The Medical Letter on Drugs and Therapeutics
Vaccines for Travelers
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Patients planning to travel to other countries should be up to date on routine immunizations and, depending on their destination, duration of travel, and planned activities, may also need to receive certain travel-specific vaccines. Common travel vaccines are listed in Table 2. More detailed advice for travelers is available from the Centers for Disease Control and Prevention (CDC) at Guidelines for routine adult immunization are discussed in a separate issue.1

Immunocompromised or pregnant patients should generally not receive live vaccines, although the benefit might outweigh the risk in some situations.2 Injectable or intranasal live vaccines not administered simultaneously should be administered ≥4 weeks apart.


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