immunization Flashcards
can you delay immunization
NO
(sauf hep B et très petit poids de naissance et prema) 2000g - tu peux vacciner
vaacine selon calendrier
if runny nose = vaccine quand même
populations that will specifically benefit!
not just the elderly
children,
immunosuppressed
travellers
those with sickle cell anemia
those at special risk for pneumonia and hepatitis A and B
asplenie
when you suspect an infx dz, always ask for …
vaccination status
contre-indications to vaccines
1) previous Anaphylaxis or other serious reaction (eg. Guillain-Barre syndrome)
2) anaphylactic reaction or other serious reaction to a component of a vaccine (eg. egg, gelatin, latex, neomycin, thimerosal)
3)Pregnant or immunocompromised/suppressed, active TB should not receive LIVE vaccines
when to immunize
infancy
pregnancy
traveling
immigrants - new arrivals
most common infection in pt with asplenia / hyuposplenia
pneumoccocal !!!
après
meningococcal
H influenza type B
influenza
when to give Pneumococcal 23-valent vaccine
≥65yo, <65 with specific risk factors
when to give zona
qc = >50 ans
HPV4 or HPV9 à qui donner
9-26yo and ≥27yo who are at ongoing risk
PIQ recommends vaccinating women 9-45yo, men 9-26yo even if previous HPV exposure
D2T5 Tetanus/Diphtheria (Td)
- booster every 10y (Note: In Quebec, current guideline is for one single booster after 50yo)
- non-clean/minor wound (if fully vaccinated >5y, if not fully vaccinated needs complete series with Ig)
Pertussis = coqueluche
Once in adulthood (Tdap), as early as possible if close contact with young infants
One dose during each pregnancy ideally between 26-32 weeks gestation
whooping cough = pertussis = coqueluche = toux de 100 jr
agent
bacteria called Bordetella pertussis
