ACIP Releases 2020 Adult Immunization Schedule

The Centers for Disease Control and Prevention’s (CDC) Advisory Committee On Immunization Practices has released the 2020 recommended immunization schedule for adults. The schedule has also been approved by the American College of Physicians, American Academy of Family Physicians, American College of Obstetricians and Gynecologists, and American College of Nurse-Midwives.

Changes from the 2019 Immunization Schedule include:

• Hepatitis A vaccination is recommended for all patients with HIV aged 1 year or older.
• Human papillomavirus catch-up vaccination is now recommended for all adults through age 26 years who have not yet been adequately vaccinated. In those aged 27 through 45 years, shared clinical decision-making should be used.
• A 2-dose series at least 4 weeks apart of the measles, mumps, and rubella vaccine is recommended for health care personnel born in or after 1957.
• Individuals aged 10 years or older who are at increased risk should receive a meningococcal B vaccine booster dose 1 year after the primary series.
• The pneumococcal 13-valent conjugate vaccine is recommended, based on shared decision making, for adults aged 65 years or older who have not previously received the vaccine and do not have an immunocompromising condition, cerebrospinal fluid leak, or cochlear implant. All adults aged 65 years or older should receive a dose of the pneumococcal 23-valent polysaccharide vaccine.
• The tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine is appropriate in situations where previously only the diphtheria toxoids vaccine was considered acceptable.
• Varicella vaccination can be considered in individuals with HIV with no evidence of varicella immunity and CD4 counts ≥200 cells/µL.

—Michael Potts

Reference:
Freedman M, Kroger A, Hunter P, et al; Advisory Committee on Immunization Practices. recommended adult immunization schedule, United States, 2020 [published online February 4, 2020]. Ann Intern Med. https://doi.org/10.7326/m20-0046.