Table. Recommendations for vaccination in children and adults with HIV
Vaccine category | Vaccine | Recommendation | Comments |
---|---|---|---|
Non-live vaccines | COVID-19 |
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Number of primary and additional doses are based on the person’s age and presence of other risk factors for severe illness from COVID-19. |
Diphtheria-tetanus-pertussis- and polio- containing vaccinea,b | People with HIV are recommended to receive routine or catch-up DTPa/dTpa-containing vaccines that are appropriate for their age |
|
|
Haemophilus influenzae type bb | Follow routine schedule | – | |
Hepatitis Ab,c |
2-dose schedule recommended for non-immune people with HIV if they have risk factors such as: |
|
|
Hepatitis Bb,c |
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|
|
Human papillomavirus | 3-dose primary schedule |
|
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Influenza | 1 dose annually |
|
|
Japanese encephalitis (inactivated) | Use if indicated | See Vaccination for international travellers. | |
Meningococcalc | A full primary course of MenACWY vaccine, with ongoing booster doses A full primary course of MenB vaccine, with a single booster dose |
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|
Mpox (live, non-replicating)c | Recommended for people with HIV if they reported a risk of mpox. | – | |
Pneumococcal (conjugate and polysaccharide) |
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|
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Rabies | Use if indicated, give 5-dose schedule intramuscularly | See also Vaccination for international travellers. | |
Immunisation against respiratory syncytial virusc |
|
– | |
Zoster (recombinant) | 2-dose schedule | Recommended for people aged ≥18 years with advanced or untreated HIV. | |
Live vaccines | BCG | Contraindicated if severely immunocompromised |
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Cholera (live) | Contraindicated |
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Japanese encephalitis (live) | Contraindicated |
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Measles-mumps-rubellac,d | Contraindicated if severely immunocompromised |
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Rotavirus | Use if indicated | May receive according to age-appropriate routine schedule, if benefits outweigh risks and the child is not severely immunocompromised at that time. | |
Typhoid (live) | Contraindicated |
See also Vaccination for international travellers. |
|
Varicella (monovalent)c,d | Contraindicated if severely immunocompromised |
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Yellow fever | Use if indicated |
See also Vaccination for international travellers. |
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Acronyms used:
Footnotes: |
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