There were a number of changes to the 2012 clinical guidelines that doctors follow for adult immunizations, released by a federal panel.
The Advisory Committee on Immunization Practices (ACIP), the federal panel responsible for setting guidelines for use of vaccines in the United States, has issued its 2012 clinical guidelines for adult immunizations. Doctors refer to the guidelines when recommending vaccinations for their patients.
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There were significant changes to the vaccinations recommended for young men and boys, pregnant women, and diabetics.
HEPB FOR DIABETICS
Hepatitis B vaccination is now recommended for adult diabetics under the age of 60. This recommendation is based on the fact that diabetics have more than twice the risk of contracting hepatitis B than do non-diabetics.
The ACIP advises that for diabetics over 60, the decision to vaccinate be made on an individual basis, taking into account the patient's overall medical condition. This recommendation reflects the lower rates of effectiveness of the vaccine in older, frailer people. In general, the more robust a patient's health, the greater the likelihood that he or she will respond to the vaccine.