[Immunization in adults and post-exposure prophylaxis].

A general review of vaccines is presented. The available vaccines, their composition, route and dose recommendations and side effects are discussed. Underutilization of vaccines in the adult population is the rule. Vaccines of potential use in adults are presented. The susceptibility of adults to tetanus and the need for periodic booster immunization is stressed. A detailed discussion of the role of influenza, typhoid, pneumococcal and hepatitis B vaccination is included. Post exposure prophylaxis for vaccine preventable diseases and hepatitis A is reviewed. A different dose scheduled is recommended for vaccination against rabies with a locally manufactured product. A simplified recommendation for tetanus prophylaxis in the adult population is presented.