Immunization

Question 1

Types of Antigen for Active Immunization

Answer 1

Live attenuated virus or bacteria (weakened)

Inactivated vaccine (killed microorganisms)

Question 2

LIVE Vaccines

Answer 2

BCG vaccine
Measles vaccine
MMR vaccine
Varicella vaccine
Rotavirus vaccine
Influenza	attenuated vaccine	(intranasal)
Typhoid fever (oral)	 vaccine
Oral	polio vaccine
Japanese Encephalitis

Question 3

INACTIVATED Vaccines

Answer 3

Hepatitis	B vaccine
DPT	vaccine
H. influenzae b vaccine
Pneumococcal vaccine
Hepatitis	A vaccine
Meningococcal vaccine
Influenza	trivalent	vaccine
Human papillomavirus	
vaccine	
Typhoid fever vaccine	(IM)
Rabies vaccine
Inactivated polio vaccine	 (IPV)

Question 4

Efficacy is assessed by the evidence of protection against the particular disease

Antibody formation – indirect measure

Answer 4

Active Immunization

Question 5

Live vaccine today + another live vaccine tomorrow

Answer 5

NO

wait for 4 weeks

Question 6

Live + Live same day

Answer 6

YES

Question 7

Yellow fever vaccine (live) + Cholera vaccine (inactivated)

Answer 7

NO

separate by at least 3 weeks because of diminished Ab response if given simultaneously

Question 8

Vaccines given at birth

Answer 8

BCG - at birth or within 1st 2 mos

Hep B (6-10-14 weeks) - within 12 hrs

Question 9

Vaccines given during 6 weeks (6-10-14 weeks)

Answer 9

Hep B

DPT (Diphtheria, Pertussis, Tetanus)

Hib

Polio (oral)

Pneumococcal

Rotavirus

Question 10

Vaccine given during 6 months

Answer 10

Influenza

Question 11

Vaccines given during 9 months

Answer 11

Measles

Japanese Encephalitis

Question 12

Vaccine given during 12 months

Answer 12

MMR
Varicella
Hepatitis

Question 13

Vaccine given during 9 years old

Answer 13

Human Papilloma Virus

Question 14

PPS Recommended Vaccines

Answer 14

1. BCG
2. Hep B
3. DPT
4. HiB
5. Polio
6. Pneumococcal
7. Rotavirus
8. Influenza
9. Measles
10. Japanese Encephalitis
11. MMR
12. Varicella
13. MMRV
14. Hepatitis A
15. Td/Tdap
16. HPV

Question 15

Vaccines given at minimum age of 12 mos

Answer 15

MMR (measles, mumps, rubella)
Varicella
Hepatitis A

Question 16

Deworming is recommended for all children

Answer 16

1-12 y/o

Question 17

Deworming medications

Answer 17

ALBENDAZOLE
12 mos-23 mos – 200 mg single dose every 6 mos
24 mos and up – 400 mg single dose every 6 mo

MEBENDAZOLE
12 mos and above - 500 mg single dose every 6 mo

Question 18

Contraindications to Deworming

Answer 18

Severe malnutrition
High grade fever
Profuse diarrhea
Abdominal pain
Serious illness
Hypersensitivity to anti-helminthic drug

Question 19

4th dose of Hep B Vaccine

Answer 19

If 3rd dose given at age less than 24 weeks (6 months)

Pre-term infants less than 2 kgs, whose 1st dose was given at birth

• Pre-term, HBsAg (-) mother, clinically stable
• 1st dose given at 30 days of life (this can be continued as part of the 3-dose vaccination regimen)

Question 20

Maternal Hepatitis B infection

Answer 20

HBsAg (+)
*HBV + HBIg (0.5 mL) w/n 12 hrs of life

Unknown status

• HBV within 12 hrs of life
• Determine status
• HBsAg (+) – give HBIg no later than 7 days of life

Question 21

Pentavalent Vaccine

Answer 21

Hep B
DPT
Hib

Question 22

Rotavirus

Answer 22

Do NOT start in infants > 15 weeks

NOT given later than 32 weeks d.t. increased risk of intussusception

Question 23

Earliest age that measles virus can be given

Answer 23

6 mos (during outbreaks)

Question 24

Earliest age that the 2nd dose of Hep B can be given

Answer 24

4 weeks

Question 25

PEP for varicella

Answer 25

VZIg within 96 weeks

Vaccine within 3-5 days

Question 26

PEP for meningococcemia

Answer 26

Rifampicin
Ceftriaxone
Ciprofloxacin (adults)

Question 27

PEP for diphtheria

Answer 27

Erythromycin

Benzathine Pen G

Question 28

Contraindications to deworming

Answer 28

Severe malnutrition
High grade fever
Profuse diarrhea
Abdominal pain
Serious illnesses
Hypersensitivity to anti-helminthic drug