Immunizations Flashcards
What is the goal of immunization programs?
Goal of Immunization Programs
Protect individuals & communities from disease (e.g. Herd Immunity)
Prevent, control and/or eliminate transmission
e.g. eradication of smallpox
Saves lives and saves money
Who dvelops guidleines for immunizations?
Canadian
National Advisory Committee on Immunization (NACI)
Canadian Immunization Guide (CIG)
Define antigen/immunogen
the substance that stimulates or triggers an immune response
Define immunoglobulin/antibody
proteins produced in response to antigens which protect the body from disease
Define VAccine
highly regulated, complex biological product designed to induce a protective immune response
Define adaptive immune system
develops as a result of infection or following immunization
Defends vs a specific pathogen
Immunology memory – memory cells
Define innate immune system
e.g. physical barrier (skin); does not produce immunologic memory
Hos is her immunity established? Who does it protect?
Herd Immunity (or community immunity)
can be established by adequate vaccination rates
required to prevent person-to-person transmission of infectious diseases
indirectly protects individuals:
unvaccinated / under vaccinated e.g. infants
unable to mount a robust immune response to vaccines e.g. immunosuppressed
Describe herd immunity? Describe its role in certain disease states?
Describ ethe different types of vaccines regarding antigens?
Describe live vvacines?
Describe inactivated vaccines?
How long does one need to wait prior to another live vaccine?
Live Vaccines – Wait 4 weeks between vaccinations before another live vaccine
Examples of live and killed vaccines?
What are some different parts of a vaccine and examples?
What are some factors that affect vaccine response?
Viability of the antigen
Antigen Dose
Age (children and older adults get higher doses; adults have a weakned immune system; children immature immune reposne)
Immune status
Route & site of administration
Timing
Vaccine Storage
Routes of vaccinations
Vaccine administration. Exceptions?
May give multiple vaccines at the same visit
if possible, give in separate anatomic sites (different limbs)
if not, separate ≥1 inch
Exception:
–> LIVE vaccines give on same day or wait ≥4 weeks between live vaccines
Example: childhood immunizations, MMR and Varicella vaccines given at the same visit
–> Pneumococcal vaccines
Vaccine interchangeability
Ideally, complete vaccine series with the same product
Engerix-B
Most vaccines can be used interchangeably to complete series if the vaccine is not available
Exceptions
pneumococcal vaccines
some meningococcal vaccines
Vaccine Interchangeability Exceptions
Special Populations (high dosing if high risk)
HB – non-dialysis and dialysis
Twinrix
Interuptted Vaccine Schedule
Series do not need to be restarted regardless of time between doses
E.g. ideal hepatitis B vaccine schedule 3 doses (0,1,6 mos) in unvaccinated adults
Vaccine Contraindications
Very few true contraindications
Anaphylactic reaction to previous vaccine
Anaphylactic reaction to egg (yellow fever or RABAVERT rabies vaccine)
Pregnancy, Immunocompromised (live vaccines)
Guillian-Barre syndrome (GBS) ≤6 weeks of immunization
–> Tetanus containing vaccine and influenza vaccine
.
Caution of Vaccinations? Is it safe with illnesses?
Caution - Bleeding disorder
Okay to give vaccine if mild
URTI with/without fever
Egg allergy and VAccinations
Contain minuscule amounts of egg protein, which is also denatured, that they are safe for routine use in patinets with egg allergy