Pedia Vaccine And Infection1 Flashcards
Baby after vaccine developed rash and fever, came after 3 months for the same vaccine, u will give or not?
Give!
(+ paracetamol for fever , antihistamine for rash)»_space;common side effect of vaccine, don’t delay or cancel vaccine for such reason!
Don’t give the vaccine in case baby developed :
1-Severe allergic reaction ( skin rash + one pf the following:
-Shock (low BP)
Or
-Respiratory symptoms
2-Immunodeficiency ( for specific vaccines) or family hx
3-exogenous steroid related
MMR vaccine CI ?? Or
Live attenuated vaccine CI??
See the pic + if pt have severe illness lead to hospitalisation or
received blood products, u can give vaccine after receiving the following by passing the following peroid:
-PRBC»_space; 6 months
-FFP or platelets»_space;7 months
-IG within 3-11 months
Note**
Measles can be given immunity after Blood Transfusion only in case of measles epidemic!
Woman asked u what is the safest duration after taking MMR vaccine to get pregnant??
2-3 months
However, if pregnancy occurred within 4 weeks after vaccine, nothing will happen
What are the vaccines that safe during pregnancy?? (2)
1- tetanus / DTAP (between 27 -36 week of gestation)
2-influenza ( safest during 1st trimester)
Optimal time to give PCV or MCV before or after splenectomy?
2 weeks
What is the most important factor that contributes in decreasing children mortality and morbidity??
Vaccines
Hep B vaccine in pre term baby?
Should be given at :
Time of discharge
Or
One month after birth
Note**
Hep B is less immunogenic in babies less than 2 kg weight!
Child with family Hx of immunodeficiency, what vaccines will not be given?
See the pic
-live attenuated!
Rote of administration of measles vaccine??
Subcutaneous!
Child have HIV, what vaccines u will not give? (Absolute CI!)
1- BCG
2- OPV
Child, 6 months , came for DTaP vaccine, pt have uncontrolled seizure, best action?
Defer (delay) both DTaP and DTP ( P exactly)
Pertussis vaccine should be delayed if pt have any neurological disorders.
CI of DTP : see the pic
6 y o child going to school, never took any vaccinations, will take varicella for first time, what is the dose,?
Q2 what is CI to varicella and MMR??
2 doses with 12 weeks apart
Usually child take varicella vaccine at 18 m and school age.
Note*
Varicella rash start at trunk and go to cheeks
Q2: answer: neomycin or gelatine allergy + all known contraindications
Vaccine that CI in egg allergy??
Yellow fever vaccine
(Allergic to egg, chicken protein, gelatine)
Pregnant on anti TNF , what vaccines will be given to the baby???
Killed now and life attenuated ideally at 12 months, can be given at 6
What are the CI vaccines in babies who suffer from complement deficiency??
Nothing 😛 give all vaccine
Rash started at face then speared to trunk ?
Measles or varicella??
When to give the vaccine for ur answer?
Measles
*koplik spots** مهمممم
9, 12, 18, months and at 4-6 years
What is your approach in rabies ?
If :v
Major wound
Or
Minor wound
Major wound :
Give IG
+
Vaccines
If pt had vaccinated before ( 0,3 days)
If not (0,3,7 and 28)
Minor wound:
No need for IG
+
Give Vaccines !
If pt had vaccinated before ( 0,3 days)
If not (0,3, and 28)
Vaccine ci in intasspession ?
Rotaaaaaaaa
Child, eczema, what is ci vaccine?
Smallpox vaccine
Pt with defect in interferon alpha or gamma, what type of vaccine u will give??
-defect in IL 12 ??
- both live viral and bacterial are CI
- only bacterial is CI !
Give me one rare dangerous side effect that come with measles vaccine?
Subacute sclerosing pan encephalitis
Mother, hep B +ve, what to give the baby (1.6kg) ??
IG + vaccine immediately
Child was on steroid, and stopped now, when to give vaccine??
If the pt one steroid for:
2 weeks or more , 20 mg (2 mg /kg ) ,systemic form» wait for 4 weeks then give vaccine
Pt on chemotherapy»_space;wait for 12 weeks then give vaccine
Pt on rituximab»_space; 6 months
Pt with chronic respiratory disorder, which vaccine should be given?
-Influenza
-pneumococcal
Q1 What is the age that rota will not be given after??
Q2 pt below 7 years old , another above 7 years old, both didn’t take any vaccine, what u will give to each child
A 1: 8 months , if rota not given then it will not be given
A2: below 7:
Need catch all vaccine (bacterial and viral )except rota if more than 8 months
Above 7:
See the pic
Which society group needs Influanza vaccine the most!???
What are t the 4 vaccines that given before school??????
Vaccination schedule??
2 weeks baby with conjunctivitis bilateral, cough, x ray show bilateral infiltration, dx??
