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PEDIA 2 > IMMUNE & VACCINE > Flashcards

IMMUNE & VACCINE Flashcards

1
Q

BCG
- Route
- Minimum age

A
  • ID
  • Birth
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2
Q

Hepatitis B
- Route
- Minimum age

A
  • IM
  • Birth
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3
Q

DTwP-Hib-Hep B or DTaP-Hib-IPV
- Route
- Minimum age

A
  • IM
  • 6 weeks
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4
Q

OPV
- Route
- Minimum age

A
  • oral
  • 6 weeks
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5
Q

PCV13 or PCV10
- Route
- Minimum age

A
  • IM
  • 6 weeks
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6
Q

Rotavirus
- Route
- Minimum age

A
  • oral
  • 6 weeks
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7
Q

Flu vaccine
- Route
- Minimum age

A
  • IM
  • 6 months
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8
Q

Measles vaccine
- Route
- Minimum age

A
  • SC
  • 9 months
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9
Q

JE vaccine
- Route
- Minimum age

A
  • SC
  • 9 months
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10
Q

MMR
- Route
- Minimum age

A
  • SC
  • 12 months
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11
Q

Varicella vaccine
- Route
- Minimum age

A
  • SC
  • 12 months
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12
Q

Hep A
- Route
- Minimum age

A
  • IM
  • 12 months
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13
Q

HPV
- Route
- Minimum age

A
  • IM
  • 9 yrs old
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14
Q

HiB
- Route
- Minimum age

A
  • IM
  • 6 weeks
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15
Q

Tdap
- Route
- Minimum age
> For fully immunized 7-18 yrs old
> For unvaccinated 7-18 years old
> For ncomplete vaccinated 7-18 yrs old
> For fully immunized pregnant adolescent
> Unimmunized pregnant adolescent

A
  • IM
  • > For fully immunized 7-18 yrs old ( received 5 doses of DTP or 4 doses of DTP if 4th dose was given >/= 4 yrs old): 1 dose Tdap then Td booster every 10 days
    For unvaccinated 7-18 years old: 3 doses at 0,1,6 months, with Tdap as the 1st dose and Td for the remaining doses
    For incompletely vaccinated 7-18 yrs old: 1 dose Tdap then Td for the remaining dose at leasr 1 month after
    For fully immunized pregnant adolescent: given 1 dose Tdap any time after 20 weeks AOG
    Unimmunized pregnant adolescent: give 3 dose Td containing vaccine (Td/Tdap) ff 0-1-6 month schedul. Tdap should replace Td preferably after 20 weeks AOG
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16
Q

Administration of Hep B Vaccine to Infants:
- Mother is HBsAg negative

A
  • Give Hepatitis B vaccine: 1 dose within 24 hours of birth for medically stable infants >/=22,000 gram
  • If <2,000 grams: give 1 dose at chronological age of 1 month or at hospital discharge
17
Q

Administration of Hep B Vaccine to Infants:
- Mother is HBsAg positive

A
  • Give Hepatitis B vaccine and 0.5 mL of HBIG at separate sites within 12 hours of birth, regardless of birth weight
  • Test for HBsAg and anti-HBs at 9-12 months: if Hep B series is delayed, test 1-2 months after the final dose
18
Q

Administration of Hep B Vaccine to Infants:
- Mother is HBsAg unknown

A
  • Give Hep B vaccine w/in 12 hrs of birth, regardless of birth weight
  • for infant <2000g, give 0.5 mL of HBIG in addition to Hep B vaccine w/in 12 hrs of birth
  • Determine mother’s HBsAg status immediately: if mother is positive, give 0.5mL HBIG to infants >/= 2000 g as soon as possible, no later than 7 days of age
19
Q

Rabies Vaccine
Post-Exposure Prophylaxis

  • Feeding / touching an animal
  • Licking of intact skin
  • Sharing of eating or drinking utensils with a person with rabies
  • Casual contact and routine delivery of health care to patients with signs and symptoms of rabies
  • No vaccine (RIG) for immunologically naive px and previously immunized
  • Pre-exposure prophylaxis may be considered for high risk persons
A

CATEGORY 1

20
Q

Rabies Vaccine
Post-Exposure Prophylaxis

  • Nibbling of uncovered skin with or without bruising or hematoma
  • Minor or superficial scratches /abrasions without bleeding, including those induced to bleed
  • For immunologically naive px
    > Immediate vaccination using any of the ff sched regardless of the status of the biting animal
    > 2-sites ID on days 0, 3, 7
    > 1-site IM on days 0,3.7 and between 14-28
    > 2-sites IM on day 0 and 1 site IM on days 7,21
    > RIG are not indicated
A

CATEGORY Il
(Exposure)

21
Q

Rabies Vaccine
Post-Exposure Prophylaxis

  • Transdermal bites (puncture wounds, lacerations, or avulsions), scratches or abrasions with spontaneous bleeding
  • Licks on broken skin or mucous membrane
  • Exposure to a rabies patient through bites, contamination of mucous membranes, or open skin lesions with body fluids
  • Unprotected handling of infected carcass
  • Ingestion of raw infected meat
  • Exposure to bats
  • All category II exposures on the head and neck
  • For immunologically naive px
    > Immediate vaccination using any of the ff sched regardless of the status of the biting animal
    > 2-sites ID on days 0, 3, 7
    > 1-site IM on days 0,3.7 and between 14-28
    > 2-sites IM on day 0 and 1 site IM on days 7,21
    > RIG administration
A

CATEGORY III
(Severe exposure)

22
Q
  • Antibiotics for Rabies
  • Alternative drug
A
  • Drug of choice: Co-amoxiclav 40-50 mg/kg/day in 2-3 divided doses for 7 days
  • Alternative: Clindamycin 20-30 mg/kg/day in 4 divided doses
23
Q

Route for TYPHOID FEVER VACCINE

A
  • IM

PEDIA 2 (7 decks)

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