Answer 7
HIV positive patients may receive
True a. measles vaccine
False b. TY21a (oral typhoid vaccine)
True c. Hib vaccine
False d. BCG
True e. Havrix (hepatitis A vaccine)T F T F T
UK guidelines published by HMSO in "Immunisation against infectious disease" in 1996 state that patients with HIV, symptomatic or not, should receive the vaccines listed in Table 7.
Table 7:Immunisations for those with HIV
Live vaccines |
Inactivated vaccines |
Measles
Mumps
Rubella
Oral polio vaccine (OPV) |
Pertussis
Diphtheria
Parenteral polio
Monovalent whole cell typhoid
Tetanus
Cholera
Hepatitis B
Haemophilus influensae type b (Hib) |
The following vaccines should not be given:
BCG
Yellow fever
TY21a
Many tropical countries advise the use of BCG in asymptomatic HIV infection particularly in children. Each country's own guidelines should be followed.