Special Populations
Immunosuppressed

• Inactivated influenza vaccine (TIV) is recommended in immunosuppressed patients.
• Live, attenuated vaccine (LAIV)
  • contradindicated in immunosuppressed.
  • should be avoided in contacts of patients who are severely immunocompromised persons (e.g., patients with hematopoietic stem cell transplants) who require a protective environment
• Chemoprophylaxis with antiviral drugs
  • consider use during the influenza season for persons at high risk with low likelihood of good antibody response to vaccine (including patients with HIV, particularly those with advanced HIV disease).

Back