Immunizations Flashcards
FDA approves the indication of a vaccine based on
demonstrated safety and efficacy
Who provides recommendations for vaccine administration?
ACIP
Who approves ACIPs recommendations? Where can you find them?
CDC approved
Publishes on Morbidity and Mortality Weekly Report (MMWR) and The Pink Book
Where can you find VISs
CDC and Immunization Action Coalition websites
Medical term for antibody
Immunoglobulin
Active immunity
A persons own immune system creates antibodies
Vaccine, infection
Passive immunity
Maternal immunity
IVIG products
Live vaccines
MICROVY
MMR
Intranasal influenza
Cholera
Rotavirus
Oral typhus
Varicella
Yellow Fever
Polysaccharide vaccines should not be used in
Children <2 years old (do not produce good response)
Example- Pneumococcal Polysacharide vaccine (Pneumovax 23)
Conjugate vaccines
Conjugation increases the immune response in infants
-Pneumococcal conjugate vaccine (Prevnar 13)
-Meningococcal Conjugate Vaccine (Menactra)
Interval between an antibody containing product (IVIG) and MMR or varicella vaccine
3-11 months
Which inactivated vaccine is started at birth?
Hepatitis B
The rest are started at 2 months old
Live vaccines and the TB skin test
1.) Give live vaccine on the same day of TST
2.) Wait 4 weeks after live vaccine to perform TST
3.) Administer TST, wait 48-72 hours to read, then give live vaccine
Vaccine spacing
- Multiple vaccines can be given on the same day or spaced 4 weeks apart
- If vaccine series requires >1 dose, intervals can be extended but should not be shortened
Recommended spacing of live vaccines and antibody products
Vaccine –> 2 weeks–> antibody product
Antibody product–> 3 months–> vaccine
How long should a pt be monitored after a vaccine?
At least 15 minutes
When do systemic reactions occur with live vaccines?
Can occur 3-21 days after the vaccine is given
Intranasal flu vaccine can replicate
mild cold
How many epi pens should be available when administering vaccines?
at least 3
Influenza vaccine is recommended for
Annually for all patients >/= 6 months
Shingles vaccine is recommended for
All adults >/= 50
>/= 19 if immunosuppressed
2 dose series, second dose given 2-6 months after
Pneumococcal vaccine recommended for
19-64 to with AUD, cigarette smoking, DM, chronic heart, lung, or liver disease, asplenia, HIV, malignancy, transplant, CKD,or taking immunosupressive drugs
Age >/=65 in all patients
-PCV20 x1
-PCV15 x 1 followed by PPSV23 >1 yr later
Hepatitis B is recommended for
All adults 19-59 and patients >/= 60 with RF
HPV is recommended for
Adults </= 26 who did not complete the series