Public Health & Preventive_Vaccine in Adults and Childrem Flashcards
What are examples of live vaccines?
- measkes
- mumps
- rubella
(MMR vaccine)
- Sabin polio vaccine
- varicella vaccine
- Rotavirus
What is the major risk of oral polio vaccine? Some countries no longer distribute the vaccine for this reason?
Increased risk of vaccine-associated paralytic poliomyelitis
Which populations should avoid live vaccines?
- pregnant women
- the immunocompromised
- close contacts of the immunocompromised
What are the standard childhood immunisations?
- MMR
- varicella
- hepatitis B
- hepatitis A
- Haemophilus influenzae type b (Hib)
- inactivated polio (IPV)
- pneumoccocal conjugate vaccine (PCV7)
- diphtheria and tetanus and acellular pertussis (DTaP)
- rotavirus
- influenza
What is the dosing schedule for the MMR vaccine?
- 2 doses
- 12-15 mnths and 4-6 years
What is the dosing schedule for the varicella vaccine?
- 2 doses
- 12-15 mnths and 4-6 years
Live vaccines are contraindicated in patients with HIV. True or False?
- false
- MMR and the varicella vaccine can be given to HIV patients with a CD4 T cell count > 200 cells/mL
What is the dosing schedule for the oral pentavalent rotavirus vaccine?
- Three doses:
- 2, 4, and 6 months old.
- The series should not be started after the age of 12 weeks, and
- the final dose should be given by the age of 32 weeks.
What is the dosing schedule for the hepatitis B vaccine?
- Three doses:
- 0-1 month old
- 1-4 months old, and
- 6-18 months old
What is the management of a child born to an HBsAg positive mom?
- Give the first dose of the hepatitis B vaccine and hepatitis B immunoglobulin (HBIG) at birth
What is the dosing schedule for the hepatitis A vaccine?
- Two doses:
- 1 year old and then 6-18 months later
What is the dosing schedule for DTaP?
- Five doses:
- 2, 4, 6, 15-18 months old, and
- 4-6 years old;
- give Td (tetanus and diphtheria toxoids) boosters at age 11-12 years and then every 10 years
What is the dosing schedule for the Hib vaccine?
- Four doses:
- 2, 4, 6, and 12-15 months old
Since the introduction of the Hib vaccine in 1987, the number of Hib (a cause of meningitis and epiglottitis) cases in children less than 5 years old has decreased by what percentage?
- 99%