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Immunizations Flashcards

1
Q

Which are live virus vaccines?

A

MMR
Varicella
Rotavirus

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2
Q

Schedule for HepB

A

birth, 1 and 6 months

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3
Q

Schedule for DTaP

A

2, 4, 6, 12-18mo, 4-6yrs

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4
Q

Schedule for polio

A

2, 4, 6-18mo , 4-6yrs

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5
Q

Schedule for Hib/pneumococcal

A

2, 4, 6, 12-15mo

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6
Q

Schedule for MMR and varicella

A

12-15mo, 4-6yrs

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7
Q

Which routine vaccines for adolescents?

A

TdaP, MCV4, HPV, influenze

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8
Q

What are 6 contraindications for DTaP?

A 
anaphylaxis
encephalopathy within 7 days
seizure within 3 days
persistent crying within 2 days for >3hrs
collapse or sick state within 2 days day
Fever >405 within 2 days
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9
Q

When would you defer DTaP and to what age?

A

if severe neuro issues or seizures, defer to 1 yr

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10
Q

ContraI for MMR/V

A

Pregnancy
HIV CD4<15%
Avoidance of aspirin for 6wks for post-vaccination

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11
Q

Which vaccine will give you febrile seizures after 1st dose?

A

MMRV

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12
Q

ContraIndication for rotavirus

A

SCID, h/o intussusception

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13
Q

ContraIn for LAIVA - intranasal

A

severe egg allergy, asthma, chronic aspirin therapy risk of Reye

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14
Q

If you have a cut and <3 shots of tetanus then what?

A

vaccinate and TIG if dirty wound

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15
Q

If you have a cut and >3 shots of tetanus then what?

A

if wound is dirty –> vaccinate, if >5yrs since last dose

if wound is clean –> vaccinate, i 10yrs since last dose

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16
Q

If mother is + HBsAg then what

A

Give baby HBiG within 12 hrs, vaccinate 12hrs, 1-2mo, 6mo

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17
Q

What if premature baby is born to HGsAg+ mother

A

Give HBIg and vaccinate, but can’t count first dose, so need to give real first dose at 2kg/30days

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18
Q

What is f/u for treated infant of HBsAg+ mom

A

anti HBs and HBsAg at 9-18months, if neg, give 3 more doses

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19
Q

If mother’s HepB status is unknown, then what

A

vaccinate first, if baby is premature, give HBIG then screen mom

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20
Q

If previously unknown mom is found to be HbsAg+ then what?

A

HBIG ASAP (up to 1 week) complete vaccination

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21
Q

What do you give VariZIG?

A

within 10 days of exposure and pt is susceptible to chicken pox
+ significant exposure
+ risk of complications

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22
Q

Who must you give an extra dose of PPV13 to?

A

anatomic or functionally asplenic patient, SCD, HIV, cochlear implant or CSF leak

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23
Q

Who should you give PPSV23 to?

A

asplenic, SCD, HIV, cochlear implant or CSF leak, chornic disease

24
Q

When should you give PPSV23?

A

> 8 wks after last PCV13 dose, revaccinate high-risk children once after 5 years

25
Q

Besides teenagers, who should you give MCV4 to?

A

HIV pts, 2 dose 11-12 yers, booster at 16 yrs, 2 mo interval
Also - pts who are complement component deficient, functional or anatomic asplenia, travel to hyperendemic or epidemic area (can vaccinate as early as 2 months of age)

26
Q

When do you use TDaP?

A

Routine for kids who need it at 11-12yrs
If catch-up needed 13-18yrs
Undervaccinated children 7-10yrs
Maternal vaccination during each preg or immediately postpartum

27
Q

Difference in administration of RV5 vs RV1

A

Pentavalent 3 doses, monovalent 2 doses

28
Q

What is the difference in PCV13 and PPSV23?

A

PPSV23 less immunogenic - indicated for high risk children >2yrs of age

29
Q

Does diptheria vaccine prevent disease or colonization?

A

prevents disease

30
Q

Polio is what kind of vaccine

A

killed virus

31
Q

Within how many days of HepA should Ig be given?

A

14 days

32
Q

Within how many days of measles exposure should Ig be given

A

6 days

33
Q

Max age for giving rotavirus

A

8 months

34
Q

ContraI h/o intussusception

A

Rotavirus

35
Q

ContraIndicated if IVIg recently given

A

MMR

36
Q

PPD can be performed on day of or 1 month later

A

MMR

37
Q

ContraI if prior dose caused seizure within 3 days

A

DTaP

38
Q

What is catchup schedule for HepB

A

3 doses time 0, 1 and 6 months later

2 doses time 0 and 4 to 6 months later

39
Q

What type of vaccine is HepA

A

inactivated virus

40
Q

Pt is 1yr and traveling and might have been exposed to HepA

A

administer vaccine within 2wks of exposure

41
Q

PPx against HepA dose - duration of protection

A
  1. 02ml/kg >3 months

0. 06ml/kg >5 months

42
Q

High risk strain of HPV for cancer

A

16, 18

43
Q

High risk strain of HPV for genital warts

A

6, 11

44
Q

What age should routine HPV vaccines be given?

A

11-12yrs of age.

45
Q

What is age of female and male when catch-up HPV can still be done

A

female <26yrs, males <21yrs

46
Q

In what circumstance is person at high risk for rabies?

A

When biten by bats or in the same room as bats, feral cats, dogs, ferrets, wild-life

47
Q

What to do for bites with high risk for rabies?

A

RIG - infiltrate wound, rabies vaccine 4 dose series

48
Q

If pt came in with bite wounds, what should you do?

A

check tetanus routine immunization and assess for risk of HepB and GIV

49
Q

What to do if escaped dog or cat bites you?

A

consult public health officials

50
Q

Which are low risk bites?

A

livestock, rodents, lagomorphs

51
Q

What antibiotics for PPX if dog, cat, or human bites?

A

Amox or cefpodoxime, TMP-SMX+clindamycin, or parenteral ampicillin-sulbactam

52
Q

Can following be given to household contacts of immunocompromised person?

1) flu
2) varicella
3) MMR
4) Rota

A

Can give MMR or rotavirus

53
Q

In immunocompromised child - you can routinely administer non-live vaccines but live vaccines shouldn’t be given except wen?

A

HIV-infected child has CD4>15%

54
Q

What should be given or premature baby with chronic respiratory disease?

A

RSV ppx

55
Q

For HIV+ kids, what additional vaccines should you give

A

PCV13, PPSV23, MCV4 (2 dose primary series)

56
Q

What additional vaccines should be given to asplenic children?

A

PCV - PCV13, PPSV23, MCV (administer earlier, 2 dose primary series, booster every 5 years)

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