Vaccine-Preventable Diseases in Older Adults

Infect Dis Clin North Am. 2023 Mar;37(1):103-121. doi: 10.1016/j.idc.2022.11.005.

Abstract

Older adults are at an increased risk of vaccine-preventable diseases partly because of physiologic changes in the immune and other body systems related to age and/or accumulating comorbidities that increase the vulnerability to infections and decrease the response to vaccines. Strategies to improve the response to vaccines include using a higher antigenic dose (such as in the high-dose inactivated influenza vaccines) as well as adding adjuvants (such as MF59 in the adjuvanted inactivated influenza vaccine).

Keywords: Herpes zoster; Immunization schedule; Influenza; Older adults; Streptococcus pneumoniae.

Publication types

  • Review

MeSH terms

  • Adjuvants, Immunologic / adverse effects
  • Aged
  • Humans
  • Influenza Vaccines* / adverse effects
  • Influenza, Human* / epidemiology
  • Influenza, Human* / prevention & control
  • Polysorbates / adverse effects
  • Squalene / adverse effects
  • Vaccine-Preventable Diseases*
  • Vaccines, Inactivated / adverse effects

Substances

  • Adjuvants, Immunologic
  • Influenza Vaccines
  • Polysorbates
  • Squalene
  • Vaccines, Inactivated