BUMEDINST 6230.15 Flashcards
Immunizations and Chemoprohylaxis
What is the instruction number for
Immunizations and Chemoprohylaxis
BUMEDINST 6230.15
A “Proponent” is someone with the authority to approve exceptions and waviers to a regulation or instruction. Who is the proponent for BUMEDINST 6230.15A, Immunizations and Chemoprophylaxis?
The Surgeon General
What Chapter of BUMEDINST 6230.15A covers Chemoprophylaxis?
Chapter 5
True or False: It is required that a trained physician be present during the administration of vaccines.
False
Individuals administering immunizations need to be properly trained in accordance with what four guideline authorities?
Department of Defense (DOD), Service, United States Coast Guard (USCG), and Centers for Disease Control Prevention (CDC)
Immunizing agents will not be used beyond the manufacturer’s potency expiration date, unless WHO authorizes extension in exceptional circumstances?
The appropriate Surgeon General or CG–11, USCG
Explain why immunizations given at intervals shorter than the recommended interval should not be counted as part of a primary series.
Because it may not provide adequate immune response
Not more than 5 vaccine injections will be given on the same day. For what reason is this true?
To minimize injections site discomfort
Generally speaking, at what interval are inactivated vaccines administered
One week apart
Generally speaking, at what interval are live-virus immunizations administered
4 or more weeks apart
when prioritizing immunizations for military training centers what is typically the most imminent threat?
Contagious Diseases
prioritizing immunizations, which microbes would you consider most likely to be encountered. (Name the 3 microbes)
Typhoid, Hepatitis A, Influenza
When prioritizing immunizations, which microbes would you say had the greatest severity if encountered. (Name the 6 microbes)
Anthrax, Smallpox, Meningococcal, Yellow Fever, Japanese Encephalitis, & Rabies
When prioritizing immunizations, which microbes would you consider to be a long standing risk if encountered. (Name the 5 microbes)
Hepatitis B, Tetanus–Diphtheria–Pertussis, Poliovirus, Varicella, Measles-Mumps–Rubella (MMR)
For some vaccine–preventable diseases, which test can be used to show that a person is already immune from a previous infection or immunization, which may eliminate administering unnecessary immunizations.
Serologic Tests
Immunizing and chemoprophylaxis agents are stored, shipped, and handled in accordance with the______.
Pharmaceutical Manufacturers’ Instructions
pregnant women smallpox vaccines require a specific pre–immunization screening that assesses the date of the last menstrual period. Women are recommended to take a pregnancy test if their last menstrual period is beyond how many days?
28 days
What immunization is required for all Marine Corps personnel and for all Navy personnel assigned to Marine operating forces?
Yellow Fever Immunization
Health Record- Immunization Record
SF 601
What is the name of the SF 601
Health Record- Immunization Record
Which health record do you record hypersensitivity to vaccines, or vaccine components?
SF 600 (Health Record-Chronological Record of Medical Care)
Anthrax is administered in what intervals
0,2 week,4 week, 6 month, 12 months, 18 months.
Rabies
5 doses, 0,3,7,14,28 days
Tetanus shots are given
Every 10 years
For Navy, administer to all personnel assigned to Marine Operating Forces and those assigned to Navy units subject to deployment within 10 days of notification into land areas where yellow fever is endemic.
Other personnel. Administer yellow fever vaccine to personnel traveling to or transiting through yellow–fever–en- demic areas.
Adults and adolescents require 2 doses of varicella vaccine given 4 to 8 weeks apart.
Basic trainees and other accessions. Administer varicella vaccine to susceptible trainees and other accessions within the first 2 weeks of training
d. Other susceptible adults. Offer varicella vaccine to other susceptible persons, especially nonpregnant women of childbearing age and men living in households with young children.
Military indication. To prevent typhoid fever, a systemic bacterial disease acquired by consuming food or water contaminated with Salmonella typhi, during deployment or travel to typhoid–endemic areas and other areas with poor sanitation.
Chapter 2 is Program Elements and Clinical Considerations
Chapter 3 is Personnel Subject to Immunization
Chapter 4 is Specific Immunization Requirements for Department of Defense and Coast Guard Personnel
Chapter 6 is Biological Warfare Defense
8-3. Refusal options
The FDA may decide that potential recipients of a drug under an EUA should have the option to refuse it. The President may waive this option for military personnel.
The combatant commanders, annually and as required, provide the Chairman of the Joint Chiefs of Staff with
their assessment of the biological warfare threats to their theater.
5–10. Traveler’s diarrhea
a. Military indication. Diarrhea can have a significant impact on military operations when deploying to various locations around the world. Strict food and water discipline is the preferred means of prevention. However, for people going to high–risk areas where food and water discipline is unreasonable or impossible, consider chemoprophylaxis.
b. Chemoprophylaxis. Consider ciprofloxacin or other quinolones. An alternative to chemoprophylaxis is to pre- scribe medication for very early treatment, withholding administration of the first dose until the onset of diarrhea.
5–2. Anthrax
a. Military indication. Antibiotics have been shown to increase survival when used after exposure to anthrax and before onset of symptoms (that is, postexposure prophylaxis or empiric treatment). The combatant commander will direct such use.
b. Chemoprophylaxis. Consider doxycycline or ciprofloxacin. For children, consider amoxicillin suspension. Adapt according to current authoritative recommendations.
5–7. Meningococcal disease
a. Military indication. Meningococcal disease can result in morbidity and potential mortality in populations with crowded conditions. Chemoprophylaxis has been shown to prevent disease when administered postexposure to suscep- tible people.
b. Chemoprophylaxis. For intimate or household contacts of meningococcal disease cases, consider rifampin, ceftriaxone, ciprofloxacin, or sulfadiazine.
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