Spring - Indiana Academy of Family Physicians

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Adult Immunization Schedule Encourage immunization in adults as well as children to reach 2010 goals Research shows the nation – including Indiana – is not yet meeting HHS’s Healthy People 2010 goals for immunizations. This is a good time to check the 2003-2004 Recommended Adult Immunization Schedule available at http://www.aafp.org/x14956.xml or printed here for you to copy for your offices. The schedule indicates the recommended age groups for routine administration of currently licensed vaccinations for persons 19 and older. Representatives from the AAFPO Commission on Clinical Policies and Research participated in CDC’s Advisory Committee on Immunization Practices to develop the schedule, which the AAFP has adopted as policy. A. For women without chronic diseases/conditions, vaccinate if pregnancy will be at 2nd or 3rd trimester during influenza season. For women with chronic deseases/conditions, vaccinate at any time during the pregnancy. B. Although chronic liver disease and alcoholism are not indicator conditions for influenza vaccination, give 1 dose annually if the patient is >= 50 years, has other indications for influenza vaccine, or if the patient requests vaccination. C. Asthma is an indicator condition for influenza but not for pneumococcal vaccination. D. For all persons with chronic liver disease. E. For persons < 65 years, revaccinate once after 5 years or more have elapsed since initial vaccination. F. Persons with impaired humoral immunity but intact cellular immunity may be vaccinated. MMWR 1999; 48 (RR-06): 1-5. G. Hemodialysis patients:Use special formulation of vaccine (40 ug/mL) or two 1.0 mL 20 ug doses given at one site.Vaccinate early in the course of renal disease. Assess antibody titers to hep B surface antigen (anti-HBs) levels annually. Administer additional doses if anti-HBs levels decline to
Recommended Immunizations for Adults with Medical Conditions,United States, 2003-2004 Vaccine ▼ Medical Conditions ▼ Pregnancy Tetanus- Diphtheria Influenza 2 Pneumococcal (Td) *1 A (polysaccharide) 3,4 Hepatitis B *5 Hepatitis A *6 Mumps, Measles, Rubella Varicella *8 (MMR) *7 Diabetes, heart disease, chronic pulmonary disease, chronic liver disease, including chronic alcoholism B C D Congenital Immunodeficiency, leukemia, lymphoma, generalized malignancy, therapy with alkylating agents, antimetabolites, radiation or large amounts of corticosteroids E F Renal failure / end stage renal disease, recipients of hemodialysis or clotting factor concentrates E G Asplenia including elective splenectomy and terminal complement component deficiencies H E,I,J HIV infection E,H L Pregnancy Recommended Adult Immunization Schedule, United States, 2003-2004 Vaccine ▼ Age Group ▼ 19-49 Years 50-64 Years 65 Years and Older Tetanus, Diphtheria (Td)* 1 dose booster every 10 years 1 Influenza 1 dose annually 2 1 dose annually 2 1 dose 3,4 1 dose 3,4 Pneumococcal (polysaccharide) Hepatitis B* 3 doses (0, 1-2, 4-6 months) 5 Hepatitis A* 2 doses (0, 6-12 months) 6 Measles, Mumps, Rubella (MMR)* Varicella* 1 dose if measles, mumps, or rubella vaccination history is unreliable; 2 doses for persons with occupational or other indications 7 2 doses (0, 4-8 weeks) for persons who are susceptible 8 Meningococcal (polysaccharide) 1 dose 9 KEY For all persons in this group Catch-up on childhood vaccinations For persons with medical/ exposure indications Contraindicated 19
Page 1: P H Y S I C I A N A Publication of
Page 4 and 5: INDIANA ACADEMY OF FAMILY PHYSICIAN
Page 6 and 7: Executive Vice-President K E V I N
Page 9 and 10: Let Your Voice Be Heard: S U B M I
Page 11 and 12: Nominate 2004 Officers At least 90
Page 13 and 14: Frilles Susana, MD Galbraith Kathle
Page 16 and 17: Attend Indiana’s Premier CME Even
Page 20 and 21: What’s Happening at the IAFP Foun
Page 22 and 23: Thank You The Board of Trustees of
Page 24 and 25: Legislative Update: Medicaid Not Qu
Page 26 and 27: Tips From Our Consultant By Joy New
Page 28 and 29: importance to physicians. Highlight
Page 30: Membership Update Please Keep Us Up

Spring - Indiana Academy of Family Physicians

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