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MCQs in Tropical Medicine

Rob Skelly DTM+H FRCP

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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.

 

 
Copyright: Rob Skelly 2006