Vaccines Flashcards
Tdap. yra 3 kategorijos.
.
Tdap. 1 kategorija. how often ir kiek doziu
every 10 years (3 lifetime doses)
Tdap. 2 kategorija. >3 lifetime doses.
jeigu > arba < 10 nuo paskutines dozes
<10 years since last vaccination –> clean the wound
> 10 years since last vaccination –> give Td booster
Tdap. 3 kategorija. <3 lifetime doses.
jeigu > arba < 5 nuo paskutines dozes
<5 years since last vaccination –> give Td booster
>5 years since last vaccination –> give Td + IVIG
Tdap contraindication?
anaphylaxis
pneumococcal. if <60 y/o?
One 13-valent at age < 60
pneumococcal. if >65 y/o?
one 23-valent at age > 65
pneumococcal. contraindications?
dont give 13 and 23-valent at the same time
zoster. when to give?
> 60 y/o
zoster. contraindication?
dont give in immunocompromised patients
flu. for who?
give to everybody, every year
flu. contraindications?
if there is egg allergy, instead of using IM form, use the intranasal (live attenuated) form
HPV. for who?
Everyone age 9-26 (once)
HPV. contraindication?
nebuvo
meningococcal. 2 scenarios.
1 scenarijus age 11-18?
preferably 11-12.
Give booster at age 16-21 if primary vaccination was done at age < 16
meningococcal. 2 scenarios.
2 scenarijus. for what populations?
give adolescents in college dorms or in army
meningococcal. contraindicationss?
nebuvo
kita lentele. recommended vaccines. all ages Td/Tdap
Tdap once as substitute for Td booster, then Td every 10 years
kita lentele. recommended vaccines. Influenza all ages?
annually
kita lentele. recommended vaccines.
pneumococcal age 19-64?
PPSV23 alone
- Chronic heart, lung or liver disease
- DM, smokers, alcoholics
Sequential PCV13 + PPSV23 (very high risk patients)
- CSF leaks, cochlear implants
- sicle cell disease, asplenia
- Immunosompromised (HIV, malignancy)
- CKD
kita lentele. recommended vaccines.
pneumococcal age >=65?
Sequential PCV13 + PPSV 23
1 dose of PCV13 followed by PPSV23 at a later time
