Friday, September 12, 2008

Vaccines

Q9/5
Which vaccines should be deferred (and then further advice sought from an expert in immunisation) if a patient has an immunosuppressive illness? Select one or more than one.

Oral Rotavirus vaccine
Combination vaccines that include both Inactivated Polio vaccine (IPV) and DTPa
Measles Mumps Rubella (MMR)
Human Papillomavirus vaccine (HPV) (e.g. "Gardasil")
Varicella vaccine (VZV)
Influenza vaccine
Monovalent Hepatitis B vaccine
Polysaccharide Pneumococcal vaccine (23vPPV)
Conjugate Pneumococcal (7vPCV)

Q9/6
Which vaccinations may be contraindicated if the patient is allergic to egg protein?
Select one or more than one.

Oral Rotavirus vaccine
Combination vaccines that include both Inactivated Polio vaccine (IPV) and DTPa
Measles Mumps Rubella (MMR)
Human Papillomavirus vaccine (HPV) (e.g. "Gardasil")
Varicella Vaccine (VZV)
Influenza vaccine
Monovalent Hepatitis B vaccine
Polysaccharide Pneumococcal vaccine (23vPPV)
Conjugate Pneumococcal vaccine (7vPCV)

6 comments:

Unknown said...

Q9/5
This involve knowledge of live vaccines.In this list i choose MMR
Q9/6
This question is a test on vaccines containing egg protein Ans MMR and influeza vaccine. For your
knowledge my colleague had this question asked during part 2.what is absolute contraindication for flu vaccine?

Song said...

Q9/5:
MMR, Vericella, Influenza.

Q9/6:
Influenza

and Yellow Fever vaccine

Song said...

Inactivated Influenza Vaccine
Contraindications and Precautions

-Severe allergic reaction to a vaccine component (e.g., egg) or following a prior dose of vaccine
-Moderate or severe acute illness
-History of Guillian Barre’ syndrome within 6 weeks following a previous dose of TIV (precaution)
-Children younger than 2 years of age*
-Persons 50 years of age or older*
-Persons with underlying medical conditions*
-Immunosuppression from any cause*
-Children younger than 18 years receiving long-term aspirin therapy*
-Pregnant women*
-History of Guillian-Barré syndrome
-Children younger than 5 years with recurrent wheezing*
-Moderate or severe acute illness

I think the absolute contraindication will be
-the severe allergy to egg or other vaccine components
-pregnant woman
-immunocompromised from any cause

Su Lin said...

Q9/5

MMR,Varicella, Influenza

Q9/6
Influenza

Unknown said...

q9/5: ipv, mmr, varicella and influenza

q9/6: mmr and influenza

FRACGP1 said...

Answer to Q9/5
The correct answers are MMR, VZV and Oral Rotavirus Vaccine.
You should seek further advice if you are considering administering the following vaccines: MMR, VZV, Oral Rotavirus vaccine, as they are all live-attenuated vaccines.

Answer to Q9/6
The correct response is the influenza vaccine. Note that egg allergy is no longer a contraindication to vaccination with MMR, however closer observation post-vaccination may be warranted. For information on egg allergy and MMR vaccine, refer to the 2nd last dot point of Section 3.11: Measles: Precautions on page 207 of the Handbook