How do I install the Es Cushing Age Appropriate Vaccinations skill?

Run npx skillmds@latest add dromlakhani/es-cushing-age-appropriate-vaccinations in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

Is Es Cushing Age Appropriate Vaccinations safe to use?

This skill has not completed SkillMD's automated safety review yet. Independent scanners report: SkillSpector: PASS, Skill Scanner: PASS. Capability flags: makes network calls. SkillMD never runs a skill's scripts for you; review the SKILL.md before installing.

Which AI agents work with Es Cushing Age Appropriate Vaccinations?

This skill is tagged as working with Claude Code, Claude.ai, OpenAI Codex. SKILL.md is an open format, so most agents that read a skills directory can load it too.

Is Es Cushing Age Appropriate Vaccinations free to use?

Yes. Installing skills from SkillMD is free, and the skill stays under its author's original license.

Who published Es Cushing Age Appropriate Vaccinations?

dromlakhani (@dromlakhani) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Es Cushing Age Appropriate Vaccinations by dromlakhani

Name: Es Cushing Age Appropriate Vaccinations
Rating: 4.2 (5 reviews)
Author: dromlakhani

Es Cushing Age Appropriate Vaccinations

This skill recommends discussing and offering age-appropriate vaccinations (influenza, herpes zoster, pneumococcal) to patients with Cushing’s syndrome due to increased infection risk. Use when reviewing preventive care for a CS patient; triggers include discussing preventive care, vaccination status, or infection risk in a CS patient.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Age-Appropriate Vaccinations for Cushing's Syndrome Patients

STEP 1 — Gather Information

Confirm diagnosis of Cushing’s syndrome; review current vaccination status and age; note contraindications (e.g., severe immunocompromise for live vaccines). → Proceed to assess vaccine needs.

STEP 2 — Rule In / Rule Out

Is Cushing’s syndrome confirmed? If no, stop; if yes, proceed to age‑based vaccine stratification.

STEP 3 — Classify or Stratify

Age‑based recommendations:

Influenza: inactivated vaccine annually for all ages.
Herpes zoster: recombinant subunit vaccine (Shingrix) for age ≥50 years.
Pneumococcal: PCV20 alone, or PCV15 followed by PPSV23 per CDC schedule for age ≥19 years with immunocompromising condition (including CS).

STEP 4 — Decide

Offer and administer indicated vaccines; document administration; schedule next influenza dose and recall for series completion if needed.

Clinical Guardrails / Mimics / Pitfalls

Do not delay vaccination due to active hypercortisolism; avoid live attenuated influenza vaccine (LAIV) in severely immunocompromised patients; herpes zoster and pneumococcal vaccines are inactivated/recombinant and safe. Vaccination does not replace infection prophylaxis or treatment.

Concrete Clinical Example

A 58‑year‑old woman with active adrenal adenoma‑related Cushing’s syndrome presents for routine follow‑up. She lacks this season’s influenza vaccine and has never received herpes zoster or pneumococcal vaccines. Clinician confirms CS, notes age ≥50, offers inactivated influenza vaccine, recombinant herpes zoster vaccine (Shingrix), and pneumococcal PCV20. Documents and schedules annual flu recall.

Source: Treatment of Cushing’s Syndrome: An Endocrine Society Clinical Practice Guideline, Nieman et al., Endocrine Society, 2015, https://doi.org/10.1210/jc.2015-1818

---name: es-cushing-age-appropriate-vaccinationsdescription: This skill recommends discussing and offering age-appropriate vaccinations (influenza, herpes zoster, pneumococcal) to patients with Cushing’s syndrome due to increased infection risk. Use when reviewing preventive care for a CS patient; triggers include discussing preventive care, vaccination status, or infection risk in a CS patient.---# Age-Appropriate Vaccinations for Cushing's Syndrome Patients## STEP 1 — Gather InformationConfirm diagnosis of Cushing’s syndrome; review current vaccination status and age; note contraindications (e.g., severe immunocompromise for live vaccines). → Proceed to assess vaccine needs.## STEP 2 — Rule In / Rule OutIs Cushing’s syndrome confirmed? If no, stop; if yes, proceed to age‑based vaccine stratification.## STEP 3 — Classify or StratifyAge‑based recommendations: - Influenza: inactivated vaccine annually for all ages. - Herpes zoster: recombinant subunit vaccine (Shingrix) for age ≥50 years. - Pneumococcal: PCV20 alone, or PCV15 followed by PPSV23 per CDC schedule for age ≥19 years with immunocompromising condition (including CS). ## STEP 4 — DecideOffer and administer indicated vaccines; document administration; schedule next influenza dose and recall for series completion if needed.## Clinical Guardrails / Mimics / PitfallsDo not delay vaccination due to active hypercortisolism; avoid live attenuated influenza vaccine (LAIV) in severely immunocompromised patients; herpes zoster and pneumococcal vaccines are inactivated/recombinant and safe. Vaccination does not replace infection prophylaxis or treatment.## Concrete Clinical ExampleA 58‑year‑old woman with active adrenal adenoma‑related Cushing’s syndrome presents for routine follow‑up. She lacks this season’s influenza vaccine and has never received herpes zoster or pneumococcal vaccines. Clinician confirms CS, notes age ≥50, offers inactivated influenza vaccine, recombinant herpes zoster vaccine (Shingrix), and pneumococcal PCV20. Documents and schedules annual flu recall.**Source:** Treatment of Cushing’s Syndrome: An Endocrine Society Clinical Practice Guideline, Nieman et al., Endocrine Society, 2015, https://doi.org/10.1210/jc.2015-1818

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