大人の定期接種


大人の定期接種についてのメモです(Dynamedより部分翻訳)

インフルエンザワクチンは1年に1回は接種。
破傷風ワクチンを10年毎に接種。
妊娠中にTdap3種混合大人用)を1回接種。
水痘接種歴、罹患歴が不明の場合、水痘ワクチンを接種。(妊娠中は接種不可)
1957年以降に生まれて、MMR接種歴が不明の場合、また麻疹風疹おたふくのいずれかの既往歴がない場合、MMR1回接種する。(妊娠中は接種不可)

21歳以下の学生寮などに集団で滞在する学生で、16歳以降に髄膜炎菌ワクチンを接種していない人は接種推奨。
26歳未満の女性、21歳未満の男性に、HPVワクチンシリーズを接種。
50歳以上の男性には帯状疱疹ワクチンを2-6か月空けて2回接種。
肺炎球菌ワクチンを65歳以上で1回接種(PCV13かPPSV23)。

2018 Recommended Immunizations by Age Group

  • general considerations(1)
    • recommendations are for all patients in specified category who meet age requirements and either
      • lack documentation of vaccination
      • have no evidence of previous infection (zoster recommended regardless of history of prior infection)
    • other vaccinations recommended in each category if some other risk factor is present (for example, on the basis of medical, occupational, lifestyle, or other indications)
  • for patients aged 19-26 years(1)
    • influenza annually
    • tetanus, diphtheria, and acellular pertussis (Tdap) at least once and tetanus-diphtheria (Td) every 10 years
    • human papillomavirus (HPV)
      • for female patients give until age 26 years
      • for male patients give until age 21 years (give through age 26 years if risk factors present)
    • if not already immunized, give
      • varicella
      • measles, mumps, and rubella (MMR)
  • for patients aged 27-49 years(1)
    • influenza annually
    • Tdap at least once and Td every 10 years
    • if not already immunized, give MMR (if born in 1957 or later)
  • for patients aged 50- 59 years(1)
    • influenza annually
    • Tdap at least once and Td every 10 years
    • recombinant zoster (Shingrix)
    • if not already immunized, give
      • MMR (if born in 1957 or later)
  • for patients ≥ 60 years old(1)
    • influenza annually
    • Tdap at least once and Td every 10 years
    • varicella (if indicated)
    • recombinant zoster vaccine (Shingrix) (preferred) or zoster vaccine live (Zostavax)
    • pneumococcal conjugate 13-valent vaccine (PCV13) and pneumococcal polysaccharide 23-valent vaccine (PPSV23) if ≥ 65 years old