Lecture 7 done Flashcards
What is a precaution?
a condition in a vaccine recipient which may result in an unwanted effect
Describe risks and benefits in pregnancy
risk cannot be ruled out, but benefit may justify the risk
Can pregnant women get rubella vaccine?
no, can cause birth defects. Avoid pregnacy for 1 month following vaccination
What should you do if yiou have a pregnant patient?
refer for prenatal care, avoid live vaccines, Tdap in late pregnacy, defer HPV immunization, other vaccines as indicated
Influenza vaccine in pregnancy
pregnant individuals should get influenza vaccine because of increased risk of morbitity
What vaccines are given at post-partum immunization?
rubella and/or varicella, tdap if unimmunized, flu (maybe)
What are the risks of vaccinating immunosuppressed?
vaccine induced morbitity/mortality, poor host response to vaccination
What are imunosuppressing diseases?
congenital imunodefficiency, HIV, leukemia, lymphoma, generalized malignancy
What are some immunosuppressing drugs?
alkylating agents, antimetabolites, radiation, corticosteriods, biologics, transplant medications
What vaccines should the immunocompromised NOT receive?
no live vaccines, no OPV, LAIV, and smallpox for household contacts
What vaccines should an immunocopromised individual receive?
zoster, pneumococcal
WHat vaccines should be given to thse with Asplenia?
Hib, annual flu, neumococcal and menigococcal(if older than 2 years)
What vaccines should be given to those with liver disease?
hep A, Hep B, annual flu, pneumococcal
What vaccine for HIV?
pneumococcal, menACWY, inactivated flu, Tdap, Hep B
What vaccines should be avoided in HIV infection?
live vaccines, mmr okay for those who are not severly immunocopromised, mmr for children on normal schedule, varicella on usual childhood schedule
When should cancer patients be immunized?
2 weeks before chemotherapy or inbetween cycles
When should transplant patients be vaccinated?
while waiting for organ transplant
What vaccine should a transplant patient get?
inactivated influenza, pneumococcal, Tdap, Hep B(may need boosters)
How should vaccines be given to anticoagulated patients?
IM, immunize when at or below INR,maintain pressure for at least one minute
WHat are high risk medical conditions?
diabetes and renal failure
What vaccines should be used in high risk medical conditions?
Hep B, pneumococcal, inactivated flu, Tdap(renal failure)
What vaccines should healthcare worker get?
two doses mmr, varicella, Hep B, pertussis, annual flu
True or false: vaccines should not be given of there is a concurrent illness.
false. vaccination during mild illness is okay. postpone if moderate to severe illness
When should mmr be given?
when reccomended by ACIP, should be considered for HIV infection, not given to immunocoprimised
Should varicella be used in children with HIV?
only asymtomatic or mildly symtomatic
When should the immunosuppressed get the Zoster vaccine?
19 years or older, immunocompetent 50 years older, anyone who had ZVL
Why are some populations hard to vaccinate?
disrust, religious beleifs, lack of awarness of benefits, overty or low SES, lack of time, gender discrimination
What drives vaccine hesitency?
complacency, concenience, confidence
