Vaccines

Question 1

Infants/children

Answer 1

• 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

Question 2

Adolescent and young adult

Answer 2

Meningococcal , hpv, tdap

Question 3

Pregnancy

Answer 3

No live!

Influenza, Tdap with each pregnancy!

Question 4

Older adults

Answer 4

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

Question 5

Healthcare professionals

Answer 5

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

Question 6

Sickle cell or asplenia

Answer 6

Hib, Prevnar 13 and 23, meningococcal

Question 7

Diabetes

Answer 7

Prevnar 23

Hep B

Question 8

Immunocompromised

Answer 8

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

Question 9

Flu vaccine

Answer 9

Everyone over 6 months

Question 10

Tdap

Answer 10

Everyone- TD q 10 y

Question 11

Shingrix

Answer 11

Over 50

Second dose in 2-6 months

Question 12

Hpv

Answer 12

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

Question 13

Who gets pneumococcal

Answer 13

• 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)

Question 14

Bexero

Answer 14

Meningococcal serotype B

Question 15

Trumemba

Answer 15

Meningococcal serotype B

Question 16

Meningococcal A vs B

Answer 16

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

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

Question 17

Hep B

Answer 17

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

Question 18

Hep A

Answer 18

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

Question 19

Twinrix

Answer 19

Hep A and hep B

Question 20

Spacing pneumococcals

Answer 20

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

Give 23 at least 5 y after previous 23

Question 21

Storage

Answer 21

Inactivated: fridge

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

Mmr fridge or freezer

Question 22

Vivitif

Answer 22

Typhoid vaccine oral
Fridge
Live

Question 23

Ixiaro

Answer 23

Japanese encephalitis

Question 24

YF-vax

Answer 24

Yellow fever
Live
SC
Fridge

Question 25

Vaxchora

Answer 25

Cholera Live Freezer

Question 26

Rabavert

Answer 26

Rabies Fridge Give rabies immunoglobulin with vaccine

Question 27

Sc

Answer 27

MMR, MMRV, varicella, zostavax, yellow fever

Question 28

IM ir sc

Answer 28

IPV, Prevnar 23

Question 29

Oral

Answer 29

Typhoid, cholera , rotavirus

Question 30

Typhim vi

Answer 30

Typhoid | Inactivated IM

Question 31

How soon to complete vivotif

Answer 31

1 week before travel IM typhim- 2 weeks

Question 32

Malaria ppx

Answer 32

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

Question 33

Malaria ppx children/ pregnant

Answer 33

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