Disclosure Statement. Encapsulated Bacteria. Functions of the Spleen 10/25/2017. Pharmacist Learning Objectives
|
|
- Victor Brooks
- 6 years ago
- Views:
Transcription
1 Pharmacist Learning Objectives No Spleen? No Problem. A Review of Vaccinations Indicated for the Asplenic Patient SCSHP Fall Meeting October 26, 2017 Explain the rationale for vaccinations in Select the appropriate vaccines for the asplenic patient Identify the ideal timing of specified vaccinations Alyson G. Wilder, PharmD, BCPS Assistant Professor of Pharmacy Practice Presbyterian College School of Pharmacy Pharmacy Technician Learning Objectives Explain the rationale for vaccinations in Describe the vaccines recommended for Identify methods to assist the pharmacist with enhancing vaccination rates and improving healthcare outcomes Disclosure Statement I have no financial relationships to disclose. I will not discuss off label use and/or investigational use in my presentation. Functions of the Spleen Encapsulated Bacteria Polysaccharide capsule Virulent Destroyed by splenic macrophages knight returns/ knight returns/ 1
2 Patient Case Disorders of the Spleen SM is a 53yo F who was involved in a motor vehicle accident. She was admitted to the ICU. On hospital day 3 it was determined that she would need a non emergent splenectomy due to the injuries sustained from the accident. SM continues to be hemodynamically stable and surgery is scheduled for the next day. Asplenia Hyposplenia Absence of spleen Congenital, functional, surgical Impaired function of spleen Acquired disorder Rubin LG et al. N Engl J Med 2014;371: Overwhelming post splenectomy infection (OPSI) Non specific symptoms Nausea, vomiting, fever Rapidly progressive Fulminant sepsis Coma High mortality rate Up to 50% despite maximal treatment Risk of OPSI Greatest in first 2 years after splenectomy 30% in the first year 50% within the first 2 years Lifetime risk of 5% Risk factors Concomitant hematological disease Age at time of splenectomy Bisharat N et al. J Infect 2001;43(3): Bisharat N et al. J Infect 2001;43(3): Common Pathogens Vaccinations for Asplenic Patients Pneumococcal Meningococcal Haemophilus influenzae type b (Hib) Influenza 2
3 Optimal Timing of Vaccination Recommended Timing of Vaccination Recovery from the stresses of the initial injury Non elective splenectomy On or after post op day 14; at hospital discharge Recovery from surgical intervention Elective splenectomy At least 14 days prior to surgery Ability to mount optimal antibody response Nonfunctional spleen As soon as the diagnosis is made S. pneumoniae More than 90 serotypes Bacteremia, meningitis, pneumonia Cause of over 4,000 deaths each year in US Responsible for more than half of OPSI cases Pneumococcal Vaccines Formulation and sequence based on vaccination history PCV13 (Prevnar ) 13 serotypes Single dose PPSV23 (Pneumovax ) Polysaccharide 23 serotypes IM or SubQ Maximum of 3 doses No history of pneumococcal vaccination (Age 19 64) History of PPSV23 (Age 19 64) History of ONE dose PPSV23 PCV13 (2wk preop or postop) PCSV23 (8wk later) PPSV23 (after age 65) PCV13 (2wk preop or postop) PCSV23 (8wk later) PPSV23 (5yr later) PPSV23 (after age 65) History of TWO doses PPSV23 PCV13 (2wk preop or postop) PPSV23 (after age 65) 3
4 History of PPSV23 AND PCV13 (Age 19 64) History of ONE dose PPSV23 AND PCV13 PCSV23 (8wk later) PPSV23 (after age 65) No history of PCV13 Age 65 PCV13 (2wk preop or postop) PPSV23 (8 weeks later) History of TWO doses PPSV23 AND PCV13 History of of PCV13 PPSV23 (after age 65) PPSV23 (at least 5yr after previous PPSV23) N. meningitidis Meningitis, sepsis, pneumonia Low rates of invasive disease in US 1.2 million cases worldwide 10 15% fatal cases 20% of survivors with permanent damage Neurologic disability, amputation, hearing loss 40 70% mortality rate in Quadrivalent Meningococcal Vaccines Serogroups A, C, W and Y Single initial dose + booster MPSV4 (Menomune ) Polysaccharide SubQ only Adults >55 years Discontinued Lots expired 9/2017 MenACWY D (Menactra ) Adults 55 years Can NOT be administered