vaccines

Question 1

pneumococcal booster every 5 years

Answer 1

CKD
splenic dysfunction
asplenia

Question 2

children and flu vaccine

Answer 2

aged 2 years and annually
live vaccine
CI egg allergy

Question 3

adults and flu vaccine

Answer 3

> 65 years OR >6 months with risk factors

Question 4

Typhoid: no action required

Answer 4

any wound AND
5-10 with 3x doses AND 1x booster
>11 years with 3x doses AND one was within 10 years
<5 years with 3x doses

Question 5

Typhoid: immediate booster

Answer 5

tetanus prone wound with
>11 years with 3x doses AND one was >10 years ago
5-10 with 3 x doses AND no booster
Born after 1961 with vaccines

clean wound with
unknown status or immunocompromised

Question 6

Typhoid: immediate booster and IG

Answer 6

high risk wound
>11 years with 3x doses AND one was >10 years ago
5-10 with 3 x doses AND no booster
Born after 1961 with vaccines

tetanus prone and high risk wounds
unknown status or immunocompromised

Question 7

pregnancy and chickenpox

Answer 7

if not immune or uncertain status, then check status via IG. If she has had significant exposure, then offer VZIG.

Question 8

MMR vaccine contraindications

Answer 8

allergy to neomycin
avoid pregnancy for 1/12
cannot give if received IG in the past 3 months

Question 9

egg allergy to avoid

Answer 9

influenza
hepatitis A
tick borne encephalitis
yellow fever

( I HATe Yolks)

Question 10

egg allergy to avoid

Answer 10

influenza
hepatitis A
tick borne encephalitis
yellow fever

( I HATe Yolks)

Question 11

neomycin to avoid

Answer 11

MMR (rash behind EARS)
Shingles and Varicella (rash can affect EARS)
Pertussis, Polio and Tetanus (all the 1 vaccine)

Question 12

penumoccocal vaccine

Answer 12

> 65 years

Question 13

asthma and vaccines

Answer 13

get influenza if on oral or inhaled steroids
get penumoccocus if on oral steroids

Question 14

diabetes and vaccines

Answer 14

diet controlled - influenza
medication diabetes - pneumococcal