Immunisation and prophylaxis Flashcards

1
Q

What are the main antibodies in the antibody response to infection which we can detect

A

IgG - rises after IgM but stays raised for longer

IgM - rises initially but comes down as the patient recovers

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2
Q

What is the difference between live vaccine and killed vaccine

A

Live vaccines get a bigger immune response and don’t require as many doses

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3
Q

What is a live attenuated vaccine

A

A weakened version of the virus is given

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4
Q

What is an inactivated vaccine

A

Killed virus

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5
Q

What is in a subunit of micro-organism vaccine

A

Only part of the micro-organism - normally antigen

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6
Q

What are examples of live attenuated vaccines

A

MMR
BCG
varicella-zoster virus
yellow fever
small pox
typhoid
polio
rotavirus

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7
Q

What are examples of inactivated vaccines

A

D/T/P/HIB
Hep a
CHOLERA
RABIES
ENCEPHALITIS -both japanes and tick-borne
Influenza

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8
Q

What is a detoxified exotoxin vaccine

A

The virus has a toxin which is detoxified and turned into a toxoid e.g diptheria and tetanus

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9
Q

What are examples of subunit vaccines

A

Pertussis
haemophilus influenza type B
meningococcus
pneumococcus
typhoid
anthrax
hep B

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10
Q

What is the 6 in one vaccine

A

D/T/aP/IPV/HIB/HBV vaccine

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11
Q

what is the uk Childhood immunisation schedule

A

2 months - 6 in one + rotavirus +MenB

3 months - 6 in one + rotavirus + pneumococcal conjugate

4 months - 6 in one + Men B

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12
Q

Who is the BCG vaccine given to

A

Areas of UK with high rates of TB

Immigrants from high areas of TB

healthcare workers

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13
Q

Why is there a new influenza vaccine made every year

A

Because antigenic shift and drift occur every year

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14
Q

What is human normal immunoglobulin

A

Contains antibodies against Hep A, rubella and measles

Used in immunoglobulin deficiency

Treatment of myasthenia gravis

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15
Q

What is prophylaxis

A

Medication given to prevent an infection

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16
Q

What are common immunisations for travellers

A

Tetanus
polio
typhoid
hep A
yellow fever
cholera

17
Q

What is the prophylaxis for meningococcal

A

Ciprofloxacin

18
Q

What is the prophylaxis for STI

A

Doxycycline

19
Q

What is the prophylaxis given in surgery

A

Perioperative cefuroxime to prevent wound infections

20
Q

What is the chemoprophylaxis against malaria

A

MDM
M - Malarone - daily - the most affective
D - Doxycycline
M - Mefloquine