Immunization See also KP Immunization Site | http://www.texmed.org/has/prs/iin/default.asp (Immunization Information)
MMWR February 8, 2002 CDC General Recommendations
Recommendations of the Advisory Committee on Immunization Practices (ACIP) and The American Academy of Family Physicians (AAFP)
Recommendations of the ACIP on CDC site
See the Immunization Schedule in Acrobat pdf file format
Influenza Vaccine 0.5 mL IM yearly
| Standing Order
- for age >65 or those with chronic illness or health care workers.
- they are inactivated split- or whole- virus vaccines. They are highly purified & contain only noninfectious viruses, therefore cannot cause influenza.
Pneumococcal Vaccine (Pneumovax or Pnu-Imune) 0.5 mL IM or SC | Standing Order
Hepatitis A vaccine (Havrix) 1 mL IM, repeat once in 6-12 months (2 doses) | Standing Order
Hepatitis B vaccine (Engerix-B or Recombivax HB)
1 mL, repeat at 1 & 6 months later (3 doses) |
- for household/sexual contact with carrier, drug user, hemodialysis, health workers, prison inmantes, etc.
- they are recombinant nDNA HBV vaccines.
Tetanus Td 0.5 mL IM, repeated every 10 years after
completion of primary 3 doses.
- the tetanus toxoid is an inactivated toxoid vaccine.
Guide to Tetanus Prophylaxis in routine wound management:
MMR 0.5 mL SC
with repeat dose may be given after 2 months.
Varicella vaccine (Varivax) 0.5 mL SC with 2nd dose
4-8 wk later. |
- it is a live, attenuated viral vaccine.
- It should not be given to pregnant women , cancer or immunosuppressed persons, or those with active untread tuberculosis.
- adults with a reliable history of varicella are considred immune. Anti-varicella-zoster virus antibodies test is available.
Gardasil vaccine is given as three 0.5 mL IM injections at 0, 2, and 6 months, and may be given at the same time as hepatitis B vaccine, for girls and women 9 -26 years old.
Cervarix vaccine is coming also.
Immunization files that can be downloaded from
the CDC website. | Immunization