Immunisation Schedule Flashcards

1
Q

Immunisation - contraindications and when to defer

A

Contraindications (absolute)
● Anaphylaxis following a previous dose of the relevant vaccine
● Anaphylaxis following any component of the relevant vaccine

When to defer vaccination
● Acute febrile illness (temp >38.5)
● Acute systemic illness
Note: Defer until afebrile. Can vaccinate those with mild illness with no systemic symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

8 month old, BIB mother, for the first time. No previous immunisations as father is against it. Mother wants the patient to be vaccinated despite the biological father’s wishes.

  1. What are the two key features in managing this situation?
  2. What are the 2 medical contraindications for childhood immunisation?
A

What are the two key features in managing this situation?
● Do not vaccinate the child at this stage/ Explain the reason why you cannot vaccinate the child
● Explore the reasons behind father’s vaccination hesitancy with Nora’s consent
● Obtain medico-legal advice
What are the 2 medical contraindications for childhood immunisation?
● Anaphylactic reaction to any vaccine or vaccine components
● Immunodeficiency for vaccines with live viruses
Note: Courts have authorised the vaccination of a child against the wishes of at least one of the parents, in all cases
acting in the best interest of the child

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Immunisations - egg allergy

A

● All routine vaccinations including MMR and influenza can be safely given in children with an egg allergy
● Yellow fever and Q fever vaccines contain egg protein
○ Hx of anaphylaxis: should be given cautiously in split doses under medical supervision
○ Hx of allergy but no anaphylaxis: can receive single dose under medical supervision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Immunisation - influenza

A

Key point:

  • Can give for 6 months and above.
  • Children under <9 yrs receiving for first time need two doses 1 month apart

Vaccine timing
Pregnant women: any stage during pregnancy.
Travellers: should be offered for any travel where influenza is circulating.
Children: those who are less than 9 years old should have 2 doses of the influenza vaccine 4 weeks apart for the first
year that they receive the vaccine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

2F with asthma presenting for influenza vaccine. Has atopic eczema and is allergic to eggs. Reaction: lip swelling and urticaria. Father is also anaphylactic to egg.

  1. How are you going to give the influenza vaccine?
A

Give it now and give the booster in 4 weeks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Immunisations - expiration dates and windows

A
Key point
● If given inadvertently then should not be counted as a valid dose and should be repeated
Time frame of readministration:
● Inactivated: immediately
● Live: 28 days after
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Immunisation - pregnancy

A

Key point
● Should not receive live vaccines in general
● If planning for pregnancy, should avoid becoming pregnant within 28 days of receiving a live vaccine
Pertussis vaccine
● Recommended for each pregnancy (even ones that are closely spaced)
● Optimal time is 20-32 weeks gestation (no safety concerns if given earlier)
● If not given during optimal window, should be given ASAP at any time up to delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Birth (Non-Indigenous and Indigenous)

A

Engerix B Paediatric (hepatitis B)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

2 months (Non-Indigenous)

A

Infanrix hexa

  • DTP
  • Polio
  • Hepatitis B
  • Haemophilus influenza B

Prevenar 13
- Pneumococcal

Rotarix
- Rotavirus

  • can be given from 6 weeks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

4 months (Non-Indigenous)

A

Infanrix hexa

  • DTP
  • Polio
  • Hepatitis B
  • Haemophilus influenza B

Prevenar 13
- Pneumococcal

Rotarix
- Rotavirus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

6 months (Non-Indigenous)

A

Infanrix hexa

  • DTP
  • Polio
  • Hepatitis B
  • Haemophilus influenza b

+/- Prevenar 13
(* <32 weeks or <2000g)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

12 months (Non-Indigenous)

A

Nimenrix
- Meningococcal ACWY

Prevenar 13
- Pneumococcal

Priorix
- Mumps, measles, rubella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

18 months (Non-Indigenous)

A

ActHIB
- Haemophilus influenza B

Priorix-Tetra

  • Measles, mumps, rubella
  • Varicella

Infanrix
- DTP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

4 years (Non-Indigenous)

A

Infanrix IPV

  • DTP
  • Polio

+/- Pneumovax 23
- Pneumococcal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

12-13 years
14-16 years

All

A

12-13
Gardasil
Boostrix

14-16
Nimenrix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

2 months (Indigenous)

A

Infanrix hexa

  • DTP
  • Polio
  • Hepatitis B
  • Haemophilus influenza B

Prevenar 13
- Pneumococcal

Rotarix
- Rotavirus

Bexsero
- Meningococcal B

17
Q

4 months (Indigenous)

A

Infanrix hexa

  • DTP
  • Polio
  • Hepatitis B
  • Haemophilus influenza B

Prevenar 13
- Pneumococcal

Rotarix
- Rotavirus

Bexsero
- Meningococcal B

18
Q

6 months (Indigenous)

A

Infanrix hexa

  • DTP
  • Polio
  • Hepatitis B
  • Haemophilus influenza b

+/- Prevenar 13
+/- Bexsero
(* <32 weeks or <2000g)

19
Q

12 months (Indigenous)

A

Nimenrix
- Meningococcal ACWY

Prevenar 13
- Pneumococcal

Priorix
- Mumps, measles, rubella

Bexsero
- Meningococcal B

20
Q

18 months (Indigenous)

A

ActHIB
- Haemophilus influenza B

Priorix-Tetra

  • Measles, mumps, rubella
  • Varicella

Infanrix
- DTP

+/- Vaqta Paediatric
- Hepatitis A

21
Q

4 years (Indigenous)

A

Infanrix IPV

  • DTP
  • Polio

+/- Pneumovax 23
+/- Vaqta Paediatric

22
Q

> 50 yrs (Indigenous)

A

Prevenar 13
+ Pneumovax 23 1 year after
+ 2nd Pneumovax 23 at least 5 years after

23
Q

> 70 years (Non-Indigenous)

A

Prevenar 13

24
Q

70-79 years (All)

A

Zostavax

25
Q

Pregnant women (All)

A

Boostrix or Adacel

- Whooping cough