Chlamydia
Baby ,Congenital heart disease , dental extraction, fever and splenomegaly, causative organism??
Baby, Prosthetic valve , fever and HF, endocarditis is suspected, what is the ttt??
MRSA should be covered !!
Baby, mouth ulcer, dx?
Another ddx?
Herpes type 1
Ddx:
Herpangina caused by coxacki virus! (Affect oropharynx more than oral cavity!)
Child like to swim, ear discharge, m/c organism?
(Pseudomonas areej)
If baby didn’t swim,
Below 2 years:
Strep pneumonia
H. Inf
Moraxella catarhail
Above 2 y:
Areej
Staphylococcus aureus
Child, rash, irregular red patches ,in neck and trunk, dx??
Chickenpox
Incubation period : 10-12 days ,polymorphic rash
Complications:
-MC complication of chickenpox is ,Secondary infection by bacteria will cause sepsis
-MCC of death is pneumonia
- rare CNS complication is , acute cerebral ataxia (encephalitis)
-Toxic shock syndrome
- Reye’s syndrome ( pt who take aspirin during chickenpox)
Hepatic/cerebral edema !
Rash started at head then spread all over the body, ur ddx??
-measles ( measles is same as rubeola !!!!!!)
-rebella
-varicella in case trunk is involved
Erythema infectiosum , cause? Distribution? Plan??
Another name for measles? Cause if it? Clinical pic? Plan?
Rubeola!
Rubella cause? Clinical features? Plan? Another name?
Roseola , cause? Clinical features? Plan??
Varicella cause? Plan and clinical pic??
Hand foot mouth dis cause? Clinical features? Plan??
What is the congenital rubella triad??
Causes of white or absent red reflex??
Blueberry rash , senseroneural deafness , what is your ddx ? Give me 2
Congenital rubella syndrome
And
CMV !!
Strawberry tongue ddx??
Scarlet fever
Kawasaki dis
Kawasaki dis, criteria ???
…..+ 5 signs and symptoms?
2 mnemonics ( choose what u like ;)
Fever + 5 things
CRASH AND BURN 🔥:
burn> fever more than 5 days
C conjunctivitis bilateral
R Rash
A adenopathy
S strawberry tongue 👅
H Hand and foot swelling
2nd mnemonic:
SAFDER
S strawberry tongue
A adenpathy
F fever mor than 5 days
D Dry conjunctivitis bilateral
E erythema in hands and foot woth swelling
R rash
Indicator to Poor response to IVIG in Kawasaki dis in children??
High CRP
Others :
+ male gender
Kawasaki ttt??
Best modality to dx??
IvIG + aspirin (anti inflammatory dose not anti platelet dose!)
Echo
Scarlet fever s and s?
Ttt??
الوزة القرمزيه ماشيه على الرملة منقارها ابيض
ولسانها فراولة تاكل باستا
Penicillin for 10 days
Child with pertussis, have 3 years old sibling, proper action for the 3 yo boy and his pregnant mom ?
How to dx?
Prophylactic macrolid for both of them
Nasopharyngeal swab for culture
Empirical Ttt og neonatal meningitis?
Ampicillin + gentamicin +cefataxime!
B haemolytic, catalase negative, what antibiotic will be given?
GBS > group B strep> gram positive
Ampicillin
GBS is the mcc of neonatal meningitis/sepsis in babies less than 3 months, (follows by e coli and listeria )
Screening test for mother at 35-37 wks of gestation
Intrapartum penicillin for mother
If swap positive
But! If baby is older than 3 months:
See the pic
Child with viral meningitis, what’s the commonest cause?
A. - EBV
b. Coxsackie
C. Corona
D. Polio
B
Most common cause of meningitis???
Aseptic meningitis!
7 yo boy from came from africa , meningeal signs, CSF ( normal protein, glucose, lympgocytosis) , mc organism?
EBV
Child, Splenomegaly for 6 days + fever, what is the culture needed here??
Blood culture
Child with Meningitis +mc risk or complications for what ???
Hearing loss
Child with meningitis, developed papilledema, parents will be afraid of what?
Vision loss
Vp shunt that lead to meningitis , mc organism??
Prosthetic valve infection mc organism?
Both, staph epidermis
Ttt of meningitis in neonate and older than 3 months, + duration????
Child with meningitis, what to do with his brother?
See the. Pic
But in case the organism is known in the Q,
Nesseria :
Rifampicin twice per day for 2 days
Streptococcal pneumonia:
No evidence of antibiotic prophylaxis
Mcc of viral otitis media??
RSV!
2nd mc is rhinovirus
Infant with oral thrush what to give? Dx?
Oral candiasis, give topixal anti fungal
Baby, eczema, infected (itching ,erythema) with grape like pattern,most likely organism cuz super infection?
Herpes simplex !
