Immunizations Flashcards

1
Q

DTaP

A

A routine childhood vaccine series; 5 doses given at ages 2, 4, 6, 12-18 months and 4-6 years. For children younger than 7 years of age

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2
Q

DTaP

A

Daptacel, Infanrix

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3
Q

DTaP-IPV

A

Kinrix, Quadracel

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4
Q

DTaP-HepB-IPV

A

Pediarix

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5
Q

DTaP-IPV/Hib

A

Pentacel

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6
Q

DTaP-IPV/Hib/HepB

A

Vaxelis (Given IM to adults with asplenia)

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7
Q

DT

A

Used for routine vaccine series in infants and children <7 years old who have a contraindication to the acellular pertussis antigen in DTaP

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8
Q

Td vaccine

A

Tenivac

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9
Q

Tdap vaccines

A

Adacel, Boostrix

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10
Q

Td or Tdap

A

Tdap booster typically given at age ≥11 years (if not previously received). Routine booster given every 10 years in patients ≥7 years.

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11
Q

Wound prophylaxis for deep or dirty wounds

A

Revaccinate with Td or Tdap if it has been >5 years since the last dose. Tetanus immunoglobulin (TIG) may be required if no previous tetanus vaccines have been given

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12
Q

Hib vaccines

A

routine childhood vaccine series given between ages 2-15 months

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13
Q

Hib

A

ActHIB &Hiberix (4-dose series), PedvaxHIB (3-dose series)

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14
Q

hepatitis A vaccines

A

Havrix, VAQTA

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15
Q

hepatitis A

A

children: a routine childhood vaccine series; 2 doses given at age 12 months and then 6-18 months later. Also given to high-risk adults.

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16
Q

hepatitis B vaccines

A

Engerix-B, Heplisav-B, Recombivax HB

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17
Q

hepatitis A & B vaccine

A

Twinrix (3-dose series given at months 0, 1, and 6)

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18
Q

High-dose Recombivax HB (40 mcg/mL)

A

indicated for dialysis patients

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19
Q

hepatitis B

A

routine childhood vaccine series started within 24 hours after birth; 3 doses given at age 0, 1-2, and 6-18 months. Also given to high-risk adults.

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20
Q

Engerix-B and Recombivax HB

A

3-dose series given at month 0, 1, and 6 (can be completed in 4 months if necessary, but requires a booster at 1 year if the series is accelerated)

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21
Q

Heplisav-B

A

Indicated ≥ 18 years. 2-dose series given at months 0 and 1. Do not use in pregnant women.

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22
Q

HPV9 (9-Valent) vaccine

A

Gardasil 9 (approved for ages 9-26 y/o)

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23
Q

HPV9

A

Recommended in ages 11-12. C/I with severe yeast allergy

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24
Q

HPV Regimen (if started before age 15)

A

Give 2 doses at month 0 and 6-12 months later

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25
Q

HPV Regimen (if started at age 15 or older, or if immunocompromised)

A

Give 3 doses at months 0, 1-2, and 6

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26
Q

Influenza vaccine age recommendations

A

All patients age ≥ 6 months, unless C/I. If between age 6 months-8 years and not previously vaccinated, give 2 doses (4 weeks apart)

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27
Q

Flu vaccines (indicated age ≥ 65 years)

A

Fluzone High-Dose (IIV3), Fluzone High-Dose Quadrivalent (IIV4), Fluad (adjuvanted IIV3)

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28
Q

Flucelvax Quadrivalent (grown in cell culture cc)

A

approved for ages ≥ 4 years

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29
Q

Flublok Quadrivalent (recombinant inactivated vaccine, RIV)

A

Egg-free; approved for age ≥ 18 years only

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30
Q

FluMist Quadrivalent (live attenuated LAIV4)

A

Approved for healthy people age 2-49 years. Do not give to those with egg allergies, if pregnant, or immunocompromised.

31
Q

IIV3 vaccines approved in children

A

Afluria (≥ 5 yrs), Fluvirin (≥ 4 yrs)

32
Q

Afluria Quadrivalent (IIV4)

A

≥ 18 years

33
Q

Fluarix Quadrivalent (IIV4)

A

≥ 3 years

34
Q

FluLaval Quadrivalent (IIV4)

A

≥ 6 months

35
Q

Fluzone Quadrivalent (IIV4)

A

6-35 months or ≥ 36 months

36
Q

Fluzone Intradermal Quadrivalent

A

18-64 years

37
Q

MMR in children recommendation

A

routine vaccination series; 2 doses given at age 12-15 months and age 4-6 years

38
Q

MMRV (MMR + Varicella) live attenuated vaccine

A

ProQuad. Indicated for patient

39
Q

MMR in adults recommendation

A

Give 1-2 doses if no evidence of immunity. Adults born before 1957 are generally considered immune.

40
Q

MMR (high-risk adults/populations)

A

Give 2 doses (4 weeks apart) to healthcare workers, HIV patients with a CD4 count ≥ 200 for at least 6 months, nonpregant women of childbearing age (with no evidence of immunity to rubella), international travelers, household contacts of immunocompromised people & students in postsecondary institutions.

41
Q

MCV4 adolescent vaccination recommendation

A

adolescents: 2-dose series at age 11-12 years and at age 16 years (booster dose)

42
Q

Menactra

A

for age 9 months-55 years

43
Q

Menveo

A

for age 2 months-55 years. Both vials contain vaccine; use only supplied liquid for reconstitution.