with PCV13 MenACWY CRM (Menveo ) Adults 55 years Can be administered with PCV13 Pace D et al. Vaccine 2012; 30 (suppl 2):B3 9 CDC. MMWR Recomm Rep 2013; 62 (RR 2):1 28 CDC. MMWR Recomm Rep 2013; 62 (RR 2): announcements/menomune discontinuation Monovalent Meningococcal Vaccines Serogroup B Added to ACIP recommendations in 2015 MenB 4C Bexsero Two dose series Administer doses at least one month apart MenB FHbp Trumenba Three dose series Administer at 0, 1 2 and 6 months interval MCV4 + MenB Use MenACWY CRM if PCV13 2 weeks pre or post op Vaccination Schedule 8 weeks later MCV4 + MenB Use same products as first doses MenB FHpb: 0.5ml IM x1 MenB 4C: not 4 months later MCV4: quadrivalent meningococcal vaccine (Menactra, Meveo) MenB: serogroup B meningococcal vaccine (Trumenba, Bexsero) Every 5 years MCV4 booster Forlaranmi T et al. MMWR 2015;64: Forlaranmi T et al. MMWR 2015;64:
5 H. influenzae Type B Most common of the 6 serotypes 95% of invasive disease Meningitis, pneumonia, epiglottitis Low risk of invasive infection in adolescents and adults Hib Vaccine Monovalent conjugate ActHIB, Hiberix, Pedvax HIB Single dose, IM only Vaccinate Unvaccinated Vaccination status unknown Revaccination not Primary series by 6mo + booster Single dose after 14 mo Influenza Predisposition to secondary bacterial pneumonia and sepsis Unvaccinated vs minimum of one vaccination Retrospective study 54% decrease in risk of death in vaccinated group Annual immunization recommended Live attenuated vaccine not recommended Safety and efficacy data not available Improving Vaccination Rates Development of order sets Improve patient capture Providing patient education Stress importance of vaccines post splenectomy Involvement in transitions of care Improve communication between providers CDC. MMWR 2017; 66(2);1 20 Langley JM et al. BMC Infect Dis 2010; 10:219 Kealey, GP et al. J Surg Research 2015; 199:580 5 Summary Spleen destroys encapsulated organisms Lifetime risk of OPSI Recommended vaccines Pneumococcal, Meningococcal, Hib, Influenza Timing of initial vaccines At least 2 weeks pre or post op Opportunities to improve vaccination rates No Spleen? No Problem. A Review of Vaccinations Indicated for the Asplenic Patient SCSHP Fall Meeting October 26, 2017 Alyson G. Wilder, PharmD, BCPS Assistant Professor of Pharmacy Practice Presbyterian College School of Pharmacy 5
Vaccine Description Administration Re-vaccination Pneumococcal Vaccines Prevnar 13 (PCV 13)
Guideline for the Vaccination of Patients with Splenic Injury Requiring Splenectomy or Splenic Embolization This guideline is written for individuals 12 years and older admitted to the Maine Medical Center
More informationSplenectomy Vaccine Protocol PIDPIC
Splenectomy Vaccine Protocol PIDPIC 6.24.14 Rationale Spleen clears encapsulated bacteria and infected erythrocytes Serves as one of the largest lymphoid tissues where B cells are educated against encapsulated
More informationPrevention of Overwhelming Postsplenectomy Infection in Adults
Prevention of Overwhelming Postsplenectomy Infection in Adults Introduction The spleen is the largest lymphatic organ in the body and its primary functions are to filter damaged red blood cells and micro-organisms
More information2/16/2015 IMMUNIZATION UPDATE Kelly Ridgway, RPh February 21, Today s Overview NEW RECOMMENDATIONS
IMMUNIZATION UPDATE 2015 Kelly Ridgway, RPh February 21, 2015 Today s Overview 1 2 3 4 5 6 Pneumococcal Vaccine Recommendations Meningococcal Vaccine Recommendations HPV Vaccine Recommendations Patient
More information9/12/2018. Meningococcal Disease and Meningococcal Vaccine. Neisseria meningitidis. Meningococcal Disease Pathogenesis. Aerobic gram-negative bacteria
Centers for Disease Control and Prevention National Center for Immunization and Respiratory Diseases Meningococcal Disease and Meningococcal Vaccine Adult Track Chapter 14 Photographs and images included
More informationBacterial diseases caused by Streptoccus pneumoniae in children
