Quantcast

Subscribe to:
POZ magazine
E-newsletters
Join POZ: Facebook MySpace Twitter Pinterest
Tumblr Google+ Flickr MySpace
POZ Personals
Sign In / Join
Username:
Password:
Welcome, Guest. Please login or register.
September 23, 2014, 03:28:01 PM

Login with username, password and session length


Members
Stats
  • Total Posts: 639866
  • Total Topics: 48577
  • Online Today: 220
  • Online Ever: 585
  • (January 07, 2014, 02:31:47 PM)
Users Online

Welcome


Welcome to the POZ/AIDSmeds Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ/AIDSmeds community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: Question about vaccinations and HIV  (Read 2076 times)

0 Members and 1 Guest are viewing this topic.

Offline Gaguy2know

  • Member
  • Posts: 22
Question about vaccinations and HIV
« on: October 09, 2007, 12:43:23 AM »
I got accepted into Veterinarian Technology program at local Technical college.  They require a rabies vaccination along with tetanus vaccination.  i called the biologist and told her i was HIV+.  she said i didnt have anything to worry if i chose to take the vaccinations because they were "dead" vaccinations.  but i also called my health care provider and she said she didnt recommend me to get them.  well i did anyway since i wanted to get into this program.  well i took the vac cinations on friday and they made me sick with flu like symptoms till sunday.  I have to go back and get my second set of rabies vaccination on this coming friday.  will it make me sick again and is it harming my body each time i get sick?  it kind of worries me abit.
Veni Vidi Vici
Carpe Diem

Offline Matty the Damned

  • Member
  • Posts: 12,228
  • Ninja Please
Re: Question about vaccinations and HIV
« Reply #1 on: October 09, 2007, 03:31:25 AM »
Hey Doll,

I found the following at MedScape which discusses rabies vaccination and immuno-compromised people. It's aimed at travelers but the principles are the same:

Rabies Vaccination: Protecting Vulnerable Travelers
from Infections in Medicine ®

Immunosuppressed Travelers

Current statistics from the Joint United Nations Programme on HIV/ AIDS indicate that more than 95 million people worldwide are infected with HIV. With the advent of spe-cific drugs to control HIV replication and despite underlying health conditions, many HIV-infected persons choose to travel to foreign destinations. Therefore, it is important that physicians and HIV-infected patients understand current WHO-recommended rabies vaccination protocols for immunosuppressed patients.

The immune response to preexposure and postexposure vaccination regimens has been examined in populations of HIV-infected children and adults.[26,27] In one study, a 5-dose simulated postexposure vaccination schedule was evaluated in 3 groups of adults: uninfected controls, asymptomatic HIV-infected patients, and symptomatic HIV-infected patients.[26] Evaluation of serum from blood drawn on day 37 after primary vaccination indicated that 100%, 76%, and 57% of the control, asymptomatic, and symptomatic patients, respectively, had a measurable RVNA titer of at least 0.5 IU/mL. RVNA was not measurable in more than 40% of the symptomatic patients with CD4 counts below 400/µL despite their having received 5 intramuscular doses of a highly potent cell culture rabies vaccine.

Similar results were reported in a second study, wherein HIV-infected children were vaccinated with a 3-dose preexposure series.[27] In this study, children who had only 15% of the normal number of CD4 cells did not develop any measurable RVNA after vaccination.

The results of these clinical trials indicate that HIV-infected patients with low CD4 cell counts may not be able to mount an adequate immune response after a preexposure or postexposure vaccination regimen. With the potential for a reduced active immune response in immunosuppressed patients, immediate wound treatment and passive immunization with RIG following possible rabies exposure are critical. All patients with transdermal wounds should have prompt wound care, including proper cleaning and copious irrigation of the wound with soap and water and, if possible, application of disinfectant. In addition, the WHO has extended the recommended administration of RIG in immunosuppressed patients to include category II exposures as well as category III exposures.[3] (In the United States, according to the recommendations of the ACIP, all immunosuppressed patients should receive RIG as part of their postexposure prophylaxis.[9]) As much of the RIG as anatomically feasible should be administered into and around the wound(s).

Preexposure vaccination may be indicated in immunosuppressed patients before they travel to countries where canine rabies is endemic. This is especially true if there is a chance that the health condition of the patient may deteriorate during travel. Patients suffering from other immunosuppressed conditions, including those taking immunosuppressive drugs to prevent organ rejection, might be expected to have lower antibody levels after vaccination and should consider having serologic testing after vaccination to monitor vaccination response.

Section 5 of 6


I would provide the direct link, but it fails requiring a login when I post it -- hence the cut and paste.

My reading is that far from being dangerous (ie you won't become rabid), rabies vaccine may not always provide effective immunity when normal dosages are used in poz people. You should flag this matter with the biologist at your local Tech college.

The flu like symptoms you report are not uncommon in people receiving vaccines. Whilst unpleasant they are usually harmless. It's your immune system reacting to the rabies antigens. If your symptoms get worse after the next dose seek medical attention without delay.

MtD
« Last Edit: October 09, 2007, 03:36:20 AM by matty.the.damned »

Offline Gaguy2know

  • Member
  • Posts: 22
Re: Question about vaccinations and HIV
« Reply #2 on: October 10, 2007, 10:28:58 PM »
thanks so much for taking the time to look up such a responsive answer. i appreciate that.

eric
Veni Vidi Vici
Carpe Diem

Offline milker

  • Member
  • Posts: 4,034
  • Protected phone sex
Re: Question about vaccinations and HIV
« Reply #3 on: October 10, 2007, 10:44:41 PM »
Congrats for your new position ! :)

Milker.
mid-dec: stupid ass
mid-jan: seroconversion
mid-feb: poz
mar 07: cd4 432 (35%) vl 54000
may 07: cd4 399 (28%) vl 27760
jul 07: cd4 403 (26%) vl 99241
oct 07: cd4 353 (24%) vl 29993
jan 08: cd4 332 (26%) vl 33308
mar 08: cd4 392 (23%) vl 75548
jun 08: cd4 325 (27%) vl 45880
oct 08: cd4 197 (20%) vl 154000 <== aids diagnosis
nov 2 08 start Atripla
nov 30 08: cd4 478 (23%) vl 1880 !!!!!!!!!!!!!!!!!!!!!!!!!!
feb 19 09: cd4 398 (24%) vl 430 getting there!
apr 23 09: cd4 604 (29%) vl 50 woohoo :D :D
jul 30 09: cd4 512 (29%) vl undetectable :D :D
may 27 10: cd4 655 (32%) vl undetectable :D :D

Now accepting applications from blowjob ninjas™

Offline Cerrid

  • Member
  • Posts: 499
  • only as good as your last haircut
Re: Question about vaccinations and HIV
« Reply #4 on: October 14, 2007, 05:53:11 AM »

Current statistics from the Joint United Nations Programme on HIV/ AIDS indicate that more than 95 million people worldwide are infected with HIV.


That's a wee bit more than the official numbers of 39,5 million infected people as of end 2006. Is this a typo or am I missing something?
"Boredom is always counterrevolutionary. Always." (Guy Debord)

Offline Matty the Damned

  • Member
  • Posts: 12,228
  • Ninja Please
Re: Question about vaccinations and HIV
« Reply #5 on: October 14, 2007, 09:09:55 AM »
Typo, something else, who knows?

MtD

 


Terms of Membership for these forums
 

© 2014 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.