44
Q

MCV (high-risk populations). Revaccinate every 5 years if risk is ongoing.

A

Travelers to certain countries (meningitis belt in Sub-Saharan Africa), age ≥ 2 with HIV, asplenia/sickle cell disease, complement component deficiencies or eculizumab use. Lab workers with N. meningitidis exposure. 1st year college students (age ≤ 21 years) living in dorms, military recruits,

45
Q

MenB vaccines

A

Given in addition to quadrivalent MCV vaccines; cover serogroup B strain. Approved for age 10-25 years. Optional if age 16-23 and not at high risk, but patient wants the vaccine (preferred age is 16-18 y/o)

46
Q

MCV (high-risk populations). Revaccinate every 5 years if risk is ongoing.

A

Travelers to certain countries (meningitis belt in Sub-Saharan Africa), age ≥ 2 with HIV, asplenia/sickle cell disease, complement component deficiencies or eculizumab use. Lab workers with N. meningitidis exposure. 1st year college students (age ≤ 21 years) living in dorms, military recruits,

47
Q

Trumenba (MenB vaccine)

A

2 doses (given 6 months apart). If high risk of meningococcal disease or during an outbreak, give 3 doses at months 0, 1-2, and 6.

48
Q

MenB vaccine (give if age ≥ 10 years with risk factors)

A

Asplenia/sickle cell disease, complement component deficiencies or eculizumab use. Lab workers with N.meningitidis exposure, during an outbreak.

49
Q

13-Valent Conjugate Vaccine (PCV13)

A

Prevnar13

50
Q

23-Valent Polysaccharide Vaccine (PPSV23)

A

Penumovax23

51
Q

Prevnar 13 age recommendations

A

Children <5 years: 4-dose series given at age 2, 4, 6 and 12-15 months. Immunocompromised patients age 6-64 years: 1 dose if never received before. Adults

52
Q

Prevnar 13 age recommendations

A

Children <5 years: 4-dose series given at age 2, 4, 6 and 12-15 months. Immunocompromised patients age 6-64 years: 1 dose if never received before. Adults ≥ 65 years: optional to give 1 dose if never received

53
Q

Pneumovax 23 age recommendations

A

Patients age 2-64 years with select risk factors: 1 or 2 doses. Give 1 dose to all adults ≥ 65 years.

54
Q

PCV13 & PCV23 Immunocompromised criteria

A

Sickle cell disease, asplenia, HIV, chronic renal disease, malignancy, transplant, immunosuppressive drugs including steroids

55
Q

Pneumovax 23 risk factor recommendations

A

Give 1 dose to immunocompetent patients age 2-64 years if they have diabetes, heart, lung or liver disease alcohol abuse, or are smokers. Give 2 doses to immunocompromised patients ag 2-64 years.

56
Q

inactivated poliovirus vaccine (IPV)

A

IPOL (give IM or SC)

57
Q

poliovirus vaccine

A

a routine childhood vaccine series; 4 doses given at age 2, 4, 6-18 months and 4-6 years

58
Q

rotavirus vaccines (live attenuated)

A

RV1: Rotarix, RV5: RotaTeq (give orally)

59
Q

rotavirus recommendations

A

Given to all infants. Do not start the series after age 15 weeks.

60
Q

Rotarix

A

2 doses at age 2 and 4 months

61
Q

RotaTeq

A

3 doses at age 2, 4, and 6 months

62
Q

varicella virus (live vaccine)

A

Varivax: a routine childhood vaccine series; 2 doses given at age 12-15 months and 4-6 years. Anyone without evidence of immunity to varicella should receive 2 doses of Varivax. Do not use in pregnancy or if immunocompromised.

63
Q

MMRV

A

ProQuad (store in freezer)

64
Q

Zostavax (live vaccine)

A

Store in freezer. If used, recommended in patients ≥ 60 years (1 dose).

65
Q

Shringrix

A

Preferred over Zostavax. Give IM. 2 doses given a month 0 and month 2-6 in patients age ≥ 50 years, including those who previously received Zostavax. Wait at least 8 weeks after Zostavax before starting the 2-dose series of Shingrix.

66
Q

antivirals

A

Stop antivirals 24 hours before vaccine administration and do not take for 14 days after vaccination (can interfere with live vaccines)

67
Q

refrigerator storage temp

A

between 36-46°F, or 2-8°C

68
Q

freezer storage temp

A

between -58-5°F, or -50° to -15°C

69
Q

rabies vaccine

A

RabAvert, Imovax. Store in the refrigerator. Reconstitute with the provided diluent. Give IM.

70
Q

rabies vaccine recommendation

A

Give preventively for high risk exposure (animal handlers, traveling to high risk area). 3 doses for prevention.

71
Q

give after a possible rabies exposure.

A

Post-exposure (with previous vaccination): 2 doses
Post-exposure (without previous vaccination: 4 doses; 1 dose of rabies immune globulin (RIG) should be given with the first vaccine dose.

72
Q

cholera vaccine (live)

A

Vaxchora. Store the packet for reconstuition in the freezer. Remove no more than 15 min before reconstuition. Dissolve the buffer packet in 100 mL of cold or room temperature water, then add the active component packet; stir for 30 seconds and drink within 15 minutes

73
Q

cholera vaccine recommendations

A

Give to people age 18-64 years who are traveling to an area of active toxigenic Vibrio cholerae transmission. Give 1 oral dose ≥ 10 days before exposure.