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Immunizations in AdultsQuestion 2/15

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A 32-year-old cisgender woman presents to clinic for routine follow-up after recently receiving a diagnosis of HIV. Her initial HIV RNA level was 46,300 copies/mL and CD4 count 315 cells/mm3. Serologic studies show a negative hepatitis A antibody titer. She was started on antiretroviral therapy about 3 months prior and an HIV RNA checked 4 weeks ago was less than 40 copies/mL.

Which one of the following best describes recommendation for hepatitis A vaccination in this individual?

Figure 1. Recommendations for Hepatitis A Vaccine in People with HIV Based on CD4 Cell Count and Risk of Acquiring Hepatitis A Virus
Source: Panel on Opportunistic Infections in Adults and Adolescents with HIV. Guidelines for the prevention and treatment of opportunistic infections in adults and adolescents with HIV: recommendations from the Centers for Disease Control and Prevention, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America. Immunizations for Preventable Diseases in Adults and Adolescents Living with HIV. Last updated: September 7, 2023.
Figure 2. Hepatitis A Vaccine Doses and Schedule for Adults
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Question Last Updated
September 30th, 2023

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