Kaplan Chapter 5-6-7 Flashcards
Live attenuated vaccines 10
“Attention! Please Vaccinate
Small, Beautiful Young
Infants with MMR
& Rota!”
Adenovirus (nonattenuated,
given to military recruits), Oral typhoid
Polio (sabin), Varicella
(chickenpox), Smallpox,
BCG, Yellow fever, Influenza
(intranasal), MMR, Rotavirus
Live vaccines can be acceptable to be given to 2
selective IgA deficiency
complement defects
Post exposure to Measles
-age<6m & mother is not immune–>Ig
-Age 6-12m–> Ig + vaccine
- age > 12m of the baby –>Vaccine within 72 hours of exposure
Post exposure to Varcilla 3
- infant age >12m and immunocompetant –> VZV vaccine
- Immunocompromized or pregantnt –> VZIG
-VZIG also for susceptible pregnant women, newborn whose mother had the onset
of chickenpox within 5 days before delivery to 48 hours after delivery,
Post Exposure to HBV, HAV in non immunized child
-Hepatitis B: after exposure in nonimmune patient, give hepatitis B Ig plus vaccine;
repeat vaccine at 1 and 6 months.
-Hepatitis A: if patient is not vaccinated, give 1 dose of vaccine as soon as possible but
within 2 weeks of exposure
vaccine recommended during adolescence, regardless of immunization status; is also recommended even if one has already had pertussis disease.
Tdap
Bladder control is usually achieved by age
5yr
Retentive encopresis associated with
abnormal anal sphincter function
1encopresis associated
2nd encopresis associated
Primary encopresis—especially in boys, associated with global developmental
delays and enuresis
Secondary encopresis—high levels of psychosocial stressors and conduct disorder
Inactivated polio can be given unitl what age
Any child up to 18 years of age should receive all doses, if behind
HiB vaccine can be given unitl what age
If immunization is not initiated (i.e., child is behind) until age 15–59 months, then
there is catch-up (1 dose), but not given after age 5 years in normal children
Rotavirus Vaccine when to give and until what age
Given at ages 2, 4, 6 months
no dose after age 8 months
