Всего не читала. Вот инфа с [cdc website about indications]
[Routine vaccination of persons aged ≥ 60 years
The Advisory Committee for Immunization Practices (ACIP) recommends a single dose of zoster (shingles) vaccine for adults 60 years old or older, whether or not the patient reported a prior episode of shingles. Persons with chronic medical conditions may be vaccinated unless a contraindication or precaution exists for their condition.
When conducting routine zoster vaccination of persons 60 years of age or older, there is no need to verbally screen for a history chickenpox infection or to conduct laboratory testing for serologic evidence of prior varicella infection. Furthermore, if a person reports a negative history of varicella, they can still receive the zoster (shingles) vaccine. The zoster (shingles) vaccine package insert makes no reference to varicella history, and almost all persons 60 years old or older are immune to varicella. This is the basis for ACIP criteria for varicella immunity, which state that persons born in the United States prior to 1980 are considered immune to varicella. However, if a physician chooses to screen all adult patients (for the purposes of varicella vaccination), they should inquire about the patient’s birth country and their varicella history, and if they are foreign born, their varicella antibody levels should be checked, if indicated. If, through this screening process or any other process, serologic evidence of varicella susceptibility becomes available to the physician, the patient should be offered varicella vaccine not zoster vaccine.
Groups NOT recommended for vaccination
Zostavax should NOT be administered to individuals
- with a history of anaphylactic/anaphylactoid reaction to gelatin, neomycin, or any other component of the vaccine
- with a history of primary or acquired immunodeficiency state, including leukemia, lymphoma, or other malignant neoplasm affecting the bone marrow or lymphatic system, or with acquired immunodeficiency syndrome or other clinical manifestation of infection with human immunodeficiency viruses;
- receiving immunosuppressive therapy, including high-dose corticosteroids; or who are or may be pregnant.]




Reply With Quote
Женщина должна сидеть дома, плакать, штопать и готовить. (В.Жириновский)
