Vaccines Flashcards
Eculizumab needs what vaccination
Timing
MenACYW and MenB
two weeks before start, repeat every 5 years if remaining the medication
Who should get MenB in adolescents and young adults
asplenia
complement deficiency
on eculizumab or ravalizumab
microbiologist working with Neisseria meningitides
Tdap recommendation in pregnant women
with every pregnancy in 3rd trimester
what populations should get hep A vaccine plus IG for post exposure ppx
liver disease or immunocompromised
hep a post exposure prophylaxis for infants < 12 months
IG only within 2 weeks of exposure
post exposure prophylaxis for anthrax
60 days of antibiotic ppx and 3 doses of anthrax vaccine
Hep A post exposure ppx if healthy and previously vaccinated
nothing
Hep B vaccination in HCW
3 dose series
what two vaccines are contraindicated in HIV with CD4 < 200
varicella and MMR
at what age should you receive high dose flu vaccines
65 and older
age recommendation for inactivated flu vaccine
6 months and older if no contraindications
egg allergy with anaphylaxis, what do you give for flu vaccine
ok to get inactivated flu vaccine but need monitoring after
egg allergy with hives, what do you give for flu vaccine
ok to get inactivated vaccine, no monitoring needed
who doesn’t need measles vaccine
those born before 1957
those with lab documented immunity
when can measles vaccine be given post transplant
2 years post transplant
no active GVHD
at least 1 year off immunosuppressive medications
who should get two doses of MMR
school age children
college students
HCW
international travelers
HPV vaccine 9-14 how many doses
2 dose
HPV vaccine > 14 or immunocompromised how many doses
3 doses
Age recommendation for PCV 20 or 15
65 and older if not vaccinated before
special populations to give PCV 20 ages 19-64
asplenia
Lung disease
Heart Disease
Liver Disease
Smokers
CSF Leak
Diabetes
Alcoholics
HIV
HBV vaccine recommendations in HIV
Recombivax or Engerix 3 dose series
Heplisav 2 dose series
Shingrix vaccine recommendation
all adults 50 years and old
doesn’t matter if they had old shingles vaccine
Shingrix additional recommendation
18+ if immunocompromised including HIV
hepatitis A vaccination for people adopting a child from endemic areas
timing
all close personal contacts including babysitters
at least 2 weeks prior to arrival of child within 60d of arrival
Who should get hep A vaccination in adults
travelers
MSM
Drug use
those who work with monkeys
chronic liver disease
homeless
who should get yellow fever vaccine
9 months or greater traveling to or living in high risk areas
do you need repeat yellow fever vaccine?
no a single dose provides lifelong protectionw
who needs a yellow fever repeat vaccination
pregnant at the time of the first vaccine
underwent HSCT after first vaccine
HIV
who needs meningitis vaccine for travel
those going to meningitis belt (Africa) from Dec to June
Give ACYW
special requirement destination for needed meningitis vaccine
Hajj or Umrah in saudi arabia
vaccine protection of oral typhoid live attenuated
every 5 years
when to give oral typhoid vaccine
at least 1 week before travelw
when to give IM typhoid vaccine
2 weeks before travel
how long does protection of IM typhoid vaccine last
2 years
who should get JEV
Asia going to rural areas, irrigated areas (rice paddies), outbreak area, going for more than one month
PEP for rabies
2 dose vaccine
Post Exposure PPX for rabies immunocompetent
HRIG and 4 dose vaccine
post exposure PPX for rabies immunocompromised
HRIG and 5 doses of vaccine
post exposure PPX for rabies if they have had vaccine prior
2 doses of vaccine, don’t need HRIG
who needs post vaccination HBV anti-S ab titers
HCW
infants born to HBsAg mothers
HD
HIV
Immunocompromised (SCT, SOT)
sex partners or HBsAg positive persons
