Covid + Special Populations Flashcards

1
Q

Covid is caused by…

A

Viral infection

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2
Q

Covid is transmitted via…

A

Respiratory droplets

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3
Q

Signs + symptoms of covid include…

A

Mild - sore throat, cough, headache, etc.

Severe - require oxygen, hospitalization

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4
Q

The Covid vaccines are…

Type??

A

mRNA, inactivated, monovalent vaccines

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5
Q

Anyone can receive Covid vaccine, but it is recommended in these populations…

A

Anyone 65+
Residents of LTC’s
Underlying medical conditions that increase risk of severe infection

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6
Q

Individuals should wait ____ after Covid infection, before receiving Covid vaccine

A

3-6 months

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7
Q

Canadian guidelines suggest that Covid vaccination may offer additional protection against…

A

Post-COVID condition: symptoms persisting for 12+ weeks following acute covid infection

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8
Q

New formulations/updates of covid vaccine is good, because…

A

Vaccine is inactivated
Higher antibody titres against most active strains

Hyrbid immunity of infection + vaccination is better than either alone

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9
Q

For adults who did NOT receive chilldhood immunizations, we should…

A

Administer routine immunizations in same manner (may need different formulation), that are appropriate for adults (ex: no HIB)

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10
Q

If a patient has unknown/uncertain immunization status, we should…

A

Attempt to obtain individual’s immunization records
Immunity may be determine by documented serological confirmation, but not routinely recommended

If 18+ born/spent childhood in Canada with no documentation, assume patient is unimmunized and offer immunizations without concern about prior receipt

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11
Q

Recall that for immunocompromised individuals, these vaccines should be avoided…

A

Live, attenuated

MAY be used in certain situations but usually CI

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12
Q

If a patient wants to become pregnant, this could be done for vaccines…

A

Update as required; serology may be done
Delay conception for 1 month after administration of live vaccines

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13
Q

These vaccines are generally CI during pregnancy…

A

Live, attenuated vaccines - “theoretical” risk to developing fetus

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14
Q

This vaccine is recommended for all pregnant women:

What trimester?

A

Pertussis, regardless of previous Tdap history

3rd trimester = highest maternal antibody transfer

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15
Q

Besides pertussis vaccination, we should also give pregnant women…

A

Inactivated influenza + COVID during flu season
RSV

NO live vaccines

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16
Q

Immunization and breastfeeding is generally…

A

Safe and may be administered

Few cautions, ex: mpox, some travel vaccines

17
Q

For all special populations, we should always be considering these vaccines in the individuals schedule:

A

Influenza
COVID
Tdap q10 years
HZV - shingrix
RSV (age)

MOST adults likely exposed to varicella …

18
Q

Patients with substance use/injection drug use should consider these vaccines…

A

HA
HB if not received already
PCV20

19
Q

MSM should consider these vaccines…

A

HA
HB if not received already
Mpox if high risk

20
Q

If a patient has a chronic disease, some vaccines we could consider include…

A

Cardiac/diabetes - PCV20
Liver - PCV20, HA/HB if not received
Kidney - PCV20, HB