Adult post-transplant immunisation protocol – years 1-3
This protocol provides a comprehensive immunisation schedule for adults in the first three years following a stem cell or bone marrow transplant. It outlines the timing and types of vaccines recommended, including PCV13, MenB, DTaP/IPV/Hib/HepB, and MenACWY. The document also specifies criteria for administering live attenuated vaccines, such as MMR and shingles vaccines, and emphasises the importance of consulting with the transplant team before administration. Additionally, it includes guidance on deferring immunisations if the patient is receiving high-dose steroids and provides recommendations for annual influenza and COVID-19 vaccinations.