Immunisations Flashcards
What are the funded pneumococcal vaccines for people with at risk conditions? What are some example conditions whihc are funded and recommended?
Prevenar 13 at diagnosis, pneumovax 23 12mo later (min age 4y) and pneumovax 23 5 years after that. Funded: asplenia, HIV, organ/stem cell transplant, eGFR <15. Rec: diabetes, COPD/smoking, IHD, cirrhosis/chronic hepatitis, alcoholic.
What vaccines are recommended for older Australians?
DTP at 50 or 65+ if 10y since recent. Shingrix from 65 or 50 in ATSI. 13vPCV at age 70, in ATSI at 50 then 23vPPV in 1 year and 5 years later. Fluvax from 65 or yearly in ATSI.
When should a tetanus vaccine be given for a wound?
> 10y since last dose with any wound, >5y and not clean/minor wound or any wound without 3 previous doses of vaccine.
Unknown history, treat as unvaccinated. If clean/minor and < 10y, not required.
When should tetanus immunoglobulin be given for a wound?
If not clean/minor wound with unknown vaccine history or haven’t had 3 doses.
What is a Hep B non-responder and how is it managed?
Had childhood course, no active infection and Anti-HBs < 10 after a 4th dose. Give booster dose, recheck in 4 weeks to confirm. If confirmed, do 2 more doses 1mo apart and recheck 4 weeks later.
What are some aspects to discuss in vaccine hesitancy?
Explore barriers, explain prevention of specific illness, herd immunity, financial impact, school attendance. Give resources and further appointment if wanting.
How and when is shingles vaccine given?
18 if immunocompromised (20mg pred), 50 ATSI, 65 others. 2-6mo between dose if immunocompetent, otherwise 1-2mo. 12 months from shingles or zostavax. Only 3mo from episode if immunocompromised.
What are the important features of vaccine storage?
Maintain cold chain 2-8 degrees. If breached, isolate vaccines, contact health department, review practice policies/practice.
