Immunisation/vaccination

Question 1

Immunisations given at birth

Answer 1

Hepatitis B

Question 2

Immunisations given at 2months

Answer 2

Needle 1: Hep B, diphtheria, tetanus, acellular pertussis, haemophilus influenza type B, Inactivated poliomyelitis (HepB,DTPa-Hib-IPV)
Needle 2: pneumococcal conjugate (13vPCV)
Oral: Rotavirus

Question 3

Immunisations given 4 months

Answer 3

Needle 1: Hep B, diphtheria, tetanus, acellular pertussis, haemophilus influenza type B, Inactivated poliomyelitis (HepB,DTPa-Hib-IPV)
Needle 2: pneumococcal conjugate (13vPCV)
Oral: Rotavirus

Question 4

Immunisation given at 6 months

Answer 4

Needle 1: Hep B, diphtheria, tetanus, acellular pertussis, haemophilus influenza type B, Inactivated poliomyelitis (HepB,DTPa-Hib-IPV)
Needle 2: pneumococcal conjugate (13vPCV)
Oral: Rotavirus

Question 5

Immunisation given at 12 months

Answer 5

Needle 1:Haemophilus influenza type B and meningococcal C (HibMenC)
Needle 2: Measles, mumps and rubella (MMR)

Question 6

Immunisation given at 18 months

Answer 6

Needle 1: Diphtheria, tetanus, acellular pertussis

Needle 2: Measles, mumps, rubella and varicella (MMRV)

Question 7

Immunisation at 4 yrs

Answer 7

Diphtheria, tetanus, acellular pertussis and inactivated poliomyelitis (DTPa-IPV)

Question 8

Vaccinations given to school aged children

Answer 8

10-15yrs
Varicella
Human papillomavirus
Diphtheria, tetanus and acellular pertussis

Question 9

Vaccines given to aboriginal and torres Strait Islanders on top of scheduled

Answer 9

12-18m - Pneumococcal conjugate (13vPCV)
12-24 m - Hep A
6m - 5yr - influenza
15yr+ - influenza, Pneumococcla polysaccharide (23vPPV) if medical at risk
50yr+ - Pneumococcal polysaccharide (23vPPV)

Question 10

Vaccines that are given to people in other risk groups

Answer 10

6m + with medical conditions placing them at risk of seriour complications of influenza get an influenza vaccination
12m and medically at risk get a pneumococcal conjugate (13vPCV)
4yrs and medically at risk - Pneumococcal polysaccharide 23vPPV)
Pregnant - influenza
65yr and over - Influenza + pneumococcal polysaccharide 23vPPV)

Question 11

Which vaccinations are live attenuated vaccines

Answer 11

Japenses encephalitis
MMR
MMRV
Varicella
Yellow fever
Zoster
BCG
Rotavirus
Typhoid

Question 12

Contraindication to immunisations

Answer 12

anaphylaxis following a previous dose of the relevant vaccine
Anaphylaxis following any component of the relevant vaccine
Contraindications for live vaccines
- significantly immunocompromised except with further advice MMR, varicella and Zoster can be given to HIV- infected pt
- pregnancy
- women should be advised not to become pregnant in 28 days after vaccine

Question 13

Adverse effect to tell the patient about when vaccinating

Answer 13

Anticipate: low-grade fever, and pain or redness at the injection site; itching, swelling or burning at the injection site for one to two days. Tx with paracetamol. small, hard lump may persist for some weeks or months. No tx required