Which of the following immunizations would the nurse expect to administer to a child who is HIV positive and severely immunocompromised?



•Tetanus is an inactivated vaccine and can safely be administered to patients who are immunocompromised from HIV.

•Patients who are immunocompromised due to HIV should avoid all "live" (attenuated) vaccines due to the risk of severe illness and death with the exception of MMR and varicella.

•MMR and varicella, although live viruses, are still recommended by the CDC because of the low incidence of complications in individuals with HIV.  MMR and varicella would not be administered to a patient during a period when they are severely immunocompromised.

•Examples of live virus vaccines that are contraindicated include oral typhoid, tuberculosis, yellow fever, and polio.

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