Influenza Vaccine
The live attenuated intranasal influenza vaccine is more effective in children age 2-6 years than the inactivated vaccine.
The live attenuated intranasal influenza vaccine is recommended for healthy non-pregnant persons 2-9 years of age. It is more effective than the inactivated vaccine in children 2-6 years; for patients who are 6-49 years of age, either the attenuated intranasal or the inactivated vaccine is recommended. The live intranasal vaccine is contraindicated in pregnancy and in patients with asthma or COPD.
Patients older than 49 years should receive the inactivated vaccine.
Rotavirus Vaccine
The first dose must be given between 6 wks and 15 wks (ie. ≥6wks of age and <15 wks (i.e. 14wks 6 days).
Final dose must be given by 8 months, 0 days.
In other words, first dose must be given between 1mo2wks to 3mo3wks and the last dose by 8mo,0days
The following is from the CDC: https://www2.cdc.gov/nip/isd/ycts/mod1/courses/genrec/10640.asp?res=2&QU=0#jump1
*All vaccines can be administered at the same visit as all other vaccines. All vaccines can be administered at the same time at different injection sites.
TB Skin Test (PPD) and Vaccinations
A person needs TB testing, and also vaccination with MMR and hepatitis B vaccine. Which action could result in a false negative skin test for TB?
- Administering both MMR and hepatitis B vaccine on the same day that the TB skin test is done.
- Administering MMR and hepatitis B vaccine 1 week after the TB skin test is done.
- Administering both MMR and hepatitis B 1 week before the TB skin test is done.
- Administering both MMR and hepatitis B vaccine 7 weeks before the TB skin test is done.
C is Correct.
A false negative skin test can occur if a live vaccine, such as MMR, is given BEFORE the TB skin test is done. If MMR vaccine is given, you should wait at least 4 weeks before doing the TB skin test. All vaccines, live or inactivated, can be given on the same day or at any time AFTER a TB skin test is done.