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33 Cards in this Set
- Front
- Back
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live atttenuated vaccines
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viral --> MMR, varicella, yellow fever, nasal influenza
bacterial --> BCG, oral typhoid, smallpox |
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killed virus vaccines
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polio, rabies, hepatitis A
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subunit vaccines
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hepatitis B
parenteral influenza acellular pertussis |
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toxoids
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diptheria
tetanus |
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polysacchride vaccines
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Hib, pneumococcal, meningococcal
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unknown immunization status
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when in doubt, initiate immunizations
need formal immunizations record to be documented |
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active immunization if recently given gammaglobulin
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live virus vaccines have decreased immunogenicity when given shortly after Ig
wait 3 months |
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vaccine safety evidence
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MMR vaccine does not cause autism or IBD
multiple immunizations don’t increase risk of diabetes or immune dysfunction no causal relationship between hepB vaccine and demyelinating disorders no relationship between meningococcal vaccine and Guillain-Barre |
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misconceptions about vaccine contraindications
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immunize in spite of:
fever <105 with reaction to previous DPT mild acute illness concurrent antibacterials prematurity family history of seizures family history of infant death syndrome |
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vaccines in immunocompromised
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do not give live vaccines
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preterm infant vaccinations
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immunize at chronological age
do not reduce dosage |
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precautions to vaccinations
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if fever is moderate to severe --> vaccinate later
egg allergy is not contraindication to MMR egg allergy may rarely produce type I reaction after influenza vacccine (contains egg proteins) |
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hypersensitivity reactions with vaccines
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influenza --> egg hypersensitivity
IPV and MMR --> neomycin and streptomycin |
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postexposure measles immunization
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if 0-6 months --> do nothing unless mother is not immune (give Ig only)
if 6-12 months --> Ig + vaccine if >12 months --> vaccine only within 72 hours of exposure |
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postexposure varicella immunization
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give vaccine and Ig to unvaccinated contacts
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postexposure hepatitis B immunization
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hepB Ig + vaccine
repeat vaccine at 1 and 6 months |
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hepatitis B vaccination
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birth
1-2 months 6-18 months catch up 1 dose --> 19 months - 4-6 years |
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vaccines given at 2, 4, 6 months
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rotavirus
DPT Hib PCV IPV |
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boosters at 15-18 months
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DTP
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vaccines at 12 months
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MMR
varicella PCV Hib Hepatitis A |
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boosters at 4-6 years
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DTP
IPV MMR varicella |
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influenza vaccine
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given from 6 months through ages 4-6
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bossters at 15 years
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MCV4
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vaccines given at 11-12 years
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DPT booster
HPV (3 doses) MCV4 |
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rotavirus vaccine
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2, 4, 6 months
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DPT vaccine
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5 doses
2, 4, 6 months; 15-18 months; 11-12 years |
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Hib vaccine
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2, 4, 6 months; 12-15 months
give 1 catch up dose if not vaccinated and < 5 years old |
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PCV vaccine
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2, 4, 6 months; 12-15 months
if high risk group --> give 23-valent from 2-18 years |
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IPV vaccine
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2, 4 and 6-18 months
booster at 4-6 years catch up series up to 18 years old |
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MMR vaccine
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12-15 months
4-6 years catch up series 7-18 years |
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varicella vaccine
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12-15 months
4-6 years catch up series 7-18 years |
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HPV vaccine
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3 doses between 11-12 years
catch up up to 18 years old |
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MCV4 vaccine
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11-12 years
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