A 12 month old child who is HIV positive is due for his measles, mumps, and rubella (MMR) vaccine. His CD4 count is more than 200 cells/mL. What is the SINGLE most appropriate action?
A. Defer immunization for 2 weeks
B. Advise not to have MMR vaccine
C. Administer half dose of MMR vaccine
D. Administer paracetamol with MMR vaccine
E. Proceed with administration of MMR vaccination
Even though measles, mumps, and rubella (MMR) vaccine contains live attenuated viruses, it is sometimes recommended for people with HIV/AIDS. It is contraindicated if the patient is severely immunocompromised including a HIV-infected patient with CD4 counts less than 200 cells/mL.