rotavirus Flashcards
virus
5 predominant strains in US
stable in environment for weeks or mos
spread fecal-oral route
clinical features
diarrhea, fever, vomiting
infects more than 95% all children by age 5 yrs
rotavirus vaccines
live attenuated
RotaTeq (oral suspension in ready-to-use dosing tubes)
Rotarix (oral vacc reqs reconstitution before administration
c/i in
children w/ mod to sev gi problems, scid and history of intussusception
recommended sched
RotaTeq: 3 dose series (2, 4, 6, mos) 1.0ml oral
Rotarix: 2 dose series (2, 4, mo of age) 2.0 ml oral
ages for administration
min age for first does: 6 weeks
max age for first dose: 14 wks 6 days
max age for final dose: 8 mo 0 days
note about vaccine combos
some are indicated only for certain ages or certain doses in a series consult packaging
Yellow Fever
single primary dose enough for most travelers
Zika
sev vaccines have been approved for clinical trials, but prevent Zika by avoiding mosquito bites
Zika symptoms
rash, fever, conjunctivitis, myalgia, retro-orbital pain, nausea/vomiting
Zika complications
microcephaly Guillain-Barre syndrome damage to the back of the eye limited range of joint motion too much muscle tone
Cholera
type O1 (99% of global infections) rare in US
symptoms
watery diarrhea
treatment
rehydration
prevention
safe food and water
personal hygiene
