Test Yourself: What Adult Needs What Vaccine?

Robert H. Hopkins, Jr., MD

Disclosures

August 06, 2014

Before Splenectomy

Annual influenza vaccine is recommended for all persons 6 months of age or older, including those who have had splenectomy. Pneumococcal vaccination (1 dose of pneumococcal conjugate vaccine, followed at least 8 weeks later by a dose of pneumococcal polysaccharide vaccine) and H influenzae type b vaccination (1 dose) are specifically recommended before splenectomy among previously unvaccinated persons. Persons whom have had splenectomy will also need a pneumococcal polysaccharide vaccine booster 5 years after their initial dose of this vaccine and again at age 65 years.

Although not specifically recommended before splenectomy, hepatitis B vaccination is recommended in many adults for medical and personal risk indications.

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