vaccine particulars

Question 1

Hepatitis A vaccine for international travel

Answer 1

age 6-11 months one dose before departure then revaccinate with 2 doses separated by at least 6 months between 12-23 months
unvaccinated 12m and older administer one dose as soon as travel is considered

Question 2

Treatment for babies born to HBsAg positive mothers

Answer 2

Hep B vaccine within 12 hours of birth and HBIG regardless of birth weight.
If < 2000grams administer 3 additional doses beginning at 1 month old
then test for HBsAg and anti-HBs at 9-12 months

Question 3

If the mother’s Hepatitis B status is unknown how would you treat the infant?

Answer 3

Administer Hep B vaccine within 12 hours regardless of birth weight.
If weight is < 2000grams administer HBIG within 12 hours of birth and administer 3 additional vaccine dosed beginning at age 1 month

Question 4

When is revaccination of hepatitis b recommended?

Answer 4

hemodialysis patients

and other immunocompromised patients

Question 5

True or false

Initial influenza vaccination requires 2 doses separated by at least 4 weeks in children 6 months-8 years

Answer 5

true

Question 6

LAIV should not be used in the following:

Answer 6

1. hx of a severe allergic reaction to influenza vaccine
2. ages 2-4 years with a hx of asthma
3. rec. aspirin or salicylate medications
4. immunocompromised
5. Asplenia
6. cochlear implant
7. pregnancy
8. received influenza anti-viral medication in the last 48 hours

Question 7

True or false

Menactra (meningococcal) should be given before or at the same time as DTaP

Answer 7

True

Question 8

Can you give PCV13 at the same time as PPSV23?

Answer 8

no, PCV13 should be given first

Question 9

Recommendation for Tdap in pregnancy

Answer 9

one dose during each pregnancy, preferrable in the early part of gestational weeks 27-36

Question 10

Haemophilus influenza type B vaccine in asplenia

Answer 10

1 dose if previously unvaccinated

If possible 1 dose 14 days before splenectomy

Question 11

Haemophilus influenza type B vaccine in hematopoietic stem cell transplantation

Answer 11

3 dose series 4 weeks apart starting 6-12 months after a successful transplant

Question 12

At-risk populations that should receive Hep A vaccine

Answer 12

1. chronic liver disease
2. HIV
3. Men who have sex with men
4. injection or non-injection drug users
5. homeless
6. work with hep A virus
7. travel to areas with a high endemic of hep A
8. workers in healthcare settings, group homes, daycare settings for developmentally disabled

Question 13

At-risk populations that should receive Hep B vaccine

Answer 13

1. chronic liver disease
2. HIV
3. sexual exposure
4. current or recent injection drug use
5. exposure to blood products
6. hemodialysis
7. DM <60 years old
8. incarcerated persons

Question 14

True or false

HPV vaccine is recommended for all adults through 26 years of age

Answer 14

true

Question 15

Pneumococcal vaccination for 19-64 years old with chronic medical conditions heart, liver, or lung disease, or DM, alcoholism, smoking

Answer 15

one dose of PPSV23