Vaccines Flashcards
(68 cards)
group of medical and public health experts convened by CDC to develop vaccine recommendations
Advisory Committee on Immunization Practices (ACIP)
provides free vaccines for all children who are uninsured, medicaid eligible, Native American, or Alaska Native
Vaccines for Children Program (VFC)
public and private childcare facilities and publuc and private schools must have a valid ____ for all enrolled children
SC Certificate of Immunization
three types of exemptions to vaccine in SC
medical exemption
religious exemption
special exemption
medical contraindications as determined by a licensed health care provider
medical exemption
exemption signed by school principle issued to transfer students while awaiting arival of medical records from former residence → only issued once and valid for only 30 days
special exemption
familes who refuse to vaccinate their child must sign this form EACH visit with their provider
Refusal to Vaccinate Form
when can a provider end a relationship with a patient who refuses vaccination?
after another physician assumes responsibility for patient or the parents have been given reasonable notice they intend to terminate the relationship
exposure to disease organism triggers the immune system to produce antibodies to the disease
active immunity
two types of active immunity
natural immunity
vaccine induced immunity
What is good about active immunity?
long lasting → may be lifelong
person is given antibodies to a disease rather than producing them through their own immune system
passive immunity
what is good about passive immunity?
immediate protection (but only lasts weeks - months)
Passive immunity obtained through antibody containing blood products such as HBIG or VZIG which may be given when immediate protection is needed
Immune Globulin
three categories of vaccine adverse reactions
local (pain, swelling, redness_
systemic (fever, malaise, HA, myalgia)
allergic (anaphylactic, IgE mediated hives, mouth swelling, can’t breathe, hypotension, shock)
all clinically significant adverse events following immunizations are reported to
vaccine adverse event reporting system (VAERS)
individuals can file a clain after adverse reaction due to vaccine and get financial assistance
national vaccine injury compensation program (VICP)
condition in recipient that increases the chance of serious adverse reaction
contraindication
condition in recipient that might increase the chance of adverse reaction
precaution
minor illness taking antibiotic at the time pregnancy or immunosuppression in the house breatfeeding premature birth non-vaccine related allergies nonanphylactic allergy to vaccine
Things that are NOT contraindications to vaccine
low grade fever
URI
otitis media
mild diarrhea
“minor illness”
can still get vaccination
Two true contraindications to vaccines
anaphylaxis
encephalopathy that occurs within 7 days of vaccine
If a child has an egg allery what 2 vaccines will they be concerned about getting? What do you do?
flu and MMR
give MMR and inactive flu vaccine
two temporary contraindications to vaccines
pregnancy
immunosuppression
