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Pediatrics > Immunizations > Flashcards

Immunizations Flashcards

1
Q

Live vaccines and Ig products

A

Delay (3-11 months) based on product

Redose vaccine if Ig given w/in 14 days of vaccination

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2
Q

Contraindications: Rotavirus

A

SCID, h/o intussusception

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3
Q

Contraindications: Pertussis

A

Severe encephalopathy w/in 7d of previous dose

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4
Q

Contraindications: IPV

A

Severe allergic reaction to streptomycin, polymyxin B, neomycin

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5
Q

Contraindications: Hep A

A

Hypersensitivity to alum of phenoxyethanol

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6
Q

Contraindications: live vaccines

A

Pregnancy, immuno-C*

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7
Q

Contraindications: Varicella

A

Gelatin/neomycin reaction, intercurrent illness

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8
Q

Post-exposure prophylaxis: Hep B+ mother

A

Hep B Ig and HBV w/in 12 hours of birth (different sites). HBV at 2 and 8 months. Test at 15 months

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9
Q

Post-exposure prophylaxis: Hep B unknown

A

HBV w/in 12 hours of birth. Test mom!

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10
Q

Indication for Tetanus Ig

A

Contaminated wound with incomplete or unknown immunization status

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11
Q

Post-wound tetanus prophylaxis

A

Dirty wound > 5 years

Clean wound > 10 years

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12
Q

Diptheria formulations

A

Little ā€œdā€ - lower immunogenicity, less local rxn

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13
Q

Diptheria vaccine by age

A

< 7 yo = DTaP
8-11 yo = Td
> 11 yo = Tdap

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14
Q

Pertussis efficacy

A

70-85% (acellular)

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15
Q

Pertussis: adverse effects

A

Local irritation, inconsolable crying, seizures (usually febrile), hypotonic episodes, limb swelling

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16
Q

OPV risk/benefit

A

VAPP/heard immunity

17
Q

PCV-13 conjugate

A

Diptheria toxin

18
Q

PPSV23 indications

A

Children > 2 yo w/ SCD, asplenia, HIV, CSF leaks, chronic illness. 2 weeks prior to splenectomy, chemo, cochlear implant

19
Q

Influenza vaccine schedule

A

Yearly (2 doses needed in 1st season if < 8 yo). Live vaccine should be given 4 weeks later if not given on same day of other live vaccines

20
Q

Inactivated flu vaccine (TIV) side effects

A

Oculo-respiratory syndrome, GBS

21
Q

Contraindications: live-attenuated flu vaccine (LIAV)

A

< 2 yo, egg allergy (TIV = OK!), h/o GBS, asthma, recurrent wheezing

22
Q

Varicella efficacy

A

95% for severe disease (70-85% for mild)

23
Q

Varicella vaccine associated rash

A

6-10%, transmission possible

24
Q

Measles schedule

A

12 mo, 4-5 yo (99% effective w/ 2 dose)

Can be given if > 6 mo during outbreak (must redose at 12 mo)

25
Q

HPV vaccine serotypes

A

16/18 - cervical cancer

6/11 - warts

26
Q

Meningococcal vaccine serotypes

A

A, C, Y, W135 (no B!)

27
Q

Meningococcal vaccine indications

A

All adolescents 11-12 yo

Children > 2 w/ asplenia, terminal complement deficiency, HIV

Pediatrics (14 decks)

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