Immunisation and vaccines Flashcards

1
Q

Immunity

A

The state of having sufficient biological defences to avoid infection, disease or other biological unwanted infections

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2
Q

Passive

A

Antibody, instant, temporary

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3
Q

Active

A

Antigen, takes time, longer lasting

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4
Q

Antigen

A

anything that can be bound by an antibody, B cell or T cell - immune cell must learn to ignore self antigens and recognise non-self

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5
Q

Antibodies

A

proteins made by B cells . They neutralise toxins, block microbial adhesion and cell entry, neutralise viruses and promote opsonisation and phagocytosis

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6
Q

Innate (natural immunity)

A
  • Physical barriers
  • Physiological factors
  • protein secretions
  • Phagocytic cells
  • +ve instant response, -ve no memory
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7
Q

Adaptive (specific immunity)

A
  • B and T cells
  • 2nd level of defence
  • Specific
  • Better response
  • +ve memory, -ve slower response
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8
Q

What happens when we are vaccinated?

A
  • Vaccine/antigen administered
  • Recognised by naive B cells
  • Taken up by DC → T cells
  • B cell response amplifies T cell help
  • High affinity Ab produced
  • Plasma cells, memory T/B cells produced
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9
Q

Which ABs are responsible for memory

A

IgG

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10
Q

Different types of dead vaccine

A
  • Inactivated
  • OMV
  • Conjugate
  • Subunit
  • Toxoid
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11
Q

Examples of live vaccines

A
  • MMR

- BCG

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12
Q

Mucosal live vaccine egs

A
  • Rotavirus (oral)
  • Influenza (nasal)
  • Polio (oral)
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13
Q

Attenuated vaccine egs

A
  • Diphtheria (toxoid)
  • Tetanus (toxoid)
  • DTP (subunit)
  • Hep B (recombinant)
  • Hib, MenC, MenACWY and flu (subunit)
  • Polio (trivalent)
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14
Q

Adjuvants

A

Enhance immune response

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15
Q

Preservatives

A

Prevent contamination

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16
Q

3 types of immunisation programme

A
  • Universal rolling (v expensive)
  • Universal catch-up (for those who have missed one)
  • Targeted programme (targets specific group, quicker and cheaper but leads to fewer herd effects)
17
Q

Microorganism causing measles

A

Morbillivirus

18
Q

Early measles sx

A

runny nose, cough, Koplik’s spots, watery eyes

19
Q

Late measles sx

A

Raised rash, loss of appetite, loose stools