1. New ACIP Adult Immunization Schedule recommends changes to several vaccines
ACIP now recommends shared decision-making for HPV, PCV13, and Meningitis B vaccines
Abstract: http://annals.org/aim/article/doi/10.7326/M20-0046
URL goes live when the embargo lifts
The Advisory Committee on Immunization Practices (ACIP) released its
2020 Recommended Immunization Schedule for adults with changes to the
administration of the influenza, human papillomavirus (HPV), hepatitis
A, hepatitis B, meningococcal B, and pneumococcal conjugate vaccines.
The schedule, which can be complex and challenging to implement,
features revised content, format, and graphics to make it easier to
follow. The complete schedule, including changes in the vaccine notes
section, is being simultaneously published in Annals of Internal Medicine and on the Centers for Disease Control and Prevention (CDC) web site.
The schedule is streamlined for ease of reference. Physicians should
pay careful attention to the details found in the vaccine notes section,
as they clarify who needs what vaccine, when, and at what dose.
In addition to changes in the administration of some vaccines, the
2020 schedule includes new instructions for shared clinical
decision-making for several vaccines. First, the HPV vaccine is
recommended for some patients aged 27 through 45 who are not adequately
vaccinated. Clinicians should consider discussing HPV vaccination with
those who are most likely to benefit from it based on a detailed list of
considerations. Second, the pneumococcal 13-valent conjugate vaccine
(PCV13) should be discussed with adults 65 years or older who do not
have an immunocompromising condition, cerebrospinal fluid leak, or
cochlear implant, and who have not previously received PCV13. And third,
clinicians should consider discussing the meningitis B vaccine with
adolescents and young adults age 16 through 23 who are not at increased
risk for meningococcal disease.
The ACIP is comprised of 15 voting members, ex officio members who
represent other federal agencies, and non-voting representatives of
liaison organizations, including the American College of Physicians,
that bring related immunization expertise. Each year, ACIP reviews the
CDC’s Recommended Adult Immunization Schedule to ensure it reflects
current clinical recommendations for licensed vaccines. The
recommendations are intended to guide physicians and other clinicians
about the appropriate vaccines for their adult patients.
https://www.eurekalert.org/pub_releases/2020-02/acop-naa012820.php
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