TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD For inquiries visit www.topnotchboardprep.com.ph or email us at
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PPS Recommended Vaccines
should replace one dose preferably after 20weeks AOG
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.
BCG Hep B DPT HiB Polio Pneumococcal Rotavirus Influenza Measles Japanese Encephalitis MMR Varicella MMRV Hepatitis A Td/Tdap HPV
Pneumococcal (PCV) Min age 6weeks, Intramuscularly (IM), 4weeks apart, 3 doses Booster 6months after 3rd dose 25yo 1 dose of PCV 13 or 2 doses PCV 10 (8weeks apart) Not recommended for > 5yo Japanese Encephalitis Vaccine (JE) Subcutaneously Min age 9months 9months to 17yo – one primary dose plus booster 1224months after >18yo – single dose only Td and Tdap Fully immunized Td boosters every 10years (single dose of Tdap can be given in replacement of due dose of Td) Fully immunized pregnant – 1 dose Tdap after 20weeks AOG UNIMMUNIZED pregnant – 3dose td containing vaccine (Td/Tdap) 016month. Tdap
Influenza
Trivalent IM or SQ, Quadrivalent IM 0.25ml for 6mos35mos, 0.5ml for 36mos 18yo For 6mos to 8yo 2 doses, 4 weeks apart Then yearly If only one dose was given the previous year = give 2 doses If single dose has been given for 2 consecutive years, give annually For 918yo – 1 dose annually
Hepatitis A Vaccine 1st dose >12y.o 2nd dose, 612months after 1st HPV Bivalent 0,1,6months Quadrivalent – 0,2,6months Give vaccine to girls age 1112 yrs old (may be given as early as 9 yrs old) MMRV 1st dose – 1yo 2nd dose – 46 years Minimum of 3months interval from 1st Varicella Subcutaneously 1st dose – 1215months 2nd dose 46years 3 months interval from first (for children 13 y.o without evidence of immunity 2 doses, 4 weeks apart Rotavirus Monovalent (RV1) 2dose Earliest 6weeks of age Not later than 32weeks Pentavalent (RV5) 3dose Earliest 6weeks of age Not later than 32weeks May give dose #1 as early as 6 wks Give final dose no later than age 8 mos 0 days Do not begin series in infants older than 15 wks 0 days VACCINES FOR HIGH RISK/SPECIAL GROUPS Typhoid 2 years old Every 23 years Rabies Preexposure – IM days 0,7,21or 28 ID: 0,7,21,28 Meningococcal Tetravalent Conjugate (MCV4D, MCV4TT, MCV4CRM) – IM Tetravalent Polysaccharide (MPSV4) IM or SQ High risk : ex complement deficiency, asplenia, HIV MCV4 D : min age 9mos
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TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD For inquiries visit www.topnotchboardprep.com.ph or email us at
[email protected]
MPSV4
923mos – 2 doses, 3months apart 2yo and above – one dose MCV4TT: 12mos and above, single dose MCV4CRM: 2yo and above, single dose Revaccinate with MCV4 every 5 years as long as pt is high risk
CSF FINDINGS IN BRAIN ABSCESS
2yo and above as single dose If MPSV4 used as first dose, MCV4 should be given 2months later *MCV4D and PCV13 should be given 4weeks apart
Pnuemococcal for High Risk (PCV + PPSV) IM High Risk : Chronic heart, lung, kidney disease, DM, CSF leak, cochlear implant, sickle cell disease and other hemoglobinopathies, anatomic and functional asplenia, HIV and immunodeficiency 25yo One dose PCV 13 if incomplete PCV was given 2 doses of PCV 13 (8weeks apart) if unimmunized One dose PCV 13 if completely immunized with PCV 7 PPSV at least 8 weeks after the most recent PCV 13 618yo 1 dose of PCV 13 then PPSV after 8weeks
SLE
Single revaccination of PPSV after 5 years Dengue
Live Attenuated, SQ Minimum age 9yo Max age 45yo 3 dose series – 0,6,12months DENGUE
Hepatitis B Tests
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