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Almost all individuals can be safely vaccinated with all vaccines. In very few individuals, vaccination is contraindicated or should be deferred. Where there is doubt, rather than withholding vaccine, advice should be sought from an appropriate consultant paediatrician or physician, the immunisation co-ordinator or consultant in health protection.
For specific information on:
Please refer to Contraindications and special considerations (The Green Book; Chapter 6) and Immunisation of individuals with underlying medical conditions (The Green Book; Chapter 7)
For information on hepatitis A and B vaccination in drug users in primary care please see section 14.1 Vaccines and antisera
For information on Vaccination of Individuals with Uncertain or Incomplete Immunisation Status, please refer to Public Health England's summary
MHRA Drug Safety Update (April 2016): Live attenuated vaccines: avoid use in those who are clinically immunosuppressed
Individuals who have absent or dysfunctioning spleens are at risk of overwhelming infections. Such individuals should receive certain vaccinations, be offered lifelong antibiotic prophylaxis and need to be aware of increased risk of zoonotic and travel associated infections.
Patients should receive the following vaccinations to help prevent infections to which they are particularly vulnerable:
For further information, see local hospital guidance, and Immunisation of individuals with underlying medical conditions (The Green Book; Chapter 7)