Vaccination schedule Flashcards
Vaccines recommended in pregnancy
Flu
Whooping cough - 16-32wks
Live attenuated viruses
-what are they
-examples
-who shouldn’t have them
Weakened form of pathogen to stimulate immune response
Not recommended for compromised immune systems, pregnancy
BCG
MMR
Intranasal flu
PO rotavirus
PO polio
Yellow fever
PO typhoid
Inactivated preparations
-what are they
-examples
Use killed pathogens to elicit immune response
Boosters may be needed as induced immune response is weaker than LAV
Rabies
Hep A
IM flu
Toxoid
-what are they
-examples
Toxins produced by bacteria are detoxified and used as antigens => immunity against toxic effect of infections
Boosters may be needed as induced immune response is weaker than LAV
Tetanus
Diptheria
Pertussis
Subunit/conjugate vaccines
-what are they
-examples
Subunit - only part of the pathogen is used to generate an immune response
Conjugate - links poorly immunogenic bacterial polysaccharide outer coat to proteins that make them more immunogenic
Pneumococcus
Hemophilus
Meningococcus
HepB
HPV
Contraindications to immunisation
Confirmed anaphylactic reaction to
-past vaccine dose with same antigens
-component in vaccine (egg protein)
Confirmed
When to defer vaccines
Febrile illness/intercurrent infection
DTP - if evolving/unstable neurological condition
Not contraindications to immunisation
Asthma, eczema
Hx of
-seizures
-neonatal jaundice
-neurological conditions like Down’s, cerebral palsy
Breastfed child
Low birth weight, prematurity
PHx of natural pertussis, MMR infection
FHx of autism
On replacement steroids
At birth
BCG if risk factors
-risk of TB (TB in family in past 6 months)
At 2 months
6-1 vaccine
-DPT
-polio
-Hib
-HepB
PO rotavirus
MenB
At 3 months
6-1 vaccine
-DPT
-polio
-Hib
-HepB
PO rotavirus
PCV
At 4 months
6-1 vaccine
-DPT
-polio
-Hib
-HepB
MenB
At 12 months
Hib/MenC
MMR
PCV
MenB
At 3-4 years
4-1 pre-school booster
-DPT
-polio
MMR
At 12-13
HPV
