The Australian Immunisation Handbook 10th Edition 2013

Table 2.1.12 contains information on vaccine doses and intervals between doses
for persons aged ≥10 years in whom catch-up vaccination is required. This table
only contains information on vaccines that are recommended at a population
level, and for which catch-up is required if doses have been missed earlier in
life. The table does not include information on all vaccines required for adults.
Recommended vaccines and catch-up vaccination that might be required when
assessed using the HALO principle above and/or by using the pre-vaccination
screening checklist (see Tables 2.1.1 and 2.1.2) are discussed in 3.3 Groups with
special vaccination requirements.
Table 2.1.12 can be used as follows:
• determine how many doses of a particular vaccine a person should have
received to be considered completely vaccinated (see ‘Doses required’
column)
• deduct any previous doses of the vaccine from the number in the ‘Doses
required’ column
• check the appropriate ‘Minimum interval’ column to schedule further doses
• refer to the relevant disease-specific chapter(s) in Part 4, 3.1 Vaccination for
Aboriginal and Torres Strait Islander people, 3.2 Vaccination for international
travel, and 3.3 Groups with special vaccination requirements, for additional
recommendations, as required.
For example, a 32-year-old woman (Age) is returning to nursing (Occupation)
but has only ever had 1 dose of hepatitis B vaccine, 4 doses of the oral
poliomyelitis vaccine, 1 dose of MMR vaccine and 2 doses of DTPw vaccine as a
child and recently had a splenectomy (Health) following an accident. This person
would require:
• 1 dose of dTpa
• 2 adult doses of hepatitis B; 1 dose given now and a further dose in 2 months
• no further doses of poliomyelitis vaccine (is fully vaccinated against
poliomyelitis)
• 1 dose of MMR vaccine
• 2 doses of varicella vaccine if non-immune; 1 dose given now and a further
dose in 4 weeks
• 1 dose of influenza vaccine, and 1 dose annually thereafter
• pneumococcal vaccine: 1 dose of 13vPCV, followed by 23vPPV approximately
2 months later (because of splenectomy)
• 1 dose of Hib vaccine (because of splenectomy)
• 2 doses of 4vMenCV; 1 dose given now and a further dose in 8 weeks
(because of splenectomy).
62 The Australian Immunisation Handbook 10th edition