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IDBR > Vaccines > Flashcards

Vaccines Flashcards

1
Q

Eculizumab needs what vaccination
Timing

A

MenACYW and MenB
two weeks before start, repeat every 5 years if remaining the medication

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2
Q

Who should get MenB in adolescents and young adults

A

asplenia
complement deficiency
on eculizumab or ravalizumab
microbiologist working with Neisseria meningitides

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3
Q

Tdap recommendation in pregnant women

A

with every pregnancy in 3rd trimester

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4
Q

what populations should get hep A vaccine plus IG for post exposure ppx

A

liver disease or immunocompromised

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5
Q

hep a post exposure prophylaxis for infants < 12 months

A

IG only within 2 weeks of exposure

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6
Q

post exposure prophylaxis for anthrax

A

60 days of antibiotic ppx and 3 doses of anthrax vaccine

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7
Q

Hep A post exposure ppx if healthy and previously vaccinated

A

nothing

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8
Q

Hep B vaccination in HCW

A

3 dose series

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9
Q

what two vaccines are contraindicated in HIV with CD4 < 200

A

varicella and MMR

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10
Q

at what age should you receive high dose flu vaccines

A

65 and older

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11
Q

age recommendation for inactivated flu vaccine

A

6 months and older if no contraindications

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12
Q

egg allergy with anaphylaxis, what do you give for flu vaccine

A

ok to get inactivated flu vaccine but need monitoring after

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13
Q

egg allergy with hives, what do you give for flu vaccine

A

ok to get inactivated vaccine, no monitoring needed

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14
Q

who doesn’t need measles vaccine

A

those born before 1957
those with lab documented immunity

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15
Q

when can measles vaccine be given post transplant

A

2 years post transplant
no active GVHD
at least 1 year off immunosuppressive medications

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16
Q

who should get two doses of MMR

A

school age children
college students
HCW
international travelers

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17
Q

HPV vaccine 9-14 how many doses

A

2 dose

18
Q

HPV vaccine > 14 or immunocompromised how many doses

A

3 doses

19
Q

Age recommendation for PCV 20 or 15

A

65 and older if not vaccinated before

20
Q

special populations to give PCV 20 ages 19-64

A

asplenia
Lung disease
Heart Disease
Liver Disease
Smokers
CSF Leak
Diabetes
Alcoholics
HIV

21
Q

HBV vaccine recommendations in HIV

A

Recombivax or Engerix 3 dose series
Heplisav 2 dose series

22
Q

Shingrix vaccine recommendation

A

all adults 50 years and old
doesn’t matter if they had old shingles vaccine

23
Q

Shingrix additional recommendation

A

18+ if immunocompromised including HIV

24
Q

hepatitis A vaccination for people adopting a child from endemic areas
timing

A

all close personal contacts including babysitters
at least 2 weeks prior to arrival of child within 60d of arrival

25
Q

Who should get hep A vaccination in adults

A

travelers
MSM
Drug use
those who work with monkeys
chronic liver disease
homeless

26
Q

who should get yellow fever vaccine

A

9 months or greater traveling to or living in high risk areas

27
Q

do you need repeat yellow fever vaccine?

A

no a single dose provides lifelong protectionw

28
Q

who needs a yellow fever repeat vaccination

A

pregnant at the time of the first vaccine
underwent HSCT after first vaccine
HIV

29
Q

who needs meningitis vaccine for travel

A

those going to meningitis belt (Africa) from Dec to June
Give ACYW

30
Q

special requirement destination for needed meningitis vaccine

A

Hajj or Umrah in saudi arabia

31
Q

vaccine protection of oral typhoid live attenuated

A

every 5 years

32
Q

when to give oral typhoid vaccine

A

at least 1 week before travelw

33
Q

when to give IM typhoid vaccine

A

2 weeks before travel

34
Q

how long does protection of IM typhoid vaccine last

A

2 years

35
Q

who should get JEV

A

Asia going to rural areas, irrigated areas (rice paddies), outbreak area, going for more than one month

36
Q

PEP for rabies

A

2 dose vaccine

37
Q

Post Exposure PPX for rabies immunocompetent

A

HRIG and 4 dose vaccine

38
Q

post exposure PPX for rabies immunocompromised

A

HRIG and 5 doses of vaccine

39
Q

post exposure PPX for rabies if they have had vaccine prior

A

2 doses of vaccine, don’t need HRIG

40
Q

who needs post vaccination HBV anti-S ab titers

A

HCW
infants born to HBsAg mothers
HD
HIV
Immunocompromised (SCT, SOT)
sex partners or HBsAg positive persons

IDBR (23 decks)

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