Preventive Pediatrics Flashcards
Inactivated Vaccines
Hepatitis B
DPT
HiB
PCV
Inactivated Polio
Influenza
Hepatits A
Meningococcal vaccine
HPV
Typhoid
Rabies
Live attenuated vaccines
BCG
Oral polio
Measles
MMR
Varicella
Rotavirus
Japanese Encephalitis
Influenza (intranasal)
Typhoid
Instruction for administering 2 LIVE Vaccines
You may give multiple LIVE vaccines simultaneously; otherwise wait 4 weeks interval
2 permanent contraindications to vaccination
> Previous anaphylactic reaction
Encephalopathy 7 days following Pertussis vaccine
2 temporary contraindications to live vaccines
> Pregnant
Immunosuppression
BCG vaccine
1) dosage
2) route
3) schedule
BCG Vaccine
1) 0.05ml
2) ID
3) within 2 months from birth
Hepatitis B Vaccine
1) dosage
2) route
3) schedule
Hepatitis B Vaccine
1) 0.5mL
2) IM
3) within 12 hours of birth, 6-10-14 weeks
DPT Vaccine
1) dosage
2) route
3) schedule
DPT Vaccine)
1) 0.5ml
2) IM
3) 6-10-14wks, 1 yr, 4 yr
HiB Vaccine
1) dosage
2) route
3) schedule
HiB Vaccine
1) 0.5mL
2) IM
3) 6-10-14wks, 1yr
Inactivated Polio vaccine
1) dosage
2) route
3) schedule
Inactivated Polio vaccine
1) 0.5ml
2) IM
3) 14 wks, 9mos
Oral Polio Vaccine
1) dosage
2) route
3) schedule
Oral polio vaccine
1) 2 drops
2) Oral
3) 6-10-14wks
Pneumococcal vaccine (PCV)
1) dosage
2) route
3) schedule
Pneumococcal vaccine (PCV)
1) 0.5mL
2) IM
3) 6-10-14wks, 1yr
Catch-up dosing for PCV in previously unimmunized children aged 1-5 yrs (PCV 10 and PCV 13)
PCV 10
1-5 years: 2 doses 2 months apart
PCV 13
12-24 months: 2 doses 2 months apart
2-5 years: 1 dose
Rotavirus vaccine
1) dosage
2) route
3) schedule
Rotavirus vaccine
1) drops
2) Oral
3) RV1: 2 doses, RV5: 3 doses
6-12 weeks, not given beyond.
Earliest age to administer the Influenza vaccine
6 months
(2 doses 4 weeks apart)
Measles vaccine
1) dosage
2) route
3) schedule
Measles vaccine
1) 0.5ml
2) SC
3) 9 months (6 months if with outbreak)
MMR Vaccine
1) dosage
2) route
3) schedule
MMR Vaccine
1) 0.5ml
2) SC
3) 12 months (2 doses 4 weeks apart)
Varicella vaccine
1) dosage
2) route
3) schedule
Varicella vaccine
1) 0.5ml
2) SC
3) 12 months, 15 months
Hepatitis A Vaccine (inactivated)
1) route
2) schedule
Hepatitis A Vaccine (inactivated)
1) IM
2) 12 months (2 doses 6 mo apart)
Hepatitis A Vaccine (Live attenuated)
1) route
2) schedule
Hepatitis A Vaccine (Live attenuated)
1) SC
2) 18 months SD
Jap Encephalitis Vaccine (Live attenuated)
1) route
2) schedule
Jap Encephalitis Vaccine (Live attenuated)
1) SC
2) 9 months
For unvaccinated
9-17 years: 2 doses 12 mos apart
≥18 years: 1 dose
HPV vaccine schedule
9-14 years: 2 dose series (0, 6 mos)
≥15 years: 3 dose series (0, 2, 6 mos)
HPV vaccine/s given to males 9-18 years
quadrivalent vaccine
nonavelent vaccine
Tdap vaccine schedule for fully immunized (6-10-14wks, 1yr, 4yrs)
Every 10 years
Tdap vaccine schedule for fully immunized pregnant women
1 dose IM from 27-30 weeks AOG
Tdap vaccine schedule for unimmunized pregnant women
5 doses after 27 weeks AOG (0-1-6-18-30w)
or
3 doses after 27 weeks AOG (0-1-6w)
Appropriate Hep B vaccination for preterm infant < 2kg born to mother with unknown HBsAg status
HBV + HBIG within first 12 hours of life
* HBV dose not counted as part of series. need additional 3 HBV doses.
Appropriate Hep B vaccination for term infant > 2kg born to mother with unknown HBsAg status
HBV within 12 hours of life, determine mothers HBsAg, if (+) then administer HBIG no later than 7 days from birth
Meningococcal vaccine (MCV4-D) schedule
route: IM or SC
min age: 9 months
schedule: 2 doses 3 months apart
> 2 years: single dose
Typhoid vaccine schedule
route: IM
minimum age: 2 years
booster: every 2-3 years
Cholera vaccine schedule
route: Oral
min age: 12 months
schedule: 2 doses 2 weeks apart