* Diphtheria, tetanus: need a booster every 10 years regardless of whether you are HIV positive or not. * Pneumococcal polysaccharide (Pneumovax): helps protect against Pneumococcus that is the bacteria that causes pneumonia. Reinforcement must be made every 5 or 6 years. * Vaccine for Hepatitis A: If the patient has never had hepatitis A and is not immune to this (with a positive total or IgG antibodies anti HAV), must be considered to apply 2 series of vaccines and carry out a monitoring of antibody to be sure that the vaccines were effective. Hepatitis A vaccine is especially important for people with chronic hepatitis B or C.
Vaccine for hepatitis B: If the patient has never had hepatitis B and has no immunity of hepatitis B surface antibody (HBsAc), is recommended to receive the series of three parts of the vaccine with a trace of antibodies to make sure that the vaccine was effective. A three parts for hepatitis A and B (Twinrix) vaccine is also available. * The influenza (flu) vaccine. An injection to the flu is recommended during cold seasons, not because it is worse for a person with HIV than for others, but because it is very tedious to have flu. The patient should not receive live vaccines, but there are exceptions for people with a high CD4 count that really need them. A related site: James Chappuis MD mentions similar findings. Live vaccines are, for example, the vaccine for measles, mumps (mumps) and rubella (MMR, known as the tripleviral), varicella, and yellow fever. Vaccines are most effective in strong immune systems. If the patient is I’m starting the TAR, it is not the time to do so. The vaccines will be more effective if you wait until the CD4 count has increased and the viral load is undetectable.