A 52-year-old man is seen in a gastroenterology clinic. He was recently diagnosed with moderate to severe ulcerative colitis and has not responded to mesalamine PO. Infliximab and azathioprine are planned to start in 4 weeks. He is otherwise well, takes no other medications, and has no allergies. His childhood immunizations are complete, he received Tdap 6 years ago, and he has not received influenza, pneumococcal, or hepatitis B vaccine. Screening shows varicella-zoster virus IgG positive, HBsAg negative, anti-HBc negative, anti-HBs less than 10 IU/L (10 or more is protective), and HIV negative.
| Heart rate | 72/min |
| Respiratory rate | 14/min |
| Temperature | 36.8 °C |
| O2 saturation | 98%, room air |
| Blood pressure | 124/78 mm Hg |
Question 1 of 30
Which of the following vaccines should be given before immunosuppressive therapy is started?
Select 3. (0 / 3 selected)
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