New Recommended Immunization Schedule for adults 2018 has been released by the Advisory Committee on Immunization Practices (ACIP).The highlights of schedule are with respect to changes to the administration of the herpes zoster and measles, mumps, and rubella (MMR) vaccines. The schedule has been published in Annals of Internal Medicine.The new adult ACIP schedule includes references, resources, approved acronyms, and instructions for specific patient populations.
The Updates with respect to Zoster vaccination and Measles, mumps, and rubella vaccination are as follows-
Zoster vaccination (Oct 2017)
HZ/su is recommended for adults age 50 years or older
HZ/su is recommended for adults who previously received ZVL
HZ/su is preferred over ZVL
Measles, mumps, and rubella vaccination (Oct 2017)
Persons previously vaccinated with two doses of a mumps-containing vaccine who are identified by public health as at increased risk for mumps because of an outbreak should receive a third dose of mumps-containing vaccine to improve protection against mumps disease and related complications
In October 2017, the U.S. Food and Drug Administration approved the use of recombinant zoster vaccine (RZV) for adults aged 50 and older for the prevention of herpes zoster, or shingles. ACIP recommends the RZV for prevention of shingles and related complications for immunocompetent adults aged 50 and older; those who previously received the zoster vaccine live (ZVL); and either RZV or ZVL for adults 60 and older, with a preference for RZV. As for the MMR vaccine, ACIP now recommends an additional dose of MMR for adults identified to be at increased risk during a mumps outbreak.
While the new schedule is clean and streamlined for ease of reference, physicians should pay careful attention to the details found in the footnotes. The footnotes clarify who needs what vaccine, when, and at what dose.
The complete schedule, including footnote changes, is being simultaneously published in Annals of Internal Medicine and on the Centers for Disease Control and Prevention (CDC) website. The CDC’s ACIP comprises the American College of Physicians (ACP) and 16 other medical societies representing various medical practice areas. Each year, the ACIP reviews the CDC’s Recommended Adult Immunization Schedule to ensure the schedule reflects current clinical recommendations for licensed vaccines. The recommendations are intended to guide physicians and other clinicians about the appropriate vaccines for their adult patients.
For more details click on the link: Annals of Internal Medicine, 2018; 168 (3): 210 DOI: 10.7326/M17-3439