美国成年人的疫苗接种建议.pdfVIP

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Clinical Guideline Annals of Internal Medicine Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older: United States, 2014* Carolyn B. Bridges, MD, and Tamera Coyne-Beasley, MD, MPH, on behalf of the Advisory Committee on Immunization Practices† Vaccines are recommended for adults on the basis of vaccine registries) is important to ensure that patients’ their age, prior vaccinations, health conditions, life- complete vaccination history is available to all of their pro- style, occupation, and travel. Reasons for current low levels viders. In addition, some vaccines require more than 1 dose of vaccination coverage for adult vaccines are multifactorial with specified time intervals between doses (for example, and include limited awareness among the public about vac- hepatitis B vaccine 3-dose series) and are recommended for cines for adults and gaps in incorporation of regular assess- certain adult populations only if adults were not vaccinated ments of vaccine needs and vaccination into routine med- as children (for example, measles, mumps, rubella [MMR] ical care (1–4). Updated standards for immunization of vaccine). Immunization information systems are managed adults were approved by the National Vaccine Advisory by state or city immunization programs; contact informa- Committee (NVAC) in September 2013 (5). These stan- tion about these systems can be found at dards acknowledge the current low levels of vaccine cov

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