Adult Immunizations

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Guidelines for Adult Immunization:

Age group Vaccine Recommendation.

>10 years Diphtheria Recommended.

Tetanus Mandatory.

Hepatitis A Recommended.

Typhoid Optional.

Rabies Post exposure evaluation.

10-12 years Varicella Recommended.

10-15 years Rubella Recommended.

> 20 years OPV Recommended.

> 65 years Influenza Optional.

Streptococcus pneumoniae Recommended.

* -Assistant Professor of Medicine

Sri Ramachandra Medical College & Research Institute (Deemed University)

Further Reading

1. Kunin CM. Urinary tract infections in females. Clin Infect Dis 1994;18:1-12.

2. Stamm WE, Hooton TM. Management of urinary tract infections in adults. N Engl J Med 1993; 329:1328-34.

3. Fowler JE Jr., Pulaski ET. Excretory urography, cystography, and cystoscopy in the evaluation of women with urinary-tract infection: a prospective study.N Engl J Med 1981;304:462-5.

4. Johnson JR, Stamm WE. Urinary tract infections in women: diagnosis and treatment. Ann Intern Med 1989;111:90617.

5. Kass EH. Bacteriuria and the diagnosis of infections of the urinary tract. Arch Intern Med 1957;100:709-14.

6. Komaroff AL. Urinalysis and urine culture in women with dysuria. Ann Intern Med 1986;104:212-8.

7. Hooton TM, Stamm WE. Diagnosis and treatment of uncomplicated urinary tract infection. Infect Dis Clin North Am 1997;11:551-81.

8. Norrby SR. Short-term treatment of uncomplicated lower urinary tract infections in women. Rev Infect Dis 1990;12:458-67.

9. Hooton TM, Winter C, Tiu F, Stamm WE. Randomized comparative trial and cost analysis of 3-day antimicrobial regimens for treatment of acute cystitis in women. JAMA 1995;273:41-5.

10. Lipsky BA. Urinary tract infections in men: epidemiology, pathophysiology, diagnosis, and treatment. Ann Intern Med 1989;110:138-50.

11. Warren JW. Catheter-associated urinary tract infections. Infect Dis Clin North Am 1997;11:609-22.

12. Nicolle LE. Asymptomatic bacteriuria in the elderly. Infect Dis Clin North Am 1997;11:647-62.

13. Millar LK, Cox SM. Urinary tract infections complicating pregnancy. Infect Dis Clin North Am 1997;11:1326.

14. Patterson TF, Andriole VT. Detection, significance, and therapy of bacteriuria in pregnancy. Update in the managed care era. Infect Dis Clin North Am 1997;11:593-608.

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