Vaccines

Question 1

When is anti D immunoglobulin given?

Answer 1

Following any sensitising episode in a pregnant woman within 72 hours

Question 2

How long should be left between normal immunoglobulin and live virus vaccines?

Answer 2

Give live virus at least 3 weeks beforr or 3 months after

Question 3

Which anti toxin is no longer used for prophylaxis due to the huge risks of hypersensitivity?

Answer 3

Diphtheria

Question 4

What vaccine can affect the mantoux test?

Answer 4

MMR. Delay until read or delay test 4 weeks after.

Question 5

What can occur if vaccines are given to preterm babies?

Answer 5

Apnoea. Especially at or before 28 weeks. Monitor for 48 to 72 hours. Can also desaturated or bradycardia

Question 6

Which vaccines should hiv posititive individuals not recieved?

Answer 6

BCG, influenza nasal spray, typhoid, yellow fever

Question 7

At what months and years do children normally have vaccines?

Answer 7

2, 3 and 4 months (diphtheria combo, menB, pneumococcal, rota virus)
12 to 13 months (MMR and boosters)
2-8 years (influenza)
3y4m - 5y (MMR and diphtheria combo)
11 - 14y (HPV females)
13 - 15y (menA/C etc and diphtheria combo)

Question 8

What vaccines are recommended for a splenic patients?

Answer 8

Haem influenza b with menC
Influenza
MenA/c/w/y
MenB
Pneumococcal