Vaccine guidelines published by the Advisory Committee on Immunization Practices (ACIP):
Adult Immunization Webcast
This webcast of a live satellite broadcast covers the impact of vaccine-preventable diseases on adults, recommended vaccines for adults, coverage among various demographic and risk groups, and strategies to improve coverage levels: http://www.cdc.gov/vaccines/ed/webcasts.htm
American Medical Association
Roadmaps for Clinical Practice series - Improving Immunization: Addressing Racial and Ethnic Populations:
CDC Travel Information
Reference material for international travel, including vaccine recommendations for travel to various countries:
Guide to Community Preventive Services
The Community Guide summarizes research about selected population-based interventions. The Task Force on Community Preventive Services makes recommendations as to the effectiveness and feasibility of the interventions to improve vaccination coverage:
Guide to Contraindications and Precautions to Commonly Used Vaccines in Adults
The Immunization Action Coalition provides information in an easy-to-use table listing the contraindications and precautions for vaccines given to adult patients:
Guide to Contradications to Vaccinations
Provides common symptoms and conditions to help providers determine whether a vaccine is contraindicated.
Guidelines for Vaccinating Pregnant Women
From the recommendations of the Advisory Committee on Immunization Practices (ACIP):
Healthcare Personnel Vaccination
The Immunization Action Coalition provides a one-page guide on "Healthcare Personnel Vaccination Recommendations":
Influenza Vaccination of Health-Care Personnel, Recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP):
Healthy People 2010
Discusses the impact of immunizations: http://www.healthypeople.gov/document/html/uih/uih_4.htm#immuniz
Developing Healthy People 2020 Objectives – Immunization and Infectious Diseases
Images of Diseases (Vaccine-Preventable Diseases Only)
Provides photos of vaccine-preventable diseases: http://www.cdc.gov/vaccines/vpd-vac/photo-all-vpd.htm
Current, recommended vaccination schedules:
Adult Immunization Scheduler: This tool can be used to determine the vaccines adults 19 years of age and older need according to the recommended Adult Immunization Schedule:http://www.cdc.gov/vaccines/recs/Scheduler/AdultScheduler.htm
Guidelines and Recommendations: Infection Control Measures for Preventing and Controlling Influenza Transmission in Long-Term-Care Facilities:
Sneller V, Izurieta H, Bridges C, et al. Developing and implementing an immunization program in long-term care facilities. Journal of the American Medical Directors Association 2000;1(5, Supplement):S4-S13.
Data from the 2004 National Nursing Home Survey:
The Pink Book: Epidemiology and Prevention of Vaccine-Preventable Diseases
This textbook provides clinical and epidemiological information about vaccine-preventable diseases and discusses recommendations for vaccine use. Chapter 3 offers a discussion of strategies to increase immunization levels.
Effective StrategiesBriss, PA, et al. Reviews of evidence regarding interventions to improve vaccination coverage in children, adolescents, and adults. American Journal of Preventive Medicine 2000;18(1s):97-140.
Bratzler DW, Houck PM, Jiang H, et al. Failure to vaccinate Medicare inpatients: A missed opportunity. Archives of Internal Medicine 2002;162:2349-2356.
Ndiaye S, Hopkins D, Shefer A, et. al. Interventions to improve influenza, pneumococcal polysaccharide, and hepatitis B vaccination coverage among high-risk adults, American Journal of Preventive Medicine. June 2005;28:5S. http://journals.elsevierhealth.com/periodicals/AMEPRE/issues
Shefer A, Briss P, Rodewald L, et al. Improving immunization coverage rate ates: an evidence-based review of the literature. Epidemiologic Reviews 1999;21:96-142.
Task Force on Community Preventive Services. Introducing the Guide to Community Preventive Services: methods, first recommendations and expert commentary. American Journal of Preventive Medicine 2000;18(1, Supplement):1-142.
Task Force on Community Preventive Services. Vaccine-preventable diseases: improving vaccination coverage in children, adolescents, and adults. A report on recommendations of the Task Force on Community Preventive Services. Morbidity and Mortality Weekly Report 1999;48(RR-8):1-15. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr4808a1.htm
Standing OrdersCenters for Disease Control and Prevention. Notice to readers: Facilitating influenza and pneumococcal vaccination through standing orders programs. Morbidity and Mortality Weekly Report 2003;52(04):68-69. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5204a4.htm
Centers for Disease Control and Prevention. Use of standing orders programs to increase adult vaccination rates. Recommendations of the Advisory Committee on Immunization Practices. Morbidity and Mortality Weekly Report 2000;49(RR01):15-26. www.cdc.gov/mmwr/preview/mmwrhtml/rr4901a2.htm
Standards for Adult Immunization Practices
These standards have been developed to guide the delivery of immunizations for adults: http://www.cdc.gov/vaccines/recs/vac-admin/rev-immz-stds.htm
These strategies or tools can assist in increasing adult vaccination rates. For each strategy, there is a definition, description of advantages and disadvantages, steps for implementation, and studies documenting effectiveness. Examples of materials that can be used with each strategy are also included. Strategies List
Vaccine Adverse Event Reporting System
(VAERS) VAERS is a nationwide system established to facilitate reporting adverse events following immunization: http://www.vaers.hhs.gov/
Vaccine Information Statements
These statements are provided to patients at the time of vaccination.http://www.cdc.gov/vaccines/pubs/vis/default.htmThe Immunization Action Coalition website provides the Vaccine Information Statements translated into numerous languages. http://www.immunize.org/vis/#index
Vaccine Storage and Handling Toolkit
This Toolkit is a comprehensive resource and reference manual from CDC providing guidelines on vaccine storage and handling. The Toolkit is available on the National Center for Immunization and Respiratory Diseases website at: http://www2a.cdc.gov/nip/isd/shtoolkit/splash.html. The Toolkit is also available as a CD and may be ordered from NIP Publications at: http://wwwn.cdc.gov/pubs/ncird.aspx.