Which vaccine is NOT recommended for patients with HIV?

Patients with HIV are generally recommended to receive most vaccines to help prevent infections, especially since their immune systems may be compromised. However, the measles, mumps, and rubella (MMR) vaccine is a live attenuated vaccine, which means it contains a weakened form of the virus.

For individuals with HIV, particularly those with moderate to severe immunosuppression, live vaccines can pose a risk due to the potential for causing disease. In contrast, non-live vaccines, such as the pneumococcal vaccine, hepatitis A vaccine, and flu vaccine, are safe and recommended for HIV patients, as they do not contain live pathogens and are effective in preventing disease without posing a risk to those with weakened immune systems.

Thus, the MMR vaccine is not recommended for patients with HIV, particularly if they are significantly immunocompromised. This aligns with current vaccination guidelines for individuals living with HIV.