PH Childhood immunization schedule 2021

Question 1

Dose of BCG

Answer 1

0. 05 mL < 12mos

0. 1 mL ≥ 12 ms

Question 2

When is BCG given?

Answer 2

ASAP prefereably < 2mos old

Question 3

When is PPD prior to BCG needed?

Answer 3

• Congenital TB
• History of close contact to known or suspected infectious cases
• Clinical findings and/or CXR suggestive of TB

Question 4

Is PPD prior to BCG for > 2mos. old needed?

Answer 4

Not if they’re healthy

Question 5

If there is an induration of 5mm in the presence of indications for PPD, should BCG still be administerd?

Answer 5

No.

Question 6

How is BCG administered?

Answer 6

Intradermally

Question 7

How is DTP administered?

Answer 7

Intramuscularly

Question 8

When is DTP given?

Answer 8

≥ 6 weeks old

Question 9

What consists the primary series of DTP?

Answer 9

3 doses with min interval of 4 wks

Question 10

What consists the booster series of DTP?

Answer 10

3 doses until adolescence with schedule:

• 12-23 mos (DTP)
• 4-7 y/o (DTP)
• 9-15 y/o (Td/Tdap)

Question 11

What is the ideal minimum interval between DTP booster doses?

Answer 11

at least 4 years

Question 12

Until what age should the full-dose DTP preferably used?

Answer 12

Age 7 years (but package inserts should be consulted)

Question 13

What does DTP stand for?

Answer 13

Diphtheria, Tetanus, Pertussis

Question 14

How is HIB administered?

Answer 14

Intramuscularly

Question 15

What consists the primary series of HIB?

Answer 15

3 doses with min interval of 4 weeks

Question 16

What is the min. age for HIB?

Answer 16

6 weeks

Question 17

When is the HIB booster given?

Answer 17

Bet. 12-15 mos. after 6 mos. from 3rd dose

Question 18

What does HIB stand for?

Answer 18

Hemophilus influenza type B conjugate vaccine

Question 19

How is inactivated HAV given?

Answer 19

IM

Question 20

Min. age for inactivated HAV

Answer 20

12 mos

Question 21

Primary series for inactivated HAV

Answer 21

2 doses, 6 mo interval

Question 22

Live attenuated HAV route

Answer 22

SQ

Question 23

Live attenuated HAV min. age

Answer 23

18 mos

Question 24

Live attenuated HAV primary series

Answer 24

single dose

Question 25

HBC route

Answer 25

IM

Question 26

Monovalent HBV first dose

Answer 26

within 24 hrs of life for ≥ 2 kgs

Question 27

HBV 2nd dose

Answer 27

1-2 mos after birth dose

Question 28

HBV final dose

Answer 28

≥ 24 wks of age

Question 29

Is 4th dose of HBV necessary?

Answer 29

Yes if last dose was given ≤ 24 wks of age

Question 30

HBsAg (+) mother

Answer 30

Administer HBV and HBIG (0.5 mL) within 12 hrs of life

Question 31

When should HBIG be given?

Answer 31

• preferably HBsAg (+) mother within 12 hrs of life

- HBsAG (+) mother not later than 7 days of age

Question 32

Mother of unknown HBsAg status

Answer 32

• Test HBsAg ASAP
• BW ≥ 2kgs, HBV w/in 12 hrs of life + HBIG ≤ 7 days of age
• BW < 2kg, HBIG + HBV within 12 hrs of life

Question 33

Is the first dose given at birth part of the HBV series?

Answer 33

Not if BW < 2 kg

Question 34

HPV route

Answer 34

IM

Question 35

How many doses are needed for HPV series?

Answer 35

2 for 9-14 y/o

3 for ≥ 15 y/o

Question 36

Should there be a 3rd dose for HPV for 9-14 y/o?

Answer 36

Yes if 1st and 2nd dose have < 6 mo interval. 3rd dose should be 3 mos after 2nd dose

Question 37

How to administer HPV

Answer 37

Bivalent, quadri, or nona at 0 and 6 or 0, 2, and 6 mos.

Question 38

≥ 15 y/o HPV dose intervals

Answer 38

1st and 2nd dose - > 1 mo

2nd and 3rd dose - > 6 mos

Question 39

HPV for males 9-18 y/o

Answer 39

4vHPV and 9vHPV for prevention of anogenital warts and anal cancer

Question 40

Flu route

Answer 40

Trivalent (TIV) - IM or SQ

Quadri - IM

Question 41

Flu min age

Answer 41

6 mos

Question 42

Flu interval

Answer 42

6 mos to 8 y/o - 1st shots 2 doses, 4 wks apart; yearly thereafter
if only one as 1st shot, administer 2 doses then yearly thereafter
9 - 18 y/o - one dose yearly