Preventative Flashcards
What is the age range for Dtap administration?
2 months to 7 years old
What is the maximum age in which Rotavirus vaccination can be given?
less than 15 weeks of age
What is the cholesterol screening recommendations for kids?
universal screening at 9-11 years old and again at 17-21 years old
What 3 vaccines are not indicated for a child older than 5 years old who has not started their immunizations?
- Hib
- Prevnar
- Rotarix
What is the appropriate time frame for live vaccine administration after prolonged, more than 2 mg/kg/day dosing of steroids?
at least 4 weeks
What is the recommendation for infants born to Hep B positive mother’s if birth weight is 2 kg or more?
Hep B IgG and Hep B vaccine without 12 hours followed by Hep B vaccine at 1 and 6 months
What is the prevnar catch up vaccination recommendation for patients 24-59 months old?
1 Prevnar
What is the Hib catch up vaccination recommendation for patients 12-59 months old?
1 Hib vaccine
What is the recommendation for Varicella vaccination for HIV positive patients who have not previous received vaccination?
as long as CD4 is 15% or higher can be given
3 months between dose 1 and dose 2
What vaccination is contraindicated in a pt with true egg allergy?
yellow fever vaccine
flu vaccine can be given unless allergy to flu vaccine itself
What disorder is rarely caused by Hib since vaccinations have been introduced?
Meningitis
What is the age range for infants who require additional MMR vaccine before age 12 months if traveling to edemic area?
6 to 11 months old
How long should you wait to perform a TB PPD test if MMR vaccine was given previously?
4-6 weeks
can be done at same time
What 2 vaccines should not be administered at the same time?
PCV13 and Menactra
all required doses of PCV13 should be given before menactra
What is the minimum time interval between dose 2 and 3 of HPV for a patient who started the series at or older than 15 years old?
12 weeks after 2nd dose
5 months after 1st dose
How long do you have to wait to give the other vaccine if MMR and Varicella are not given at the same time?
at least 4 weeks
What routine vaccine under the age of 2 years old should be administered subcutaneously?
MMR
Polio and varicella can be given subQ as well
What is the minimum timeframe between dose 1 and dose 2 of MMR?
4 weeks
What is the minimum timeframe between dose 1 and dose 2 of varicella?
3 months
What is the time frame that MMR needs to be administered before the use of IVIG for the MMR vaccine to be effective?
at least 2 weeks before
What vaccine is contraindicated in household members of a severely immunocompromised patient?
Live attenuated Influenza vaccine
What is the recommendation for infants born to Hep B positive mother’s if birthweight is less than 2 kg?
Hep B IgG and Hep B vaccine without 12 hours followed by Hep B vaccine at 1, 2 and 6 months
How many doses of Hib vaccine should a patient receive after the age of 15 months old?
1 (even if it is the only dose)
At what age should a preterm infant born with weight less than 2kg born to a Hep B negative mother get Hep B vaccine?
1 month old
What is the recommended catch-up varicella vaccine schedule for child 13 years or older who has not had wild varicella infection?
2 doses at least 1 month apart
What is the recommended catch-up varicella vaccine schedule for child less than 13 years old who has not had wild varicella infection?
2 doses at least 3 months apart
What is the adequate needle length for immunizations of a 2-12 month old?
1 inch (injected into anteriolateral thigh)
What are the parameters for providing the MMR and Varicella vaccines to HIV positive children?
CD4 count needs to be 15 or higher
do not give MMRV combo shot
What vaccination is required to be stored frozen (-50 degree to -15 degree C)?
Varicella containing vaccinations (including MMRV)
What is an absolute contraindication to the Rotavirus vaccine?
history of intussusception
When should tetanus prophylaxis be given for a wound?
- clean wound and no tetanus shots in 10 years
2. dirty wound and tetanus shots in 5 years
What is the age cut off for an initial Hib vaccine in a child who is unvaccinated?
5 years old
What is the risk associated with giving a child Proquad (MMRV) vaccine between the ages of 12 months to 47 months old?
febrile seizures
better to give each shot individually during this age group
What two vaccines should not be giving if a patient was treated with IVIG?
- MMR
2. Varicella
In what clinical scenario is Rotateq (3 dose series) favored over Rotarix (2 dose series)?
anaphylaxis to latex
What clinical scenario warrants administering meningococcal vaccine before the age of 11 years old?
history of complement deficiency
either use Menveo or Menactra
What is the recommendation for prophylaxis management of an immunocompetent child 1 year old or older who is exposed to individual with Measles?
Provide MMR vaccine within 72
give IgG if pregnant, less than 12 months old, or immunocompromised
What is the recommendation for a patient traveling to an area where Polio is endemic and had 4 previous polio vaccines with the last being more than 1 year ago?
give extra Polio vaccine
What is preferred method for post-exposure prophylaxis in the setting of active Hep A infection?
Hep A vaccine (or second line is hep A IgG) to unvaccinated close contacts
