Table 8 Concordance between herpes zoster immunisation recommendations from US ACIP and Asia-Pacific countries
From: Looking back to move forward: a twenty-year audit of herpes zoster in Asia-Pacific
Indications and administration | • Routine immunisation with one dose of HZ vaccine for all persons age ≥60: – With or without prior HZ – With chronic medical conditions (eg, chronic kidney disease, diabetes, rheumatoid arthritis, lung disease), except those listed as contraindications or precautions • HZ vaccine can be co-administered with other indicated adult vaccines, eg, influenza |
Unlicensed categories/ purposes | • Persons immunised with varicella zoster vaccine • Persons younger than the minimum recommended or optional age threshold • HZ vaccine is not to be used to treat existing HZ or its complications |
Precautions | • Moderate/severe acute illness • Anticipated immunosuppression • Anti-herpetic pharmacotherapy |
Contraindications | • Hypersensitivity to vaccine components • Morbid or medical immunosuppression or immunodeficiency: – HIV/AIDS – Transplant recipients – Systemic immunosuppressive therapy (including high-dose steroids and recombinant immune modulators • Pregnancy |