Vaccine Guidelines Flashcards
Who should receive the Influenza vaccine?
Adults >50 years of age
Adults
How often should the Influenza vaccine be administered?
Given annually
Best time to administer vaccine is
October to November, but can also be given any time during flu season
What are some contraindications to receiving the influenza vaccine?
Standard contraindications
History of severe anaphylaxis to eggs (patients can be tested with dilute vaccine, but vaccine is generally not recommended)
Who should receive the Pneumococcal polysaccharide vaccine?
Adults >65 years of age
Patients with sickle cell disease (usually
functionally asplenic) or asplenia Adults with chronic medical problems or
immunodeficiencies Women with high- risk pregnancies
How often should the Pneumococcal polysaccharide vaccine be administered?
Administered as a one-time dose Second dose should be administered
5 years after the first dose for patients at highest risk (e.g., those with asplenia or immunodeficiency, or those requiring dialysis)
Who should receive the Tetanus/diphtheria (Td) vaccine?
Primary series for everyone
When indicated in wound management Individuals traveling to countries where risk
of diphtheria is high
How often should the Tetanus/diphtheria (Td)vaccine be administered?
Primary series: Three doses (1, 1–2, 6–12 mo)
After primary series, booster dose q 10 years
For the unvaccinated, three doses (0, 1–2 mo, 6–12 mo intervals)
Who should receive the Hepatitis B vaccine?
Given as primary series to infants Patients at risk for HBVb
Health care workers
How often should the Hepatitis B vaccine be administered?
Given as three doses (0, 1, 6 mo)
Who should receive the Hepatitis A vaccine?
Travelers to developing countries Patients with chronic liver disease, HCV
How often should the Hepatitis A vaccine be administered?
Given in two doses
Minimum time interval between first
and second dose is 6 mo
What are some contraindications to receiving the Hepatitis A vaccine?
Safety during pregnancy unde- termined
Who should receive the Measles–mumps— rubella (live vaccine) vaccine?
Given as primary series in children
Adults born after 1957 who are ≥18 years of age (those born before 1957 are con-
sidered immune) if there is no proof of
vaccination or immunity
All women of childbearing age without
proof of rubella immunity or vaccination Health care workers
How often should the Measles–mumps— rubella be administered?
Given as one or two doses
Give the second dose at least 4 weeks
after the first dose
What are some contraindications to receiving the MMR vaccines and Varicella vaccines?
Pregnancy
Significant immunocompromisec
(e.g., malignancy, any kind of immunosuppressive medica- tion, radiation therapy)
Standard contraindications
Note that HIV positivity is not a contraindication to the measles–mumps–rubella vaccine unless the patient is severely immunocompromised.
Note that immunosuppressive therapy is not per se a contraindication to varicella vaccine, but the physician should refer to the ACIP guidelines for delay of vaccine.
