Vaccination in adults and geriatrics.pptx

Vaccination schedule for adults

1. Vaccination in adults and geriatrics Dr.S.Maheshwari.,M.D Assistant Professor Department of General Medicine

2. The immunization of an adult depends on the previous immunization received in childhood Unlike the pediatric immunization guidelines given by the Indian Academy of Pediatrics and the National Immunisation Programs, the guidelines for vaccination in healthy adults vary from region to region

3. The major guidelines are 1. The advisory committee on immunization practices (ACIP) guidelines from centers for disease control and prevention 2. WHO guidelines 3. Association of Physicians of India

4. Vaccines recommended for all healthy adults DPT MMR Influenza Pneumococcal Human papilloma virus Herpes zoster

5. Vaccines recommended in high risk individuals Hepatitis B Hepatitis A Meningococcal Varicella Hib Typhoid Rabies

6. Cholera and Japanese encephalitis vaccines are routinely not indicated due to lack of adequate evidence

7. Immunisation for all adults with normal immune status

8. Pneumococcal vaccine PCV 13 – Pneumococcal conjugate vaccine PPSV 23 – Pneumococcal polysaccharide vaccine

9. PCV 13 PPSV 23 Protects against 13 types of pneumococcal bacteria Protects against 23 types of pneumococcal bacteria Route of administration - IM IM or SC Conjugate vaccine that combines capsular polysaccharides with a protein carrier which produces a T cell dependent immune response Capsular polysaccharide antigens which elicits a T cell independent antibody response

10. Vaccination in special situation in adults Hepatits B dose – 1 ml ( 20 mcg ) IM Hepatitis A dose – 1 ml IM Havrix 0 and 6 - 12 months Vaqta 0 and 6 - 18 months

11. High risk groups for HBV IV drug abuser Household contacts of persons with chronic HBV Occupational exposure to HBV HIV CLD CKD Hemophilia Aplastic anemia Leukemia

12. It is a quadrivalent vaccine containing 50 mcg of each of the antigens A,C,Y and W135 MPSV does not induce herd immunity, has no effect on nasopharyngeal carriage MCV provides herd immunity, reduces nasopharyngeal carriage, provides long lasting immunity

13. THANK YOU