J Korean Med Assoc.  2020 Feb;63(2):128-134. 10.5124/jkma.2020.63.2.128.

Updates of adult immunization in Korea

• Shin HY
• Yoo BW

• KMID: 2470068
• DOI: http://doi.org/10.5124/jkma.2020.63.2.128

Abstract

An increase in the number of patients with infectious diseases in Korea, can be attributed to various factors, such as the prevalence of new infectious diseases of the 21st century, the re-emergence of past infectious diseases, an increase in the number of elderly individuals, patients with chronic diseases, immune deficiency, and globalization. In this context, vaccination becomes vital for the adult population. Although, the guidelines for adult immunization are currently being updated, the rate of adult vaccination remains lower than that of infant vaccination. At present, the major challenges for increasing the rate of adult immunization include negative views on the need for some immunizations and a lack of understanding of group immunity among the youth. Consequently, a successful immunization program will be required to direct efforts towards educating patients and spreading awareness. Based on the current guidelines and practical applications, varicella zoster; Japanese encephalitis; tetanus, diphtheria, and pertussis; pneumococcus; measles, mumps, and rubella; and hepatitis A vaccines could effectively be considered for adult vaccination.

Keyword

Adult herpes zoster; Immunization; Pneumococcal vaccines; Vaccination

MeSH Terms

Adolescent
Adult*
Aged
Chickenpox
Chronic Disease
Communicable Diseases
Diphtheria
Encephalitis, Japanese
Hepatitis A Vaccines
Herpes Zoster
Humans
Immunization Programs
Immunization*
Infant
Internationality
Korea*
Measles
Mumps
Pneumococcal Vaccines
Prevalence
Rubella
Streptococcus pneumoniae
Tetanus
Vaccination
Whooping Cough
Hepatitis A Vaccines
Pneumococcal Vaccines

Figure

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  Figure 1 Trends in annual incidence rates of legal infective diseases. CRE, carbapenem-resistant Enterobacteriaceae (Reproduced from Korea Centers for Disease Control and Prevention. Infectious disease surveillance yearbook 2018 [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2019) [2].

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  Figure 2 Trends in domestic pertussis incidence (2001-2018) (Reproduced from Korea Centers for Disease Control and Prevention. Infectious disease surveillance yearbook 2018 [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2019) [2].

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  Figure 3 Recommendation of adult pneumococcal vaccination. PCV13, 13-valent pneumococcal conjugate vaccine; PPSV23, 23-valent pneumococcal polysaccharide vaccine (Reproduced from Choi WS et al. Infect Chemother 2015;47:68-79, according to the Creative Commons license) [23].

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