Virtual Patient Reference Library
Clinical Aspects of HIV Infection
page 16
Primary HIV Syndrome
Epidemiologic Overview and Classification
  Table 1: Indicator Conditions for Case Definitions of AIDS
HIV Testing
  Introduction
  Pretest Counseling
  Methods
  Post-test Counseling
  Risk Reduction
Initial Evaluation
  History
  ROS & PE
  Laboratory
  CD4 & Viral Load
Spectrum of HIV Disease
Stratified Management
Follow-up
Routine Health Care Maintenance
  Immunizations
  Table 1: Immunizations
  Gynecologic Care
  Tuberculosis Prevention

   last update February 2003
 Routine Health Care Maintenance - Immunizations
Immunizations (see Table 1) indicated in HIV-infected patients include:
  1. Pneumococcal vaccine
  2. Hepatitis B vaccine if seronegative
  3. Influenza vaccine, which is especially important if at high risk for exposure (such as health care worker) to or morbidity (such as COPD) from influenza
  4. Hepatitis A vaccine should be administered to homosexual and bisexual men and to patients with chronic hepatitis C infection
Immunizations should be given as early in the course of HIV disease as possible for optimal effect; patients with relatively preserved immune function are more likely to have a favorable response to vaccine challenge than those who are significantly immunocompromised.