Screening* | Adult Immunizations† | Patients With Diabetes‡ |
---|---|---|
1. Cholesterol (≥20 years old in past 5 years) | 1. Tetanus-diphtheria§ (≥12 years old in past 10 years) | 1. Annual urine microalbumin |
2. HDL cholesterol (≥20 years old in past 5 years) | 2. Pneumovax (≥65 years old ever recorded) | 2. Hemoglobin A1c in past 6 months |
3. Mammogram (women ≥40 years old in past 2 years) | 3. Pneumovax‖ (18–64 years/ high risk ever recorded) | 3. Annual HDL |
4. Bone mineral density (women ≥65 years old) | 4. Influenza (≥50 years old in past year) | 4. Annual LDL |
5. Influenza¶ (18 to 49 years/high risk in past year) | 5. Annual triglycerides | |
6. Zoster (≥60 years old) |
↵* U.S. Preventive Service Task Force recommendation level of evidence A or B (recommended or strongly recommended, benefits outweigh harms).
↵† Centers for Disease Control and Prevention Advisory Committee on Immunization Practices guideline.
↵‡ Expert consensus or clinical experience. Also included in the AHRQ National Healthcare Quality Report and American Diabetes Association 2008 guidelines.
↵§ Tetanus-diphtheria vaccine includes those with an acellular pertussis component.
↵‖ Patients with diabetes, heart disease, congestive heart failure, chronic obstructive pulmonary disease, chronic renal disease, or alcohol abuse.
↵¶ Patients with diabetes, heart disease, congestive heart failure, asthma, chronic obstructive pulmonary disease, chronic renal disease, or alcohol abuse.
HDL, high-density lipoprotein; LDL, low-density lipoprotein.