who should receive the zoster vaccine?
> 60 yo with or without chronic medical conditions
what is a contraindication of zoster vaccine?
who should get influenza vaccine?
anyone once a year
-Live attenuated should be avoided by pregnant and immunocompromised patients
who is considered immune to MM?
those born before 1957
will MD document of dz suffice for MMR proof?
who should get TDAP?
pregnant women with EACH pregnancy
3 doses for other adults
who should get varicella vaccines?
any adult w/o evidence of immunity
pregnant women POST partum
who should get HPV?
teen males and females
-up to age 26
when will second MMR be given?
students in post secondary education
health care workers
which form of MMR was considered not effective?
who should have Rubella vaccine?
women of childbearing age
-if they are pregnant they should get the vaccine AFTER the pregnancy
who should get pneumococcal polysaccaride vaccine? (PPSV23)
> 65 and older OR
-lung dz, CKD, CVD, liver dz, asplenia, chochlear implants, nursing home residents, HIV infected patients
how often do you give PPSV23?
every 5 yrs
who should get pneumococcal conjugate 13 (PCV 13)
> 19 yo with immunocompromising conditions
-13 followed by 23
who should get HAV vaccine?
contact with international adoptee
men Sex with men
how many doses of HAV are given?
two doses or maybe three (mixed with HB)
who should get HBV vaccine?
non monogamous persons MSM IV drug users health care workers ESRD DM HIV ppl who live with ppl who have HB
how many doses of HBV are given?
Haemophilus influenzae type B vaccine is given to who?
sickle cell pt
what conditions would cause concern for HepA?
poor water quality
poor food sanitation
what countries are endemic for meningococcal meningitis?
nepal sub-saharan Africa Senegal Ethiopia Northern India saudi Arabia
what conditions would cause concern for typhoid?
prolonged exposure to contaminated food and water
-completed 1 week prior to travel
where is yellow fever required?
parts of South and Central America
-Live so can not give to pregnant women
how often do you have to reimmunize against yellow fever?
every 10 yrs
who should get japanese b encephalitis?
ppl who plan to stay in Asia for 30 dys or longer
what are common fungal causes of infection?