Vaccination Guide for
Immunosuppressed Patients with IBD

SHOULD TITRES BE CHECKED?

Considered immune if 2 documented doses of vaccine or positive serology­

BEFORE INITIATION OF IMMUNE SUPPRESSION

Contraindicated if plan to start therapy in < 4 weeks. Contraindicated in pregnancy.
When rapid protection is required, a minimum interval of 4 weeks between the 2 doses is acceptable.

WHAT TO DO IF ALREADY IMMUNOSUPPRESSED
(ON ANTI-TNF OR IMMUNOMODULATOR)

Contraindicated.