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39 Cards in this Set

  • Front
  • Back
common season for pneumococcal disease
winter and early spring
pneumococcal transmission
droplet person to person
autoinoculation
clinical syndromes of pneumococcal dz
pneumonia
bacteremia
meningitis
pneumococcal dz complications
empyema
pericarditis
endobronchial obstruction
dx of pneumococca dz
isolation of streptococcus pneumoniae
two pneumococcal vaccines
PPV23 (pneumococcal capsular polysaccharide)
PCV7 (conjugate polysaccharide of 7 serotypes)
administration of pneumococcal vaccine
PPV23 - IM or SC
PCV7 - IM for infants/toddlers only
PPV indications
age >65
those with chronic dz and a
normal immune system
immunocompromised
indication for PPV revaccination
>65 if recieved vaccine >5 years ago before they turned 65
pneumococcal vaccine ADR
local inj. site rxns
pneumococcal CI
previous allergic rxn
mod/severe illness
pregnancy
pneumococcal vaccine storage
refrigerated (not frozen)
high risk populations for Hep A
Native Am.
Alaskan
Pacific Islander
Hispanic
cause of Hep A
Hep A virus
transmission of Hep A
person to person
oral/fecal
IV drug users
homosexual men
Hep A sxs
abrupt fever
malaise
anorexia
N/V
jaundice
abd. pain
dark urine
light feces
T/F Hep A is self limiting disease
T
Hep A vaccines
both inactivated
Havrix
VAQTA
product with both Hep A and Hep B vaccines
Twinrix
Hep A vaccine administration
IM in deltoid
Hep A vaccine regimen
all children 12 - 23 months in two doses 6 months apart
most common ADR of Hep A vaccine
local inj. site rxn
Hep A vaccine CI
hx of allergic rxn
mod/severe illness
pregnancy
Hep A vaccine storage
refrigerated (not frozen)
Hep B transmission
exposure to Hep B antibody positive body fluid (sex)
3 phases of Hep B
prodromal/pre-icteric - n/v, malaise, abd. pain, dark urine
icteric - jaundice, light feces, hepatic tenderness
convalescense - malaise, fatigue
Hep B vaccine
recombinant
Recombivax HB
Engerix-B
combination of Hep B and H flu
Comvax
DTaP, Hep B, and polio for children
Pediarix
Hep B vaccine administration
IM in deltoid or anterolateral thigh
Hep B vaccine regimen
vaccinate children asap after birth in 3 doses; 2nd dose 4 wks post 1st dose and 3rd dose 4-6 mo post 2nd dose
high risk populations for Hep B
homosexual males
IV drug users
male prison mates
hemodialysis patients
Hep B vaccine ADR
local inj. site rxn
Hep B vaccine CI
prior allergic rxn
mod/severe illness
Hep B vaccine storage
refrigerated (not frozen)
Hep B Ig
gives passive immunity for Hep B
Hep B Ig indications
accidental exposures (needlesticks)
perinatal exposure
sexual exposure
household infant exposure
Twinrix indication and administration
>18 yo
IM in deltoid
does Twinrix have the option of an accelerated regimen T/F
T