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The U.S. Advisory Committee on Immunization Practices has issued updated guidelines for adult immunization. Highlights include the following:
13-valent pneumococcal conjugate vaccine (PCV13) is recommended for adults (age, ≥19) with immunocompromising conditions (in addition to the pneumococcal polysaccharide vaccine, or PPSV23).
PPSV23 should be administered to elders (age, ≥65) and readministered to those who received one or two doses before age 65 if at least 5 years have passed.
Tetanus, diphtheria, and acellular pertussis (Tdap) vaccination is recommended for elders (age, ≥65) and for pregnant women (at 27–36 weeks' gestation) to help protect newborns.
Live attenuated influenza vaccine (LAIV) for the 2013–2014 season likely will be availab…