Childhood vaccinations Flashcards

1
Q

What vaccinations are given at 8 weeks?

A
  • Diptheria, tetanus, pertussis, polio, HiB + Hep B
  • Meningococcus B
  • Rotavirus
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2
Q

What vaccinations are given at 12 weeks?

A
  • Depitheria, tetanus, pertussis, polio, HiB + Hep B
  • Pneumococcal
  • Rotavirus
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3
Q

What vaccinations are given at 16 weeks?

A
  • Deptheria, tetanus, pertussis, polio, HiB + Hep B

- Meningococcus B

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4
Q

What vaccinations are given at 1 year

A
  • HiB + Meningococcus C
  • Pneumococcal
  • Measles, mumps + rubella
  • Meningococcus B
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5
Q

What vaccinations are given at 3 years 4 months?

A
  • Diptheria, tetanus, pertussis + polio

- Measles, mumps + rubella

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6
Q

What vaccinations are given during secondary school?

A

(12-13yrs) –> HPV 6, 11, 16 + 18

(14yrs) –> Tetanus, diphtheria + polio and Men ACWY

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7
Q

When are dipthetria, tetanus, pertussis, polio, HiB + Hep B vaccines given?

A
8 week
12 weeks
16 weeks
3yrs + 4 months (only Dip/Tet/Pol/Per)
14 years (only Dip/Tet/Pol)
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8
Q

When are meningococcal vaccines given?

A
8 weeks (MenB)
16 weeks (Men B)
1 year (MenB + MenC)
14 years (MEN ACWY)
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9
Q

When are MMR vaccines given?

A

1 year

3 years 4 months

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10
Q

When are rotavirus vaccines given?

A

8 weeks

12 weeks

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11
Q

What conditions qualify someone for the annual flu vaccine?

A
  • Asplenia (sickle cell disease, coeliacs, etc)
  • Chronic resp condition (asthma, chronic pulmonary disease + heart failure)
  • Neuro conditions (Parkinson’s, MND, LD, etc)
  • Diabetes
  • Chronic kidney disease
  • Chronic liver conditions
  • Immunosuppression
  • Complement disorders
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12
Q

What is the only difference between the 2019 and 2020 vaccine schedules?

A

2019: first pneumococcal vaccine given at 8 weeks
2020: first pneumococcal vaccine given at 12 weeks

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13
Q

Which vaccines are live?

A

Live vaccines on the shedule:

  • Live flu vaccines (can use attenuated forms)
  • Measles, mumps + rubella
  • Rotavirus

Live vaccines that are only for specific indications:

  • Shingles (old person one)
  • BCG
  • Oral typhoid
  • Varicella
  • Yellow fever
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14
Q

Who shouldn’t receive live vaccines?

A

Immunosuppression:

  • Leukaemia/lymphoma
  • HIV/AIDs
  • Myeloproliferative disorders
  • Immunodeficiency (SCID/Wiskott-Aldrich, DiGeorge syndrome, etc)
  • Received allogenic stem cells in past 24 months
  • Received autologous stem cell transplant in past 24 months
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15
Q

What modifications should be made to the schedule for premature babies?

A
  • They should be given the vaccines in the correct chronological order
  • If born very prematurely, they should be monitored for 24-48 hours post administration (if in hospital) in case of apnoea, bradycardia or desaturations
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16
Q

Which vaccines contain egg?

A
  • Live influenza
  • MMR
  • Rabies
  • Yellow fever
    [As it turns out, both the MMR and influenza vaccines are safe in egg-allergic individuals due to the miniscule about of eff in them]
17
Q

What are some contraindications for vaccination?

A
  • Previous anaphylaxis
  • Primary or Acquired immunodeficiency [LIVE VACCINES]
  • Immunosuppression therapy
  • Contact with individuals with immunodeficiency or current/recent immunosuppression

Temporary deferral

  • Acutely unwell (>38.5) = defer until well
  • Immunoglobulin therapy
18
Q

What are some side effects of vaccines (AEFI)?

A
Local = pain, swelling + redness at injection site
Systemic = fever, malaise, headache, irritability, myalgia, loss of appetite + vomitting
19
Q

Which vaccines are:

  • Live?
  • Inactivated?
  • Conjugate?
  • Recombinant?
A
Live = rotavirus, MMR, nasal flu + BCG
Inactivated = whole killed (polio) + toxoid vaccines (diptheria, tetanus + pertussis)
Conjugate = Hib, MenC, PCV + MenACWY
Recombinant = Hep B, HPV + Men B
20
Q

What are some reasons that children are not vaccinated?

A
  • Children of large families
  • Children with lone/single parents
  • Looked after children
  • Children in mobile families
  • Migrant/asylum seeking children
  • Children with disabling/chronic conditions
  • Children in ethnic minority groups
    AND
  • Vaccine refusal (NOT the most common though)