Vaccination Flashcards
Rotavirus vaccine administration timing
First dose must be administered before 15 weeks.
Last dose must be administered by 8 months.
Live Attenuated Vaccines
MMR
Varicella
Yellow Fever
Adenovirus
Rotavirus
Smallpox
Polio - Sabin - Oral
Influenza (Nasal)
Typhoid (Oral)
Cholera (Oral)
Killed Viruses
Hep A
Rabies
Influenza (IM)
Polio - Saulk - IPV
What drug interferes with Vaxcholera?
Chloroquine
Administration of oral cholera vaccine and Typh-O vaccine should be separated by at least 8 hours.
Sub Unit Vaccinations
Hep B
s Pneumoniae
Neissera Menningitidus
HiB
HPV
MCV Quadrivalent meningococcal conjugate vaccine
Oral Vaccines and Abx
Delay vaccination with oral typhoid vaccine by >72 hours and delay oral cholera vaccine by >14 days after administration of antimicrobial agents.
Parenteral typhoid vaccine is an alternative to the oral typhoid vaccine for travelers who have recently received antibiotics.
Taxoid Vaccines
Tetanus
Diphtheria
What interferes with Rabies Vaccine
Chloroquuin.
Use the intramuscular route for people taking chloroquine concurrently.
Ixaro minimum age
2 months
Ixiaro Dose schedule (Special?)
Two doses 28 days apart
Can be 7 days apart 18-65
The second dose should be 1 week before travel
Third dose if one year or more
OK for Pregnant women with caution
Rabies Post Exposure
Vaccinated
Unvaccinated
Clean Wound
Vaccinated two doses modern cell culture 0, 3
Unvaccinated RIG 20/40 IU/kg human/equine into wound with residual in distant site
4 injections over 14 days or
5 injections over 30 days for immunosuppressed
Rabies Vaccine Schedule & Route
Three doses
0, 7, 21-28 days IM
No routine boosters
Malaria PEP in pregnancy.
Pregnancy is not a contraindication to PEP. In infants and children, the dose of HDCV or PCEC for preexposure or PEP is the same as that recommended for adults.
What vaccination should everyone around an infant receive?
Tdap
What vaccine should be given in the third trimester?
Tdap
Minimum age for varicella
12 months
Varicella age schedule
Routine / Accelerated
Age 1 - 4-6
Accelerated <6 2x 3 months apart
Accelerated >7 2x one month
Conjugate Polysaccharide Vaccines
HiB, PCV13/15/20, MCV
Vaccination with significant egg component?
Yellow Fever
IPV Schedule. Vaccinated vs unvaccinated.
Unvaccinated: 0, 4-8 months and third dose 6-12 after second
Vaccinated: One dose
PPSV23 Recommendation
> 65
2-4 Pulmonary, Smoker, Asplenic, Immunocompromised
Who should get the DTaP and what schedule? Follow up?
Infants. 2,4,6, 15-18, 4-6 years. Tdap at 11-12 years.
Vacinees not to be administered simultaneously.
PCV13 and PPSV23
PCV13 and MenACWY-D [Menactra]
Menactra and DTaP)
PCV13 Recommendation
Cochlear Implants
CSF Leak
Sickle Cell
