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Random Tips > Vaccines > Flashcards

Vaccines Flashcards

1
Q

Infants/children

A
  • Hep B x3 staring at birth
  • prevnar 13, polio, dtap, hib, rotavirus at 2 months
  • live starting at 12 months (MMR, varicella)
  • no polysaccharide before 2 y
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2
Q

Adolescent and young adult

A

Meningococcal , hpv, tdap

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3
Q

Pregnancy

A

No live!

Influenza, Tdap with each pregnancy!

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4
Q

Older adults

A

> 65 Prevnar 23, Prevnar 13 optional, shingrix >50,

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5
Q

Healthcare professionals

A

Flu, hep b, Tdap, varicella (or hx chickenpox), MMR

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6
Q

Sickle cell or asplenia

A

Hib, Prevnar 13 and 23, meningococcal

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7
Q

Diabetes

A

Prevnar 23

Hep B

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8
Q

Immunocompromised

A
  • No live!
  • prevanar 13 and 23
  • if HIV: meningococcal, hep B
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9
Q

Flu vaccine

A

Everyone over 6 months

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10
Q

Tdap

A

Everyone- TD q 10 y

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11
Q

Shingrix

A

Over 50

Second dose in 2-6 months

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12
Q

Hpv

A 
Female <26
Make <21 
Up to age 45
Recommended before 15 y
If started <15 y: 2 doses
If started > 15y: 3 doses
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13
Q

Who gets pneumococcal

A
  • Prevnar 23
    • 65+, heart, lung, liver, diabetes, alcohol, smoker

Prevnar 13

  • 6+ if immunocompromised, and optional for 65+
  • pretty much always if haven’t received before when a baby (2 months)
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14
Q

Bexero

A

Meningococcal serotype B

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15
Q

Trumemba

A

Meningococcal serotype B

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16
Q

Meningococcal A vs B

A

A: travels, residents, college, HIV, military, if not up to date

B: soliris, asplenia, microbiologist exposed to nisseria, ourbreak

17
Q

Hep B

A

Sexually active not monotonous, diabetes, household contact, IV drug user, HIV, liver dx

18
Q

Hep A

A

Travelers, household contact, liver dx, hemophilia, homosexual men, IV drug users, homeless

19
Q

Twinrix

A

Hep A and hep B

20
Q

Spacing pneumococcals

A

Give Prevnar 23 at least 1 y after Prevnar 13 (unless immunocompromised- 8 wk)

Give 23 at least 5 y after previous 23

21
Q

Storage

A

Inactivated: fridge

Live: freezer- except (typhoid , rotavirus, yellow fever, flumist)
“Thank you for rotavirus )

Mmr fridge or freezer

22
Q

Vivitif

A

Typhoid vaccine oral
Fridge
Live

23
Q

Ixiaro

A

Japanese encephalitis

24
Q

YF-vax

A

Yellow fever
Live
SC
Fridge

25
Q

Vaxchora

A

Cholera

Live
Freezer

26
Q

Rabavert

A

Rabies
Fridge
Give rabies immunoglobulin with vaccine

27
Q

Sc

A

MMR, MMRV, varicella, zostavax, yellow fever

28
Q

IM ir sc

A

IPV, Prevnar 23

29
Q

Oral

A

Typhoid, cholera , rotavirus

30
Q

Typhim vi

A

Typhoid

Inactivated IM

31
Q

How soon to complete vivotif

A

1 week before travel

IM typhim- 2 weeks

32
Q

Malaria ppx

A 
Malarone (atov/ prog) 
Doxy
Primaquine
-start 1-2 d before travel 
*no preganancy for these!
-cause nausea-food or milk
33
Q

Malaria ppx children/ pregnant

A

Chloroquine
Mefloquine (lariam)
Tafenoquine (arakoda)
*start 1-2 weeks before travel

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