Document 0076 DOCN M9550076 TI Routine vaccination in HIV-infected patients: a review. DT 9505 AU Borleffs JC; Schneider MM; Department of Internal Medicine, Utrecht University Hospital,; Netherlands. SO Neth J Med. 1994 Dec;45(6):244-9. Unique Identifier : AIDSLINE MED/95140114 AB This paper reviews the literature from 1988 to November 1993 on the effectiveness of routine vaccination of HIV-infected adults. Data on the clinical benefit of vaccination in this particular group of patients are not available. In general, HIV-infected patients have suboptimal immunological responses to vaccines. In particular, an impaired responsiveness is found in patients with fewer than 200 x 10(6) CD4+ cells per litre. Consequently, it seems prudent to offer active immunization to HIV-infected subjects who are relatively immunocompetent. However, the usefulness of vaccination in those subjects who have a low CD4+ cell count is doubtful. DE Human HIV Infections/BLOOD/IMMUNOLOGY/*THERAPY *Vaccination/ADVERSE EFFECTS/METHODS JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).