1.1 Vaccinations

Question 1

Tetanus vaccine/booster, IVIG

1. how often booster?
2. 4 wound scenarios

Answer 1

• q10 years Booster
• clean wound, unknown status: vaccine.
• dirty wound, unknown status: IVIG + vaccine
• dirty wound and booster >5y ago: Vaccine
• Any wound, booster <5y: Observe

Question 2

contraindications to ANY vaccine (2)

Answer 2

1. Pt is very sick (fever >104)

2. prior anaphylaxis from previous dose

Question 3

Flu vaccine: live vs recombinant

Who doesn’t get live vaccine?

Answer 3

• Egg allergy

- Immunocompromised CAN receive it (even though live attenuated virus)

Question 4

Pneumovax vaccine

-who gets it, when

Answer 4

Once, age 65. basically everyone (but mainly disease–heart, lung, kidney, liver, DM etc)

Question 5

Zostavax

-who gets it, when

Answer 5

Once, age 60.

everyone

Question 6

Hep A/B vaccine

–who gets it, when

Answer 6

3 dose, children

• Day 1: A/B
• Month 1: B
• Month 6: A/B

Question 7

Meningococcus vaccine

-who gets it, when

Answer 7

Once, Age 11

-if did not get as kid, give to: College, Military, Hajj to Mecca

Question 8

HPV vaccine

-who gets it, when

Answer 8

-Pre-teens, before sexually active. (so 11-12).
-recommended for women through 26, men through 21
3 doses over 6 mo.

Question 9

MMR vaccine

• who gets it, when
• contraindications?

Answer 9

• all children

- live, so immunosuppresed contraindication

Question 10

HiB vaccine

• who gets it, when
• contraindications?
• does not protect from what HiB disease

Answer 10

• all children
• no contraindications
• protect from epiglottitis and meningitis, but not HiB PNA