Vaccines

Question 1

Polio-endemic region: (2) types of virus, should receive __ if immunized, and __ if incompletely immunized.

Earliest at __ wks of age.

Answer 1

wild poliovirus (WPV) or vaccine-derived poliovirus (VDPV). IPV x 1 if immunized, and x3 (4 weeks then 6 months apart).

If < 6 yo, 4 doses (4wk, 4wk, then 6mo). Earliest 6 wks of age.

Question 2

WPV type __ still exists (these other two were eradicated)

Answer 2

1 (2 & 3 were eradicated)

Question 3

Consequence of OPV (vs. IPV)

Answer 3

Vaccine-associated paralytic poliomyelitis (VAPP)

Question 4

Polio-endemic regions (Nigeria, Afghanistan, Pakistan): booster if going for __ (time interval) or if last vaccine was > __ (time interval) ago.

Answer 4

Those UTD with their polio immunization or have completed the routine IPV series but traveling to a polio-endemic country and staying for more than 4 weeks, and (2) those who received their last IPV dose more than 12 months before the date they will be departing the country to which they are traveling. Children who receive this additional 4th IPV dose between 18 months through 4 years will still need an IPV booster dose at age 4 years or later.

Question 5

Age 11 Vaccines?

Answer 5

Tdap (since >age 7) + meningococcal ACWY + HPV

Question 6

Warning for Tdap?

Answer 6

Systemic symptoms, local swelling - even entire limb swelling (not a contraindication, however). Contraindications to a pertussis-containing vaccine would be anaphylaxis or encephalopathy within 7 days.