Immunizations in HIV-Infected Adults
Pablo Rivas 1, María Dolores Herrero 1, Sabino Puente 1, Germán Ramírez-Olivencia 1, Vicente Soriano 2
1 NULL; 2 UNIR Health Sciences School and Medical Center, Universidad Internacional de La Rioja, Madrid, Spain
*Correspondence: Germán Ramírez-Olivencia, Email not available
Abstract
The incidence or severity of certain vaccine-preventable diseases is higher in HIV-infected individuals.However, immune responses to vaccination may be diminished, particularly in those with severe immunosuppression.Higher doses of vaccine, more frequent boosters, or revaccination after antiretroviraltherapy-induced immune reconstitution are strategies to be considered for patients in certain circumstances.In addition, some vaccines may be harmful when given to severely immunocompromisedpatients. The challenge for healthcare providers is assessing the safety and effectiveness of vaccinesfor HIV-infected patients, especially when information on vaccines has not been fully characterized inthe HIV-setting. This review presents state-of-the-art knowledge about immunizations for HIV-adults.The efficacy and safety of current vaccines, their current indications in HIV-infected adults, and thestrategies aimed to enhance their results are discussed.
