Immunizations Flashcards
Who develops the immunization schedule
- The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC)
- American Academy of Pediatric
- American Academy of Family Physicians
What are the contributing factors
- The epidemiology of the disease
- Age-specific morbidity and mortality
- Vaccine immunogenicity
- Risks of vaccine related adverse reactions • Cost effectiveness
- Established ages of well-child visits
What is Live-attenuated vaccine
“alive”, but weakened (MMR, FluMist, Varicella, & Rotavirus)
What is Inactivated vaccine
is not alive and cannot replicate
Contraindications of live vaccines
*Pregnancy
*Severely immunocompromised

Other contraindications of live vaccines
- Severe allergic reaction
* Moderate/severe illness regardless of fever
Misperceived contraindications
• Mild acute illness regardless of fever • Low-grade fever • Recent exposure to infectious disease • Mild to moderate local reaction • Current antibiotic therapy • Prematurity* • Lack of previous physical exam in well-appearing patient • Immunodeficent family member or household contact (MMR) • FH of SIDS or seizures (DTaP)
Recommended minimum interval between doses of two or
more
28 day
Contraindications for HBV
Life-threatening allergy to yeast
What is cocooning
Tdap admin for anyone of older age that needs a booster
Contraindications for DTaP
- Encephalopathy (until cause is identified)
* Progressive neurological disordes (until stabilized)
Age range for Tdap
11-12yo
Preg btn 27-36 wks
Td vaccine given to
Adolescents and adults as booster ever 10yrs or w/ trauma
Hib contraindications
- Yeast
* latex
IPV contraindications
*neomycin/streptomycin/ polymyxin B
Who is PCV23 used for
High risk chn >2yo
Contraindications for Rotavirus
*immunodeficiency latex allergy (Rotarix) *Hx of intussusception *Acute mod to severe gastroenteritis *Altered immunocompetence
Contraindications for HAV
• Severe allergy to latex
Who is at higher risk for Hepatitis A
AZ (Southwestern states)
Contraindications for MMR
- Anaphylactic reactions to neomycin or gelatin. • Pregnancy
* Immunosuppression
Contraindications for Varicella
*neomycin or gelatin
• Altered immunity
• Pregnancy
Contraindications for MMRV
- altered immunity
- anaphylaxis to prev dose
- Pregnancy
High risk for meningitis
2mos-10yo
Contraindications of meningiococcal vaccines
- Hx of anaphylaxis to component of vaccine including Diptheria/tetamus toxoid
- Latex
IIV indications (flushot)
> 6mo
Dosage for IIV
*chn 6mo-8yo=2 doses
Contraindications for IIV
- Anaphylaxis to vaccine components (Abx, latex, gelatin)
- Guillain Barre
- Hx of egg allergy (hives)
Flumist age ranges
*>2yo,
Contraindications for Flumist
- Hx of egg/gentamycin/gelatin allergy
- chn 2-4 w/ asthma inals 12mo
- 2-17yo on asprin
- Immunosuppressed
- Pregnant
- IIV vaccine in the last 48hrs
