Vaccines

Question 1

Dtap vs Tdap

Answer 1

given q 10 years
6 years and younger: use Dtap
7 + yrs: use only Tdap (tetanus, diphtheria pertussis)

Question 2

if someone has a tetanus-prone wound and unknown vaccination status…

Answer 2

give Td/Tdap and tetanus immunoglobulin (TIG) asap

Question 3

pneumococcal conjugate (PCV13/Prevnar or PCV15) for children < 2 years old:

Answer 3

give PCV13 or PCV15 as 4 dose series (2 mo, 4 mo, 6 mo, 12-15 mo)

Question 4

pneumococcal vaccine (PCV15 or PCV20) for all age 65 or older

Answer 4

Give PCV 13/15 first (if never had PPSV23) then 1 year later, give PPSV23
-if PCV20 is used, do not give PPSV23

Question 5

What age group should receive the shingles vaccine?

Answer 5

60 years old + as Subq route even if had shingles in past

Question 6

what are the live vaccines?

Answer 6

MMR
Rotavirus
Varicella (chicken pox/Varivax)
Yellow fever
Zostavax (not used anymore)

Question 7

when to give meningococcal conjugate vaccine (MCV4)?

Answer 7

start age 11 to 12, 1st year college students living in dorms at higher risk

Question 8

Bacillus Calmette Guerin (BCG) vaccine is for

Answer 8

tuberculosis infection
made from live mycobacterium tuberculosis

Question 9

BCG can cause what on a TB skin test (Mantoux)

Answer 9

false positive

Question 10

if pt has hx of BCG vaccine and got a positive on PPD…

Answer 10

get TB blood testing (Quantiferon)
most ppl with + TB blood test have latent TB infection