Immunization Guidelines for Adult Patients: An Annual Update and a Challenge
Authors: Gregory A. Poland, William Schaffner
Journal: Annals of Internal Medicine (2009)

Editorials6 January 2009Immunization Guidelines for Adult Patients: An Annual Update and a ChallengeGregory A. Poland, MD and William Schaffner, MDGregory A. Poland, MDFrom Mayo Vaccine Research Group, Mayo Clinic College of Medicine, Rochester, MN 55905, and Vanderbilt University School of Medicine, Nashville, TN 37232.Search for more papers by this author and William Schaffner, MDFrom Mayo Vaccine Research Group, Mayo Clinic College of Medicine, Rochester, MN 55905, and Vanderbilt University School of Medicine, Nashville, TN 37232.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-150-1-200901060-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail This issue includes the annual revision of the Adult Immunization Schedule (1) produced by the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) and approved by the American College of Physicians (ACP), the American Academy of Family Physicians, and the American College of Obstetricians and Gynecologists. Each year sees advances in disease prevention by vaccines. This year, the updates involve expansions of the recommendations for pneumococcal polysaccharide vaccine and influenza vaccine.The recommendations are summarized in 2 tables—one lists vaccines recommended across the age spectra, and the other lists vaccines recommended for different medical and ...References1. Advisory Committee on Immunization Practices. Recommended Adult Immunization Schedule: United States, 2009. Ann Intern Med. 2009;150:40-4. LinkGoogle Scholar2. Talbot TR, Hartert TV, Mitchel E, Halasa NB, Arbogast PG, Poehling KA, et al. Asthma as a risk factor for invasive pneumococcal disease. N Engl J Med. 2005;352:2082-90. [PMID: 15901861] CrossrefMedlineGoogle Scholar3. Centers for Disease Control and Prevention (CDC). Influenza vaccination coverage among persons with asthma—United States, 2005-06 influenza season. MMWR Morb Mortal Wkly Rep. 2008;57:653-7. [PMID: 18566564] MedlineGoogle Scholar4. Nuorti JP, Butler JC, Farley MM, Harrison LH, McGeer A, Kolczak MS, et al. Cigarette smoking and invasive pneumococcal disease. Active Bacterial Core Surveillance Team. N Engl J Med. 2000;342:681-9. [PMID: 10706897] CrossrefMedlineGoogle Scholar5. Plouffe JF, Breiman RF, Facklam RR. Bacteremia with Streptococcus pneumoniae. Implications for therapy and prevention. Franklin County Pneumonia Study Group. JAMA. 1996;275:194-8. [PMID: 8604171] CrossrefMedlineGoogle Scholar6. Pastor P, Medley F, Murphy TV. Invasive pneumococcal disease in Dallas County, Texas: results from population-based surveillance in 1995. Clin Infect Dis. 1998;26:590-5. [PMID: 9524828] CrossrefMedlineGoogle Scholar7. Kyaw MH, Rose CE, Fry AM, Singleton JA, Moore Z, Zell ER, Whitney CG; Active Bacterial Core Surveillance Program of the Emerging Infections Program Network. The influence of chronic illnesses on the incidence of invasive pneumococcal disease in adults. J Infect Dis. 2005;192:377-86. [PMID: 15995950] CrossrefMedlineGoogle Scholar8. Poland GA, Tosh P, Jacobson RM. Requiring influenza vaccination for health care workers: seven truths we must accept. Vaccine. 2005;23:2251-5. [PMID: 15755605] CrossrefMedlineGoogle Scholar9. Infectious Diseases Society of America. Pandemic and Seasonal Influenza Principles for U.S. Action. Alexandria, VA: Infectious Diseases Society of America; 2007. Google Scholar10. Poland GA, Johnson DR. Increasing influenza vaccination rates: the need to vaccinate throughout the entire influenza season. Am J Med. 2008;121:S3-S10. [PMID: 18589066] CrossrefMedlineGoogle Scholar11. American College of Physicians/Infectious Diseases Society of America. Joint Statement of Medical Societies Regarding Vaccination by Physicians. October 2008. Accessed at www.acponline.org/running_practice/quality_improvement/projects/adult_immunization/acp_isda_statement.pdf on 1 December 2008. Google Scholar Author, Article, and Disclosure InformationAuthors: Gregory A. Poland, MD; William Schaffner, MDAffiliations: From Mayo Vaccine Research Group, Mayo Clinic College of Medicine, Rochester, MN 55905, and Vanderbilt University School of Medicine, Nashville, TN 37232.Disclosures:Consultancies: G.A. Poland (CSL Limited, GlaxoSmithKline, Wyeth, Merck, Spaltudaq, Novartis, Protein Sciences, Novavax, PowderMed, Dynavax, Avianax); W. Schaffner (Sanofi-Pasteur, Med-Immune, Novartis, GlaxoSmithKline, Wyeth, Merck & Co.). Dr. Poland is the chair of a data and safety monitoring board for investigating vaccines conducted by Merck Research Laboratories, and Dr. Schaffner is a member of the Merck & Co. safety evaluation committee for vaccines in experimental clinical trials.Corresponding Author: Gregory A. Poland, MD, Department of Medicine, Mayo Vaccine Research Group and the Program in Translational Immunovirology and Biodefense, Mayo Clinic College of Medicine, Guggenheim 611C, 200 First Street SW, Rochester, MN 55905; e-mail, poland.[email protected]edu.Current Author Addresses: Dr. Poland: Department of Medicine, Mayo Vaccine Research Group and the Program in Translational Immunovirology and Biodefense, Mayo Clinic College of Medicine, Guggenheim 611C, 200 First Street SW, Rochester, MN 55905.Dr. Schaffner: Department of Preventive Medicine, Vanderbilt University School of Medicine, Village at Vanderbilt, Suite 2600, 1500 21st Avenue South, Nashville, TN 37212. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoRecommended Adult Immunization Schedule: United States, 2009Advisory Committee on Immunization Practices† Metrics Cited byA Review of Racial and Ethnic Disparities in Immunizations for Elderly AdultsNeural Signaling in the Spleen Controls B-Cell Responses to Blood-Borne AntigenAdult VaccinationUpdate: Vaccines for Women, Adolescence through Adulthood 6 January 2009Volume 150, Issue 1Page: 53-54KeywordsAsthmaHealth care providersHuman papillomavirusInfectious diseasesMedical risk factorsPolysaccharidesPreventive medicineSafetyShinglesVaccines ePublished: 6 January 2009 Issue Published: 6 January 2009 Copyright & PermissionsCopyright © 2009 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...