Abstract

Introduction:   Every year thousands of adults die from vaccine preventable disease worldwide. Nevertheless, the vaccine application rates maintain in relative low levels for multiple reason, including high costs of the implementation of vaccination programs.

Objectives:   Discuss national and international existing immunization schemes for adult persons, including high risk populations for the acquisition of immune preventable infections and resume this knowledge in vaccination schemes for adults in general and high risk population

Methods:   A nonsystematic revision of medical and scientific literature related to adult vaccination topics from the years 2000 to 2017 was performed. As well, a comparison between actual vaccination schemes from American and European countries has been realized.

Conclusion:   Vaccination recommendations are based in multiple factors like age, individual medical history, lifestyle, formerly applied vaccinations, local epidemiologic criteria end traveling activity. The application of adequate vaccination scheme for both, adults in general and an adaptation for persons with elevated risk factors, represents a crucial element for effective health system. Therefore, the adequate assessing and information provided by medical personnel represents a key factor in successful vaccination and disease prevention.

Keywords: vaccine; cellular immunity; immunodeficiency; immunogenicity; immune suppression