SHOULD TITRES BE CHECKED?
Considered immune if the following:
Serology testing can be considered if patients do not meet above criteria.
- History of varicella of herpes zoster diagnosed by health care provider
- Received 2 doses of varicella-containing vaccine
- Born before 1970
Serology testing can be considered if patients do not meet above criteria.
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.