Preventive health measures in inflammatory bowel disease

Table 3 Vaccinations in inflammatory bowel disease summary (quick reference)

Vaccine	How often	Live Vaccine	Patients on Immunosuppressive therapy
Influenza (Flu vaccine)	1 dose every year	Nasal spray	Use flu shot only
Varicella(Chicken pox)	If no documented immunity: 2 doses, 4-8 wk apart	Yes	Contraindicated
Measles, mumps	If no documented immunity: 2 doses, 4 wk apart	Yes	Contraindicated
Rubella (MMR)
Zoster (Shingles)	1 dose starting at 60 yr or older	Yes	Contraindicated
Tetanus, diphtheria, acellular pertussis (Td/Tdap)	If no prior vaccination: 3 doses (0, 1, 6-12). Then 1 dose of Tdap followed by a booster of Td every 10 yr	No	Follow recommended regimen
Human papilloma virus	Female: 3 doses through age 26 (0, 2 and 6 mo)	No	Follow recommended regimen
	Male: 3 doses through age 21 (0, 2 and 6 mo)
Pneumococcal (pneumonia vaccine) for subset of patients	If no prior vaccination: (0, 2 then 5 yr) 1 dose at 65 if had prior vaccination: 1 dose 5 yr after the last dose and 1 dose at age 65	No	Follow recommended regimen
Meningococcal (meningitis vaccine) for subset of patients	2 doses, 2 mo apart	No	Follow recommended regimen
Hepatitis A	2 doses, 6 mo apart	No	Follow recommended regimen
Hepatitis B	3 doses (0, 1 and 6 mo)	No	Follow recommended regimen

Centers for Disease Control and Prevention recommended vaccines for adults 2014, modified for inflammatory bowel disease patients.