Vaccines Flashcards
PCV20
Give at any time for pneumococcal (Prevnar 20)P
PCV 15
Give first, then give PCV23 a year later, repeat after age 65
PPSV23
Recommended after a dose of PCV 15 but not if already given the PCV 20
Palivizumab
passive human monoclonal antibody for RSV in high-risk peds
premature infants in first year of life during RSV season,
if high risk lungs up to 2nd year of life, cardio issues, lung issues, ummunocompromised
15mg/kg/dose IM monthly during season, max 5
RSV Season in US
November - April
Ribavirin
antiviral activity, off label for some viruses like hepatitis, herpes zoster, genital herpes, RSV, and varicella
not for monotherapy
RSV Vaccines
Arexvy, Abrysvo, Mresvia
RSV Vaccines for pregnancy 32-36 weeks
Abrysvo
RSV Vaccine in pregnancy protection duration baby
6 months of age
Nirsevimab
monoclonal antibody for children <8 months old in first RSV season
100mcg IM x 1 (5kg or more)
may do 2nd season (200mcg) if at high risk <24 months old
Zoster Vaccine
Shingrix
>50 years old
2 doses, 2-6 months apart
HPV Vaccine
Gardisil 9
>9yo, usual 11-12yo, up to 26 yo, some up to 45 yo
3 doses - 0, 2, 6 months
Difference in 2 dose and 3 dose series of Hep A
Havrix and Vaqta are 2 dose Hep A
Twinrix is 3 dose and Hep A and Hep B
Meningococcal B Vaccine Brands
Bexsero and Trumenba
Latex Allergy
Bexserol (MenB-4C)
Varicella precautions
avoid aspirin-containing products
avoid antivirals for 2 weeks
avoid anti-body containing blood products for a year before
Vaccines given at 2, 4, and 6 months
Hep B (not 4)
Polio
Prevnar 13
Hib
Tetanus
Rotavirus
Kindergarten shots
Tetanus
Pneumovax
Polio
MMR
Varicella
Pentacel
Tetanus
Polio
Varicella
Rotavirus
may be used for the 2, 4, 6 and 1 year vaccines
vaccines at 1 year
MMR, Varicella, Prevnar 13, Hib, Tetanus
Tetanus full course peds
5 doses, 2, 4, 6, 1 yr and then kindergarten and then do the boostrix before high school
HPV and Meningococcal ages
11 - 16 years old