IV.

Adult Immunization Schedule for Adult Filipinos

-Routine Adult Immunization for Filipinos 2009 -recommended by the Committee on Adult Immunization, Philippine Society of Microbiology and Infectious Diseases and Philippine Foundation for Vaccination -Importance: this is intended to provide every health care provider as well as every Filipino adult with the latest recommendations on routine immunization for Filipino adults : reference for practicing physicians, not just in the treatment of diseases, but as a prevention as well General Terms Used in the AISAF Inactivated Vaccine o not live and cannot be replicated o minimal interference from circulating antibody o generally not as effective as live vaccines o needs 3-5 doses o antibody titer falls over time o immune response mostly humoral Live Attenuated Vaccine o weakened form of the wild virus or bacteria o must replicate to be effective (one dose) o immune response similar to natural infection o interference from circulating antibody o unstable (may yield severe reactions) Recommended Vaccines for: 1. Health Professionals -Definition: the body of individuals whose work helps to maintain the health of their clients Vaccination Tetanus, diphtheria, acellular, pertussis (Tdap) Vaccines Vaccine Type Inactivated Vaccine Route Intramuscular Schedule Series 0, 1, 612 months Dosage 3 doses of Tetanus, diphtheria with 1 dose of Tdap Booster Every 10 years with Tdap Importance Protection from whooping cough, and more importantly, preventing adults from spreading the

Hepatitis B

Inactivated Vaccine

Intramuscular

0, 1, 6 months 0, 1, 2, 12 months

3 doses 4 doses 2 doses

Not routinely recommende d --

Varicella

Live attenuated vaccine

Subcutaneous

More than 13 years old: 0, 1 month Post-exposure prophylaxis: given within 72 hours of exposure Given every year preferably from February to June For primary and booster: Days 0, 2, 4 *1 hour before a meal with lukewarm or cold liquid drink For primary and booster

disease to children In case of accidental needle stick injury or work exposure to blood/body fluids Adults are at an increased risk for a more severe form of disease from chickenpox so getting an immunization is important To prevent severe flu and its complications when exposed to patients who have influenza Prevention of typhoid fever in individuals at risk of intimate exposure to a known typhoid carrier (e.g., continued household contact), and in laboratory workers with frequent contact withSalmonella typhi bacilli. In cases involving rabid animal bites and being in

Influenza Vaccine

Inactivated Vaccine

Intramuscular

Single dose

--

Typhoid

Vi capsular polysaccharide Ty 2

Oral

1 Capsule

Every 2-3 years

Intramuscular (deltoid)

0.5 ml dose

Rabies

Purified Vero Cell Rabies Vaccine (PVRV)

Intramuscular/ Intradermal (both in deltoid)

Primary: Days 0, 7, 21/28

3 injections

Every 2 years (intramuscula r or

Single dose Purified Chick Embryo Vaccine (PCECV) Purified Duck Embryo Vaccine (PDEV) Intramuscular: -PVRV -PCECV -PDEV Intradermal -PVRV -PCECV -PDEV 0.5 ml 1.0 ml 1.0 ml 0.1ml 0.1ml 0.1 ml

intradermal)

contact with the animals saliva or mucus

2. Geriatric Patients -Definition: Under a chronological aspect persons older than 65 years were defined as geriatric patients, but this does not seem to be adequate nowadays. Because the geriatric patient is not primarily characterized by the age but more by multimorbidity and the presence of functional impairments, patients at an advanced age, usually older than 70 years, with multimorbidity or patients at an age older than 80 years with age-associated frailty are classified as geriatric. Vaccination Pneumococcal Vaccine Vaccine Type Inactivated Vaccine Route Intramuscular Schedule Revaccination every 5 years Dosage Single dose Booster -Importance To prevent complications, especially to those who already have invasive diseases To prevent severe flu, especially those who already have illnesses susceptible to further complications if flue is acquired

Influenza Vaccine

Inactivated Vaccine

Intramuscular

Given every year preferably from February to June

Single dose

--

3. Travelers -Definition: a person who travels or has traveled in distant places or foreign lands

Vaccination Varicella

Vaccine Type Live attenuated vaccine

Route Subcutaneous

Schedule More than 13 years old: 0, 1 month Post-exposure prophylaxis: given within 72 hours of exposure For primary and booster: Days 0, 2, 4 *1 hour before a meal with lukewarm or cold liquid drink For primary and booster

Dosage 2 doses

Booster --

Importance Varicella occurs worldwide so it is important for travellers to get vaccinated

Typhoid

Vi capsular polysaccharide Ty 2

Oral

1 Capsule

Every 2-3 years

Intramuscular (deltoid)

0.5 ml dose

Important to those traveling to areas where typhoid fever is endemic (e.g., many countries in Africa, Asia, Central and South America) because of poor food or water sanitation

4. Generally ALL adults Vaccination MMR Vaccine Type Live attenuated vaccine Route Subcutaneous Schedule 0, 1 month Dosage 2 doses Booster -Importance Aside from personal protection from the disease, severe and devastating complications can also be prevented. Note: Pregnant women and people with weakened immune systems

should not get the vaccine. Because the vaccine is made with live, attenuated viruses. In people whose immune systems are weakened, the attenuated virus may be strong enough to survive and establish an infection.