A patient is scheduled to receive an immunization. In which of the following patients may the administration of a live vaccine be contraindicated?
A) Patient with renal insufficiency
B) Patient with hepatic failure
C) Patient taking steroid therapy
D) Patient over the age of 65 years
C
Feedback:
Patients receiving a systemic corticosteroid in high doses (e.g., prednisone 20 mg or equivalent daily) or for longer than 2 weeks should wait at least 3 months before receiving a live-virus vaccine. No evidence supports withholding immunizations related to renal insufficiency or hepatic failure. Patients over the age of 65 should receive immunizations as needed to protect from infectious disease.
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