Vaccinations Flashcards

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1
Q

Define vaccination

A
  • preparation of antigenic material used to induce immunity against pathogenic organisms
  • dead/attenuated form of pathogen
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2
Q

Define passive immunity

A
  • immunisation
  • conferred by the transfer of preformed antibodies rather than by active production of antibodies after exposure to antigen
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3
Q

Define active immunity

A
  • achieved that is induced by natural exposure to a pathogen or by vaccination
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4
Q

What are the 4 kinds of immunity and how are they acquired ?

A
  • natural active = natural infection
  • artificial active = vaccination
  • natural passive = transfer of antibody from mother to infant
  • natural active = passive antibody therapy
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5
Q

What are some uses of passive immunisation ?

A
  • prevent infection in ‘ at risk’ individuals
  • prevent infection post-exposure
  • treatment of infection
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6
Q

What are the different kinds of vaccine ?

A
  • live attenuated
  • inactive/killed
  • subunit
  • recominbant/DNA
  • mRNA
  • Toxoids
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7
Q

Describe live vaccines

A
  • Vaccinia originally used to protect against smallpox
  • attenuated, non-pathogenic organism
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8
Q

What are some of the problems with live vaccines

A
  • induction of anti-viral state
  • ineffective when given with antibody
  • reversion to virulence
  • contraindicated in immunosuppression
  • potential for secondary spread
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9
Q

Describe inactivated vaccines

A
  • inactivation is achieved via heat, phenol or formalin
  • poor immuogens due to altered immunogenicity - alum used as adjuvant
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10
Q

What is Alum ?

A
  • double salt of aluminium, or potassium aluminium sulfate
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11
Q

What is adjuvant ?

A
  • a substance inducing immune response which enhances the body’s response to an antigen/immunogen administered
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12
Q

Describe Subunit vaccines

A
  • induce immunity against surface proteins or those involved in invasion
  • example = surface antigens - typhoid
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13
Q

What are some drawbacks of subunit vaccinations ?

A
  • many are poor immunogens which require adjuvants
  • ,multiple serotypes of many infections = not protective against all
    -predominantly antibody response which is less effective against intracellular organisms
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14
Q

Describe Recombinant/DNA vaccines

A
  • traditionally more difficult to produce
  • examples = Hep B vaccine & rabies vaccine for wildlife
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15
Q

Describe mRNA vaccines

A
  • delivered into hot cells via lipid nanoparticles
  • mRNA translated in the human cell into spike protein
  • host cell expresses viral spike proteins on the surface
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16
Q

Describe toxoids

A
  • altered bacterial toxins
  • immunogenicity is maintained
  • lose toxicity
  • examples = diphtheria & tetanus toxoid
  • used for routine protection & post-exposure prophylaxis
17
Q

What can cause adverse effects of immunisations

A
  • immunogens
  • other constituents in vaccine = eggs, antibiotics, adjuvants
18
Q

What are some local adverse effects of immunisation ?

A
  • erythema (redness)
  • pain
  • pruritus (itching)
19
Q

What are some systemic adverse effects of immunisations ?

A

fever & anaphylaxis

20
Q

Define herd immunity

A
  • when the majority of a population is immune to a pathogen, the chances of a susceptible individual contacting an infected individual is low