Immunisations For Childhood Infections Flashcards
Factors causing differences in adult and child infections
Immunological immaturity
Lack of memory cells
Thinner skin
Shorter airways
Shorter and shallower Eustachian tube
Increased exposure - nursery
Less hygiene
What temperature is a fever
37.8+
Common childhood bacterial infections
Tonsillitis
Otitis media
UTI
gastroenteritis
Impetigo
Are bacterial or viral infections usually more severe in children
Viral
Why are viral infections often more severe than bacterial in children
Extracellular pathogen immunity more developed than antiviral immunity
How is chronicity and shedding different in adults and children infected by viruses
Chronicity more likely and shedding prolonged in children
Do vaccines give active or passive immunity
Active
Types of active immunity
Antibody mediated - B cells
Cell mediated - T cells, CD8, CD4
Antibody types
IgM - precursor
IgG - most abundant in serum
IgA - gut, respiratory system, breatmilk, tears
IgD
IgE - allergy, histamine release
How is long term immunity mediated
Maintenance of antigen specific immune effectors
Immune memory cells
Types of vaccines
Live attenuated
Inactivated
Conjugate
Subunit
Toxoid
Adjuvant
Viral vector
Live attenuated vaccine
Weakened version of pathogen that can’t cause disease
Inactivated vaccines
Pathogen infectivity eliminated, immunogenicity remains
Conjugate vaccine
Subunit vaccine for pathogens with antigens coated with polycasscharide units
Subunit vaccines
Use parts of pathogen