Update on prevention and screening of cervical cancer

Table 2 Recommendations for human papillomavirus vaccination by the Advisory Committee on Immunization Practices

Population	Recommendation for HPV vaccination
Females 11-12 yr of age	Routine vaccination with 3 doses at 0, 1-2, and 6 mo of either HPV2 or HPV4. Can be initiated as early as age 9 and be given up to age 26
Females 13-26 yr of age	Catch up immunization with 3 doses at 0, 1-2, and 6 mo of either HPV2 or HPV4
Males age 11-12 yr	Routine vaccination with HPV4 with 3 doses at 0, 1-2, and 6 mo. Can be initiated as young as age 9 and be given up to age 26
Female or males with inadequate dose of HPV vaccine	Minimum time between 1st and 2nd vaccine doses is 1 mo. Minimum time between the 2nd and 3rd vaccine doses is 3 mo. Insufficient receipt of HPV vaccine due to shorter than the recommended dosing interval should be re-administered
Females or males with interrupted vaccine schedule	HPV vaccination does not need to be restarted. The 2nd dose should be administered as quick as possible if delayed after the 1st dose. The 2nd and 3rd dose should be separated by 3 mo. If just the 3rd dose is late, it should be given as soon as possible

HPV: Human papillomavirus vaccine; HPV2: Bivalent human papillomavirus vaccine (Cervarix); HPV4: Quadrivalent human papillomavirus vaccine (Gardasil).