Immunizations & Travelers: Immunizations

Question 1

Who provides recommendation for vaccine administration?

Answer 1

ACIP (Advisory Committee on Immunization Practices)

CDC approves, and publishes in Morbidity and Mortality Weekly report and The Pink Book

Question 2

What is VIS

Answer 2

Vaccine Information Statements

Prepared by CDC, has risk/benefits of each vaccine, should be handed to patient prior to vaccination

Question 3

Active vs Passive immunity

Answer 3

Active: persons own system produces antibodies to fight infection

Passive:acquired when antibodies are provided from someone else ie Mother to baby or from someone IVIG

Question 4

Live attenuated (weakened) vaccine info

Answer 4

produce strong immune response, contraindicated in immunocompromised/pregnant patients

made up of weakened virus or bacterium, have ability to replicate

Question 5

Inactivated vaccines info

Answer 5

Made up of killed virus/bacterium

often a “booster” is required, immunity not as strong as “live vaccine”

Question 6

Common Live vaccines

Answer 6

MICRO-VY

Question 7

MICRO-VY

Answer 7

MMR
Intranasal flu
Cholera
Rotavirus
Oral typhoid

Varicella
Yellow fever

Question 8

When should live vaccines be held until in children?

Answer 8

held until 12 months old

Question 9

Live vaccines and TB skin test?

Answer 9

1. give vaccine same day as test
2. wait 4 weeks after vaccine for test
3. give test first, then wait 48-72hrs for vaccine

Question 10

systemic reactions in live vaccines can occur after…..

Answer 10

3-21 days after vaccine is given