Immunizations and Chemoprophylaxis

Adult Immunizations

U.S. Preventive Services Task Force
1996


Recommendation

Annual influenza vaccine is recommended for all persons aged 65 and older and persons in selected high-risk groups.

Pneumococcal vaccine is recommended for all immunocompetent individuals who are age 65 years and older or otherwise at increased risk for pneumococcal disease. There is insufficient evidence to recommend for or against pneumococcal vaccine for high-risk immunocompromised individuals, but recommendations for vaccinating those persons may be made on other grounds.

The series of combined diptheria-tetanus toxoids (Td) should be completed for adults who have not received the primary series, and all adults should receive periodic Td boosters.

Vaccination against measles and mumps should be provided to all adults born after 1956 who lack evidence of immunity. A second measles vaccination is recommended for adolescents and young adults in settings where such individuals congregate (e.g., high schools and colleges). Screening for Rubella provides recommendations for rubella vaccine.

Hepatitis B vaccine is recommended for all young adults not previously immunized and for all persons at high risk for infection. Hepatitis A vaccine is recommended for persons at high risk for hepatitis A virus (HAV) infection.

Varicella vaccine is recommended for susceptible adults.

Additional recommendations are provided in:


Guide to Clinical Preventive Services, 2nd Edition
Adult Immunizations, Including Chemoprophylaxis Against Influenza A (PDF File, 176 KB)


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