Lecture 17 Flashcards

1
Q

how is RSV transmitted

A

inhalation or contact with infected ppls respiratory secretions

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2
Q

what is the reproductive number of RSV

A

3

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3
Q

RSV seasonality

A

starts late oct, peaks jan, lingers till may

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4
Q

when do you get the most RSV infection

A

19 months - 5 year old. Dont have innate immunity yet

greater than 70 years of age due to declining immunity

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5
Q

what increases risk for severe infection, hospitalization, and mortality from RSV complications

A

advanced age
frailty
chronic medical conditions

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6
Q

are reinfections possible with RSV

A

yes!

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7
Q

how long are adults infectious for

A

3-8 days

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8
Q

common symptoms

A

sore throat, voluminous rhinorrhea, cough, nasal congestion, headache, cough

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9
Q

what does progression of RSV typically cause

A

acute bronchitis or pneumonia

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10
Q

what can severe RSV cause

A

CHF and asthma/COPD exacerbations

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11
Q

what are CV complications of RSV

A

MI, CHF, exacerbations of heart failure arrhythmia MI

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12
Q

among healthy adults aged 65 plus, and adults with chronic lung or heart disease RSV accounted for

A

11.4 % of hospitalizations for COPD and 7.2% of hospitalizations for asthma

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13
Q

Gold standard for RSV diagnostic testing

A

molecular PCR testing

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14
Q

what is the clinical way of testing

A

rapid antigen testing

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15
Q

RSVPreF vaccine type and age group

A

GSK product (has adjuvant in it), pfizer

subunit RSV in 60+

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16
Q

ADR of vaccine risk

A

some neurological events, and some atrial fib

17
Q

ACIP rec

A

adults 60+ may receive a single dose of RSV vaccine using shared clinical decision making.

18
Q

when do you vaccinate

A

octoberish, continue to offer it throughout season

19
Q

can you give vaccinations together?

A

Yess can give at the same time, different arms. Just no data available

20
Q

when do you have to use the vaccine within

A

4 hours!

21
Q
A