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Pediatrics
Immunization
Question | Answer |
---|---|
Is recommend that children receive a DTAP primary series of four immunization at the age of | 2, 4, 6 and 15 to 18 months of age |
At what age is a DTAp booster is given? | 4 and 6 years of age or before entry into school |
Why is a combined injection of the DTAP vaccine recommenced at 11 to 12 years of age? | Because whooping cough outbreaks have occurred in the teenage and late adolescent population |
Side effects of DTAP | Drowsiness, fretfulness, low-grade fever and redness and pain at the injection site. |
The Polio Vaccine is administered in a primary series of three doses and given along with DTAP at | 2, 4 and 6 to 18 months of age. |
A fourth polio vaccine booster dose is given between the ages of | 4 to 6 years or before school entry |
MMR [Measles, mumps and rubella] is furnished in one injection and routinely administer between | 12 to 15 months of age |
A second dose of MMR is generally given between the ages of | 4 to 6 years |
If the child did not receive a second dose of MMR at the ages of 4 to 6 then it will be given at | 11 to 12 years age |
The first dose of MMR is delayed until the end of the first year because | children have receive a great deal of passive immunity to measles from their mothers while they are in utero |
Why does children who have recently received immune globulin or other blood products that contain antibioses should not receive an MMR vaccination for about 3 months? | Because the passively acquired antibodies could interfere with the childs immune response to the vaccine |
MMR side effects include | Transient rash and fever which may begin 5 to 12 days after vaccination. Adverse reactions include joint pain, low-grade fever, rash, and lymphadenopathy 5 to 12 days after vaccination. |
How many doses of Hepatitis B is required? | Three doses are required |
If the infant has been born to a hepatitis B surface antigen negative mother, when should the baby receive the hepatitis B first dose? | The baby should receive the first dose in the newborn period before hospital discharge. 2nd dose at 1 or 2 months 3 dose at 6 or 18 months |
If the infant has been born to a hepatitis B surface antigen positive mother, when should the baby receive the hepatitis B first dose? | The baby should receive the hepatitis B immune globulin within 12 hours of birth plus HBV vaccine. 2nd dose of HBV at 1 to 2 months 3rd dose at 6 months. |
In how many doses is hepatitis A given? | Two doses |
How many months apart is recommend to administer hepatitis A? | 6 months apart |
At what age is recommended to administer the hepatitis A vaccine? | 1 and 2 years of age |
If the children did not receive the hepatitis A vaccine as a toddler, when can they be vaccinated? | Children who did not receive Hep A vaccine as toddlers can be vaccinated at any time. |
What age is the Rotavirus vaccine given? | 2, 4 and 6 months of age |
After what age no doses of rotavirus vaccine should be given? | after 32 weeks of age [8 months] |
Against what bacterias does Haemophilus influenzas type B vaccine protects? | H. Influenzae - which is a major cause of meningitis in children. |
what is the difference between H. Influenzae & Influenza virus? | H. Influenzae is a bacteria that causes meningitis in children. Influenza is a virus responsible for "flu" |
At what age can a two dose Haemophilus Influenzae Type B administer ? | They are administer in two dose At 2 and 4 months of age |
At what age can a three dose regimen of Haemophilus Influenzae Type B be administer? | 2, 4 and 6 months of age. |
An additional Haemophilus Influenzae Type B booster can be given at | 12 months of age |
At what age can infants receive the varicella vaccine? | At any first visit after their first birthday [usually scheduled at 12 to 18 months of age) |
At what age does children receive the second dose of varicella vaccine? | 4 to 6 years of age |
If a children did not receive the varicella vaccine as an infant or lacks a reliable history of chickenpox, when should the varicella be administer? | In this case, the vaccine can be administer during adolescence with two doses of vaccine administer at least 1 month apart. |
For what age is the pneumococcal vaccine recommenced? | For all children between 2 and 23 months of age. |
At what age is the pneumococcal vaccine administer? | At 2, 4 , 6 and 12 months of age. |
For how long does the pneumococcal vaccine provides protection? | For 6 to 10 years |
Which vaccine is recommend for children who would be prone to an infection [ex: those with pulmonary or cardiac disease or without spleen] | Pneumococcal vaccine |
Which virus is associated with the development of cervical cancer in women? | Human Papillomavirus |
How many doses should preteens receive of HPV? | 3 doses |
At what age is the first HPV dose administered? | At 11 to 12 years of age. |
When should the 2nd dose of HPV be administer? | 2 months after the first dose |
When should the 3rd dose of HPV be administer? | The third dose should be given after 6 months of the first dose. |
If a children has immunologic deficiencies or have had their spleen removed, they are prone to develop meningitis by.. Which bacteria? | Meningococcal bacteria |
Children that have immunologic deficiencies or have no spleen are recommended to receive the meningococcal vaccine between.. | 2 and 10 years of age. |
A single dose of meningococcal vaccine can be administer at what age? | 11 through 12 years old if the kid is healthy. children that are part of the high risk category [immunosuppressed] then they should get their between 2 - 10 years |
A meningococcal booster can be given at | 16 years of age |
A meningococcal booster is not needed if the first dose of the vaccine has been administered at what age? | 16 years or older |
Influenza is caused by | A B or C retroviruses |
Who should receive a yearly injection of the influenza vaccine? | Infants 6 months of age through adolescents & those who have chronic pulmonary or cardiovascular disorders or are immunosuppressed. |
The influenza vaccine is contraindicated in children who are allergic to | eggs |
The live attenuated influenza vaccine (LAIV) can be administer for | most healthy children age 2 years and older. |
If a children 6 months through 8 years has never received the influenza vaccine, how many doses he or she would require? | Two doses at least 1 month apart. |
Which vaccines are given at birth? | Hepatitis B - First Dose [ The only one given at birth] |
Which Vaccines are given at the second month? | Hepatitis B - 2nd Dose [ First or Second Month] Rotavirus - 1st Dose DTAP - 1st Dose HIB - 1st Dose Pneumococcal Conjugate - 1st dose Inactivated Poliovirus [IPV] - 1st dose |
Vaccine At 4 Mos | Rotavirus - 2nd Dose DTAP - 2nd Dose HIB - 2nd dose Pneumococcal Conjugate - 2nd dose IPV - 2nd dose |
Vaccine at 6 Mos | Hepatitis B - 3rd dose DTAP - 3rd dose Pneumococcal Conjugate - 3rd dose IPV - 3rd dose [Between 6 to 15 months] |
Which first dose is given between 12 to 15 months? | MMR & Varicella |
Difference between Tdap & Dtap | Tdap - Older than 7 Dtap - younger than 7 |
Hib side effects | Local reactions include tenderness at the injection site. Reactions such as crying and fever may occur. but just like DTAp this is not an adverse effect. |