Vaccines Flashcards
Infants/children
- 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
Adolescent and young adult
Meningococcal , hpv, tdap
Pregnancy
No live!
Influenza, Tdap with each pregnancy!
Older adults
> 65 Prevnar 23, Prevnar 13 optional, shingrix >50,
Healthcare professionals
Flu, hep b, Tdap, varicella (or hx chickenpox), MMR
Sickle cell or asplenia
Hib, Prevnar 13 and 23, meningococcal
Diabetes
Prevnar 23
Hep B
Immunocompromised
- No live!
- prevanar 13 and 23
- if HIV: meningococcal, hep B
Flu vaccine
Everyone over 6 months
Tdap
Everyone- TD q 10 y
Shingrix
Over 50
Second dose in 2-6 months
Hpv
Female <26 Make <21 Up to age 45 Recommended before 15 y If started <15 y: 2 doses If started > 15y: 3 doses
Who gets pneumococcal
- 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)
Bexero
Meningococcal serotype B
Trumemba
Meningococcal serotype B
Meningococcal A vs B
A: travels, residents, college, HIV, military, if not up to date
B: soliris, asplenia, microbiologist exposed to nisseria, ourbreak
Hep B
Sexually active not monotonous, diabetes, household contact, IV drug user, HIV, liver dx
Hep A
Travelers, household contact, liver dx, hemophilia, homosexual men, IV drug users, homeless
Twinrix
Hep A and hep B
Spacing pneumococcals
Give Prevnar 23 at least 1 y after Prevnar 13 (unless immunocompromised- 8 wk)
Give 23 at least 5 y after previous 23
Storage
Inactivated: fridge
Live: freezer- except (typhoid , rotavirus, yellow fever, flumist)
“Thank you for rotavirus )
Mmr fridge or freezer
Vivitif
Typhoid vaccine oral
Fridge
Live
Ixiaro
Japanese encephalitis
YF-vax
Yellow fever
Live
SC
Fridge
Vaxchora
Cholera
Live
Freezer
Rabavert
Rabies
Fridge
Give rabies immunoglobulin with vaccine
Sc
MMR, MMRV, varicella, zostavax, yellow fever
IM ir sc
IPV, Prevnar 23
Oral
Typhoid, cholera , rotavirus
Typhim vi
Typhoid
Inactivated IM
How soon to complete vivotif
1 week before travel
IM typhim- 2 weeks
Malaria ppx
Malarone (atov/ prog) Doxy Primaquine -start 1-2 d before travel *no preganancy for these! -cause nausea-food or milk
Malaria ppx children/ pregnant
Chloroquine
Mefloquine (lariam)
Tafenoquine (arakoda)
*start 1-2 weeks before travel
