A 62-year-old man presents to his new primary care physician for a first visit. The patient has not seen a doctor for more than 10 years. He has mild intermittent bronchial asthma. The patient is sexually active with a single long-term partner. He does not recall receiving any vaccines since childhood. Which of the following vaccines should be offered?
Assessment for adult vaccination should be based on age, comorbidities, immunization history, and other risk factors such as travel plans and sexual behaviors. Adults should get tetanus and diphtheria vaccine (Td) every 10 years. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine should replace one of the Td vaccines if not given before or during adult life. Zoster vaccine is indicated for individuals over 60 years of age. The influenza vaccine is recommended for all persons aged 6 months and older, including all adults. Pneumococcal vaccine is indicated in patients with chronic illnesses such as heart failure, bronchial asthma, chronic obstructive pulmonary disease, chronic kidney disease, and diabetes mellitus. Otherwise, the pneumococcal vaccine is administered once at the age of 65. HPV vaccine is indicated in females and males who are 11 to 26 years of age. The meningococcal vaccination is recommended for adults with anatomic or functional asplenia or persistent complement component deficiencies, as well as adults with HIV infection. Meningococcal vaccine is also indicated for patients traveling to meningitis endemic areas.
Pneumococcal, influenza, zoster, and tetanus-diphtheria-acellular pertussis (Tdap)
Pneumococcal, influenza, zoster, and tetanus-diphtheria (Td)
Pneumococcal, influenza, and HPV
Pneumococcal, influenza, and tetanus-diphtheria-acellular pertussis (Tdap)
Infection