The Reply to Vaccination in the Adult Patient Infected With HIV: A Review of Vaccine Efficacy and Immunogenicity

We appreciate the commentary from Michaud et al, particularly for pointing out the French vaccine guidelines’ recommendations for measles-mumps-rubella, diphtheria-tetanus-pertussis, pneumococcal, influenza, and hepatitis A vaccines. In our article,1 we primarily relied on the recommendations by the Advisory Committee on Immunization Practices (ACIP)2 and the Infectious Diseases Society of America (IDSA) guidelines,3 which are mostly in agreement with the French guidelines. We agree with Michaud et al that strengthening the patient-doctor relationship and emphasizing the importance of physicians offering vaccines are important public health goals, even if the outcome is incomplete immunization at times because any level of protection is definitely better than no protection.