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Vaccine Update
Quadrivalent human papillomavirus vaccine: Updated recommendations for males
Chelsie B. Heesch; Mary S. Hayney, PharmD, MPH, FCCP, BCPS
J Am Pharm Assoc. 2012;52:289-290. doi:10.1331/JAPhA.2012.12511

Extract

Human papillomavirus (HPV) causes 6.2 million infections in the United States each year, making it the most common sexually transmitted infection. Persistent infection with HPV can lead to genital warts and cancers of the cervix, penis, anus, vagina, and vulva. Approximately 7,000 HPV type 16– and 18–associated cancers occur in males each year, including anal, oropharyngeal, and penile cancers.+1 In addition, an estimated 250,000 cases of genital warts caused by HPV types 6 and 11 occur in males per year in the United States. The quadrivalent HPV vaccine (HPV4; Gardasil—Merck & Co., Inc.) is highly effective in preventing genital warts in males and has recently demonstrated efficacy in the preventing grade 2 or 3 anal intraepithelial neoplasia (AIN2/3), which are precursors of anal cancer.+2 Until recently, vaccination efforts for HPV have focused on routine immunization of females, although the incidence of HPV infection is similar for males and females.+2 Routine immunization of males will result in fewer HPV infections and related cancers. This article provides a summary of the current literature supporting the use of HPV4 in males and recommendations regarding the use of HPV vaccines in general.

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References

Centers for Disease Control and Prevention.  Recommendations on the use of quadrivalent human papillomavirus vaccine in males: Advisory Committee on Immunization Practices (ACIP), 2011.  MMWR Morb Mortal Wkly Rep. 2011;60:1705–8.[PubMed]
 
Giuliano AR, Palefsky JM, Goldstone S, et al. Efficacy of quadrivalent HPV vaccine against HPV infection and disease in males.  N Engl J Med. 2011;364:401–11.[PubMed][CrossRef]
 
Centers for Disease Control and Prevention. Quadrivalent human papillomavirus vaccine: recommendations of the Advisory Committee on Immunization Practices.  MMWR Morb Mortal Wkly Rep. 2007;56:1–23.[PubMed]
 
Centers for Disease Control and Prevention.  FDA licensure of bivalent human papillomavirus vaccine (HPV2, Cervarix) for use in females and updated HPV vaccination recommendations from the Advisory Committee on Immunization Practices (ACIP).  MMWR Morb Mortal Wkly Rep. 2010;59:626–9.[PubMed]
 
Centers for Disease Control and Prevention.  FDA licensure of quadrivalent human papillomavirus vaccine (HPV4, Gardasil) for use in males and guidance from the Advisory Committee on Immunization Practices (ACIP).  MMWR Morb Mortal Wkly Rep. 2010;59:630–2.[PubMed]
 
Palefsky JM, Giuliano AR, Goldstone S, et al. HPV vaccine against anal HPV infection and anal intraepithelial neoplasia.  N Engl J Med. 2011;365:1576–85.[PubMed][CrossRef]
 
Winer RL, Hughes JP, Feng Q, et al. Condom use and the risk of genital human papillomavirus infection in young women.  N Engl J Med. 2006;354:2645–54.[PubMed][CrossRef]
 
Chandra A, Mosher WD, Copen C, Sionean C.  Sexual behavior, sexual attraction, and sexual identity in the United States: data from the 2006–2008 National Survey of Family Growth. Accessed at www.cdc.gov/nchs/nsfg/new_nsfg.htm, February 5,  2012.
 
Centers for Disease Control and Prevention.  Youth risk behavior surveillance: United States, 2009.  MMWR Morb Mortal Wkly Rep. 2010;59:1–142.[PubMed]
 
Centers for Disease Control and Prevention.  National, state, and local area vaccination coverage among adolescents aged 13-17 years: United States, 2009.  MMWR Morb Mortal Wkly Rep. 2010;59:1018–23.[PubMed]
 
Centers for Disease Control and Prevention.  Improving influenza and pneumococcal polysaccharide, and hepatitis B vaccination coverage among adults aged <65 years at high risk: a report on recommendations of the Task Force on Community Preventative Services.  MMWR Morb Mortal Wkly Rep. 2005;54:1–11.[PubMed]
 
Clark SJ, Butchart A, Kennedy A, Dombkowski KJ.  Parents' experiences with and preferences for immunization reminder/recall technologies.  Pediatrics.  2011;128:e1100–5.[PubMed][CrossRef]
 
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