD4 despite therapy.
Pneumovax Vaccine
Given after diagnosis and then every 6 years
Conjugated H Influenza type b capsular vaccine
Influenza Vaccine ( Inactivated vaccine)
Hepatitis A Vaccine (it’s a killed vaccine) in at risk patients and those with HCV
Hepatitis B Vaccine if anti-Hbs is negative.