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Rates of vaccine preventable diseases in the United States are at an all time low due to the routine vaccination of infants, children, and adults.1 Unfortunately, gaps in coverage still exist. Providers are not only responsible for the appropriate administration of vaccines; they are also responsible for ensuring patients receive appropriate vaccinations as recommended by the ACIP. Only routine childhood, adolescent, and adult vaccines are covered in this chapter. Readers are encouraged to visit the CDC vaccines website ( for information regarding travel and bioterrorism vaccines.


Indications and target populations for the vaccines available for use in the United States are listed in Table 69-1.

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Key Definitions

ACIP = Advisory Committee on Immunization Practices

CDC = Centers for Disease Control and Prevention

DTaP = pediatric diphtheria toxoid, tetanus toxoid, and acellular pertussis vaccine

DT = pediatric diphtheria-tetanus toxoid vaccine

GBS = Guillain-Barr© syndrome

GSK = GlaxoSmithKline

Hep A = hepatitis A

Hep B = hepatitis B

Hib = Haemophilus influenzae type b

HIV = human immunodeficiency virus

HPV = human papillomavirus

IM = intramuscularly

IPV = inactivated poliovirus

MCV = meningococcal conjugate vaccine

MPSV = meningococcal polysaccharide vaccine

MMR = measles, mumps, rubella

MMWR = Morbidity and Mortality Weekly Report

PCV = pneumococcal conjugate vaccine

PPSV = pneumococcal polysaccharide vaccine

RV = rotavirus

SC = subcutaneously

SP = Sanofi Pasteur

Td = adult tetanus-diphtheria toxoid vaccine

Tdap = tetanus, diphtheria toxoids, and acellular pertussis vaccine

Varicella = varicella zoster virus

Zoster = herpes zoster virus

TABLE 69-1 Vaccine Indications

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