Latest Vaccine Recommendations for Adults 2023: Full List from Papdi

KOMPAS.com – The Association of Indonesian Internal Medicine Specialists (Papdi) released the latest vaccine recommendations for adults, on Monday (18/12/2023).

Chair of the Papdi Adult Immunization Task Force Dr. Dr. Sukamto Koesnoe, SpPD, said that the latest vaccine recommendations were made because some adults are no longer protected by the vaccines they received as children.

Apart from that, there are also adults who have not received complete immunization as babies and children, or for certain purposes.

“Adults are also at risk of experiencing disease due to age, work, lifestyle, health conditions, or travel,” explained Sukamto, reported by Kompas.id (18/12/2023).

Check out the latest list of vaccines for adults recommended by Papdi 2023 below.

Also read: 4 Latest List of Child Vaccines in the 2023 National Immunization Program

Latest list of vaccines for adults 2023

The following is the latest schedule and list of vaccines for adults for 2023 according to Papdi’s recommendations:

The influenza vaccine is recommended for every adult, especially people with respiratory disease, kidney disease, cardiovascular disease, diabetes mellitus, HIV, AIDS, or cancer.

The elderly, Umrah or Hajj pilgrims, smokers, health workers, people living in institutions, or people who will travel to countries with influenza outbreaks, pregnant women are also recommended for this immunization.

There are trivalent and quadrivalent types of influenza vaccine. This vaccine can be given throughout the year.

• Tetanus, diphtheria, pertussis vaccine (Td/Tdap)

Prospective pregnant women (women of childbearing age and prospective brides) are advised to get 1 dose of Tdap vaccine in each pregnancy.

Adults, especially people with chronic diseases, are recommended 1 dose of Tdap vaccine then 2 doses of Td vaccine. After that, the Td/Tdap booster vaccine is continued every 10 years.

Also read: Know the Types of Primary and Booster Covid-19 Vaccines

• Chickenpox or varicella vaccine

Adults who have never contracted or been infected with chickenpox are advised to get 2 doses of varicella vaccine. Health workers are also recommended to receive this vaccine.

This vaccine should not be given to pregnant women because varicella increases the risk of fetal defects. To be safer, give yourself a complete vaccination gap of at least 4 weeks before getting pregnant.

• HPV vaccine for women

The use of the HPV vaccine for women is important to reduce the risk of diseases caused by HPV infection, such as cervical cancer.

The types of HPV or human papilloma virus vaccine for women are bivalent, quadrivalent or nonavalent.

It is recommended that women receive this vaccine before actively having sex. However, the HPV vaccine can be given until women are 45 years old.

• HPV vaccine for men

The use of the HPV vaccine for men is mainly to prevent the transmission of genital warts and several types of cancer.

The recommended type of HPV vaccine for men is quadrivalent or nonavalent, containing serotypes 6 and 11.

Immunization with this vaccine can be carried out until the age of 26 years.

Also read: How Can Vaccines Prevent Disease?

The zoster vaccine is a live vaccine and is used to prevent shingles or shingles which can cause chronic nerve pain.

All adults aged 50 years and over need to be given 1 dose of zoster vaccine, whether they have or have never been infected with shingles.

• MMR vaccine (measles, mumps, rubella)

The MMR vaccine for adults is recommended for people who live in dormitories, crowded environments, or often travel long distances.

Adults who have never been immunized with this vaccine as children need 2 doses of MMR vaccine. If you have, then adults only need 1 dose of MMR vaccine.

This follow-up vaccine is needed because as many as two to five percent of the normal population do not respond to 1 dose of MMR vaccine.

The use of the MMR vaccine is to protect the human body from measles, mumps, German measles and

The MMR vaccine is also used to prevent Congenital Rubella Syndrome by being given to women before marriage or pregnancy.

It takes a minimum of 4 weeks to get pregnant after the last immunization with this vaccine.

• 13-valent pneumococcal conjugate vaccine (PCV13)

The use of the PCV vaccine is to prevent 13 types of infections due to bacterial pneumonia.

The PCV13 vaccine is recommended for everyone aged 18 years and over, especially for people with chronic heart disease, chronic lung disease, chronic kidney disease, diabetes mellitus, chronic liver disease, cancer, HIV, sickle cell disease, smokers, organ transplant recipients, prospective Hajj pilgrims and Umrah.

If you have never received the pneumococcal vaccine, adults are advised to receive the PCV13 vaccine, then the PPSV23 vaccine with a gap of at least 8 weeks after giving the PCV13 vaccine.

If you have previously received the PPSV23 vaccine, the PCV13 vaccine can be administered with a gap of at least 1 year after administering the PPSV23 vaccine.

Also read: Important to Fight Infectious Diseases, How Are Vaccines Developed?

• Pneumococcal polysaccharide vaccine (PPSV23)

The use of the PPSV23 vaccine is to protect the body from 23 bacteria that cause pneumonia.

The administration of this pneumococcal polysaccharide vaccine is recommended for adults aged 50 and over, especially those with immunocompromise (the immune system does not work well), as well as candidates for Hajj and Umrah.

If the PCV13 vaccine is given first, then the PPSV23 vaccine can be given with a maximum period of 8 weeks.

