Vaccinations

Question 1

Contraindications for normal immunisations

Answer 1

General -> Acute illness, Hx of severe local/general reaction
Live vaccines –> Immunosuppressed/impaired cellular immunity, recent immunoglobin administration
HIV –> shouldnt have BCG, yellow fever and oral typhoid

Question 2

Live Vaccines

Answer 2

BCG
MMR
Oral Polio
Yellow fever
Oral typhoid
Intranasal influenza
Oral rotavirus

Question 3

Immunisation schedule

Answer 3

2months - 1st DTaP/IPV/Hib+PCV +Oral Rotavirus
3months - 2st DTaP/IPV/Hib/Men C + Oral rotavirus
4months - 3st DTaP/IPV/Hib+PCV
13months -MMR+PCV+Hib/Men C
2-3 - annual intranasal flu vaccine
3-5yrs - DTaP/IPV, MMR
10-14yrs - HPV for girls
13-18yrs - Td/IPV + Men C

Question 4

Childhood influenza vaccine

Answer 4

A live vaccine given intranasally at 2-3 then annually. SEs: rhinorrhoea, headache, anorexia. Shouldnt be given if immunocompromised, current wheeze or Hx of severe asthma. Egg allergy or if the child is taking aspirin. Inactivated virus is given to at risk groups

Question 5

Inactivated vaccines

Answer 5

Rabies & the intramuscular form of influenza

Question 6

At birth vaccinations

Answer 6

BCG and Hep B if at risk