Immunizations Flashcards
Live Vaccinations
MMR
Varicella
Zoster
Rotavirus
LAIV
Poilo (OPV)
Toxoid Vaccinations
Diphtheria
Tetanus
Inactivated
Influenza
Polio (IPV)
Pertussis
Hep A
Recombinant Vaccines
Hep B
HPV
RZV (Recombo Zoster Vax)
Conjugated/Polysaccharide Vaccines
Hib
Meningococcal
Pneumococcal
Vax rate for herd immunity for Measles
83% - 94%
Vax rate for herd immunity for Pertussis
92% - 85%
How long should you wait between live vaccines if not given simultaneously?
28 days
What does a decrease in dosing interval do to the live vaccine efficacy?
It decreases AB response and protection
What does an increase in dosing interval do to live vaccine efficacy
It delays protection
True or False. You have to readminister vaccine dose if greater than 5 days before the minimum dosing interval
True
What vaccines are contraindicated in pregnancy
HPV
Live vaccines (MMR, Varicella)
What vaccines can you give in pregnancy?
Tdap
COVID-19
Inactivated Flu (Season (October - April)
How long should you wait to dose live vaccines during chemo/radiation?
2 weeks before
OR
3 months after
How long should you wait to dose live vaccines with systemic corticosteroids <14 days?
immediately after or 2 weeks
How long should you wait to dose live vaccines with systemic corticosteroids >14 days?
wait 1 month post-steroid therapy
What steroids can you take with live vaccines?
Topical or local injection steroids
physiological maintenance steroids
low dose systemic corticosteroids
What constitutes high dose steroids?
> 2mg/kg/day
OR
20 mg/day
When should you postpone an immunization?
Mod-severe illness (Hospitalized)
Hx of anaphylaxis w/ vax
Immunosuppressed
If you
If you give an IVIG vaccine and a live vaccine within 14 days, what should you do?
RE-administer live vaccine
When should you give a live vaccine post IVIG?
3 months post IVIG