Immunization lecture/covid part 4 Flashcards
A health care provider recommendation is the single most important determinant of whether or not someone gets vaccinated
A 65 year old man with no known vaccine history
enters your pharmacy for the recently-advertised
pneumonia shot. What vaccine should he receive
today to be done?
A. PCV15
B. PCV20
C. PPSV23
D. PCV13
E. PCV21
Pt wants to be done he needs to receive PCV20 or PCV21
A 65 year old man with no known vaccine history
enters your pharmacy for the recently-advertised
pneumonia shot. What vaccine should he receive
today to be done?
A. PCV15
B. PCV20
C. PPSV23
D. PCV13
E. PCV21
Pt wants to be done he needs to receive PCV20 or PCV21
If chose PCV15 he would have to get PPSV23 in a year
Pneumococcal vaccination recommendations
Adults 65 years and older who have never received any pneumococcal vaccine or unknown:
PCV15, follow with dose of _________ONE YEAR LATER
PPSV23
Adults 65 years and older who have never received any pneumococcal vaccine or unknown:
______.______-do not give PPSV23
PCV20, PCV21
Adults 65+ who received PCV13 at any age AND PPSV23 at or after 65: shared clinical decision making for _______,______
PCV20, PCV21
Adults 19 Through 64
Years Old With Certain
Risk Conditions
Not previously received a PCV13, PCV15, or PCV20/21 or whose previous vaccination history is unknown: 1 dose
PCV15 OR 1 dose PCV20 or PCV21
If PCV15 is used, administer 1 dose _________ at least 1 year after the PCV15 dose (may
use minimum interval of _____weeks for adults with an immunocompromising condition,cochlear implant, or cerebrospinal fluid
leak).
PPSV23
8 weeks
Over 65 years and only
received…
PPSV23: Give 1 dose of _____, _______, _____at
least 1 year after the most recent PPSV23 vaccination.
PCV13: For older adults who don’t have an
immunocompromising condition, cochlear implant, or
cerebrospinal fluid leak:
* Give 1 dose of PCV20, PCV21, or PPSV23 at least 1
year after PCV13.
PCV 15, PCV20, PCV21
Over 65 years and only
received…
PCV13: For older adults who don’t have an
immunocompromising condition, cochlear implant, or
cerebrospinal fluid leak:
Give 1 dose of PCV20, PCV21, or PPSV23 at least 1
year after PCV13.
Communities with high
proportions of serotype 4
pneumococcal disease
_______ does not contain pneumococcal serotype 4
PCV21
In certain populations, high percentages of IPD caused
by serotype 4 have occurred Alaska, Colorado, Navajo nation, New Mexico, Oregon residents <65 years with underlying conditions or risk
factors (alcoholism, chronic lung disease, cigarette
smoking, homelessness, injection drug use)
________or PCV15 + PPSV23 are expected to provide
broader serotype coverage
PCV20
