Immunizations Capstone Lecture

Question 1

HIV Immunizations

Answer 1

Strep pneumo (conjugate and polysach)
Hep B (recom)
Influenza (recom or inactivate)
Hep A (MSM)
HPV (through 26 y/o)

Question 2

Contraindications for CD4<200

Answer 2

MMR, Varicella, Herpes Zoster, Live attenuated flu

Live vaccine viruses

Question 3

Infant immunzations

Answer 3

Hib
HepB
PVC13 
IPV
RV1/RV5
IIV or RIV (6 mos or older)

Question 4

Routime immunizations after 1 year

Answer 4

Boosters - DTaP, Hib, PCV13, IPV

Primary - HepA (and booster after 6 mos), MMR, Varicella

IIV or RIV annually

Question 5

Routine immun after 4-6 years

Answer 5

Boosters of - DTaP, IPV, MMR, Varicella

IIV or RIV annually

Question 6

Adolescent immun

Answer 6

Boosters of Tdap

Praimry of HPV vaccine and MCV4

IIV or RIV annually

Question 7

Spleen susceptibility and function

Answer 7

Site of adaptive response to blood antigens…50% of B lymphos and AB production

Strep pneumo
H influenzae
N meningitidis

Question 8

splenic immunizations

Answer 8

Strep Pneumo (conjugate and poly)
H influ (unneccesarry if fully immunized)
N menigitides (conjugate and type B recomb)
INfluenza virus (inac or recomb)

Question 9

Vaccines udring pregancy

Answer 9

Tdap and IIV

Question 10

Contraindicated vaccines during pregnancy

Answer 10

Herpes zoster
LAIV
MMR
Varicella

Question 11

65+ immunizations

Answer 11

Boosters of Tdap

Primary of PCV13, PPSV23 (1 year after conjugate), HZV (after 60)

IIV or RIV annually

Question 12

OPV

Answer 12

Induces superior immunity, easy to administer, virus shed in stool so good herd immunity

Also caused dz

Question 13

Thimerosal

Answer 13

Contains ethylmercury - neurotixicity

Question 14

MenB outcomes

Answer 14

Not 100% because of antigenic variability

Question 15

LAIV

Answer 15

Live may be unstable so worse at providing immunity