If the PPSV23 vaccine is given first, then PCV13 can be given 1 year later.

• Meningococcal polysaccharide meningitis vaccine

The meningococcal polysaccharide meningitis vaccine is a vaccine for adults that is not given routinely.

In 2023, this vaccine is mandatory for Hajj pilgrims and highly recommended for Umrah pilgrims.

This meningitis vaccine can also be given to pregnant women and breastfeeding mothers.

• Conjugate meningococcal meningitis vaccine

This type of vaccine is almost the same as the polysaccharide meningococcal meningitis vaccine. The difference is that the conjugate meningitis vaccine’s immunity in protecting the body from meningitis can last longer than the polysaccharide vaccine.

Apart from that, in accordance with the objectives of the Ministry of Health’s Hajj Health Center, this vaccine can be repeated every 2 years.

The hepatitis A vaccine is recommended for every adult, especially those who frequently travel or are travelers, as well as people who like culinary tourism or snacks.

The use of the hepatitis A vaccine is to reduce the risk of hepatitis A.

Adults are advised to check HDSAg levels first before being given the hepatitis B vaccine.

Hepatitis B vaccine is prioritized for health workers, drug users, people who engage in risky sex, those with low immune systems, chronic liver sufferers, chronic kidney disease sufferers, including those on dialysis.

Especially for immunocompromised individuals or dialysis patients, the hepatitis B vaccine will be given in 2 doses (2 x 20 ug/ml) per injection at 0, 1, 2 and 6 months.

In immunocompetent individuals, there is no recommendation to give booster doses.

In immunocompromised individuals, post-immunization anti-Hbs antibody titer checks are carried out periodically, and a booster will be given if the S titer is 10 mlU/ml.

In immunocompetent individuals, post-immunization anti-HBS antibody titer examination is carried out 1-3 months after the last vaccination (protective if the titer is 2 10 mlU/mL).

Also read: 5 Benefits of Vaccines for Adults, Not Just Healthy

• Hepatitis A and hepatitis B vaccine (combination)

Apart from there being specific vaccines for hepatitis A and hepatitis B, there is also a combination vaccine for hepatitis A and B to increase immunization coverage that is greater and more economical.

• Hepatitis A and typhoid vaccine (combination)

The combination hepatitis A and typhoid vaccine is given as the first dose.

For the next dose, adults can use the Hepatitis A and Typhoid vaccines separately according to their respective schedules, namely Hepatitis A at 6 – 12 months and Typhoid every 3 years.

• Typhoid fever vaccine (typhoid fever)

As an endemic country, this vaccine is recommended for all adults in Indonesia with and without a history of typhoid fever or typhus.

Repetition of this vaccine can be done every 3 years.

• Yellow fever vaccine (yellow fever)

The yellow fever vaccine is a live vaccine that is only given to adults who want to travel to countries where yellow fever is endemic.

In accordance with WHO recommendations, the yellow fever vaccine has been valid for life since 2016, so this vaccine is not given routinely.

• Japanese encephalitis (JE) vaccine

The Japanese encephalitis (JE) vaccine to protect the body from the virus that causes encephalitis is also available for adults.

This vaccine can be given to adults who will travel to JE endemic areas.

The vaccine is given to adults as post-exposure prophylaxis or emergency treatment to prevent subsequent infections due to rabies.

This vaccine can be found in hospitals and health centers that have been designated as Rabies Centers or Animal Bite Service Centers for Rabies Suspects.

Also read: Get to know the vaccine to prevent meningitis

Every adult, including pregnant women, needs to be given the complete and booster dose of the Covid-19 vaccine.

The Covid-19 booster vaccine can be given 6 months after the primary Covid-19 vaccine injection. This booster vaccine is important because generally Covid-19 vaccine antibodies decrease after 6 months.

The primary dose of the Covid-19 vaccine is given twice, except for the J&J vaccine which is only given once.

Especially for adults with immunocompromised conditions, such as organ transplants, people with blood disorders, people undergoing chemotherapy, and primary immunodeficiencies, they will receive 3 doses of the vaccine.

Giving the Covid-19 vaccine and other vaccines that may be given at intervals
14 days, but if time is urgent then it is allowed simultaneously.

The dengue vaccine can be used for adults aged 19-45 years.

The use of the dengue vaccine is to prevent serious infections due to dengue or DHF.

This vaccine is given in 2 doses of 0.5 ml each at the 0th month and the 3rd month.

This vaccine is not recommended for pregnant, breastfeeding women, and groups with immunodeficiencies such as HIV, congenital immunodeficiencies, or users of high doses of steroids and chemotherapy.

The IPV polio vaccine is a vaccine used to prevent polio which can cause paralysis.

This vaccine will be given in one dose to adults, especially to people who have traveled from certain areas.

Providing the IPV polio vaccine for the following year depends on government policy and the discovery of polio cases that occur in certain areas.

That’s an explanation of the latest list of vaccines for adults in accordance with the recommendations of the Association of Indonesian Internal Medicine Specialists (Papdi). Make sure you get the vaccine above through a trusted immunization service provider.

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2023-12-29 03:01:00
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