Bacterial diseases caused by Streptoccus pneumoniae in children Bactermia 85% Bacterial pneumonia 66% Bacterial meningitis 50% Otitis media 40% Paranasal sinusitis 40% 0% 10% 20% 30% 40% 50% 60% 70% 80%
More informationBACTERIAL MENINGITIS IN CHILDREN
Overview Bacterial meningitis in children : rare, severe, mostly preventable What should GPs advise Australian parents in 2018? Peter McIntyre Professorial Fellow, National Centre for Immunisation Research
More informationAndrew Kroger, MD, MPH National Center for Immunization and Respiratory Diseases MCH & Immunization Conference Anchorage, AK September 28, 2010
2010 Immunization Update Andrew Kroger, MD, MPH National Center for Immunization and Respiratory Diseases MCH & Immunization Conference Anchorage, AK September 28, 2010 Disclosures No financial conflict
More information2017 Vaccination Update
2017 Vaccination Update NATHAN BOONSTRA, MD General Pediatrician, Blank Pediatric Clinic TODAY S OBJECTIVES Review the latest recommendations for immunizations, including HPV Meningococcal vaccines Influenza
More informationRecommended Immunization Schedules for Persons Aged 0 Through 18 Years UNITED STATES, 2016
Recommended Immunization Schedules for Persons Aged 0 Through 18 Years UNITED STATES, 2016 This schedule includes recommendations in effect as of January 1, 2016. Any dose not administered at the recommended
More informationImmunization Update: New CDC Recommendations. Blaise L. Congeni M.D. 2012
Immunization Update: New CDC Recommendations Blaise L. Congeni M.D. 2012 Polysaccharide Vaccines Vaccine Hib capsule polysaccharide PRP (polyribose ribitol phosphate) Not protective in infants
More informationREACHING OUR GOALS: CHILDHOOD & ADOLESCENT IMMUNIZATION Illinois Chapter, American Academy of Pediatrics
REACHING OUR GOALS: CHILDHOOD & ADOLESCENT IMMUNIZATION 2017 Illinois Chapter, American Academy of Pediatrics Learning Objectives Provide the updates from 2017 Advisory Committee on Immunizations Practices
More informationHIT ME WITH YOUR BEST SHOT: UPDATE ON IMMUNIZATIONS. Karen Hoang, PharmD Clinical Pharmacy Specialist, MTM Services UPMC Health Plan
HIT ME WITH YOUR BEST SHOT: UPDATE ON IMMUNIZATIONS Karen Hoang, PharmD Clinical Pharmacy Specialist, MTM Services UPMC Health Plan DISCLOSURES No financial or other conflicts to disclose LEARNING OBJECTIVES
More informationVaccines for infants- What has happened in the last year?
Vaccines for infants- What has happened in the last year? MARK H. SAWYER UCSD SCHOOL OF MEDICINE RADY CHILDREN S HOSPITAL SAN DIEGO Lots has happened and it can be a little confusing Infants used to require
More informationNOTE: The above recommendations must be read along with the footnotes of this schedule.
Figure 1. Recommended immunization schedule for persons aged 0 through 18 years United States, 2014. (FOR THOSE WHO FALL BEHIND OR START LATE, SEE THE CATCH-UP SCHEDULE [FIGURE 2]). These recommendations
More informationWHAT S NEW WITH VACCINATIONS IN 2016?
WHAT S NEW WITH VACCINATIONS IN 2016? MenB and a Few Other Changes Lynn Bahta, RN, PHN Immunization Clinical Consultant Minnesota Department of Health May 2016 Disclosure No conflict of interest Will discuss
More informationAdvisory Committee on Immunization Practices VACCINE ACRONYMS
May 1, 2015 Vaccine Acronyms Page 1 of 5 Advisy Committee on Immunization Practices VACCINE ACRONYMS Vaccines Included in the Immunization Schedules f Children, Adolescents, and Adults Following is a table
More informationVACCINES-WHAT HAS HAPPENED IN THE LAST YEAR. Mark H. Sawyer UCSD School of Medicine Rady Children s Hospital San Diego
VACCINES-WHAT HAS HAPPENED IN THE LAST YEAR Mark H. Sawyer UCSD School of Medicine Rady Children s Hospital San Diego LOTS HAS HAPPENED AND IT CAN BE A LITTLE CONFUSING Some people can get 2 doses of HPV
More informationPediatric and Adolescent Vaccines
Pediatric and Adolescent Vaccines Andrea A. Berry, M.D. Division of Infectious Diseases and Tropical Pediatrics Center for Vaccine Development & Division of Malaria Research Overview Pediatric vaccine
More informationIf these vaccines haven t been given, please follow guidelines below for emergency procedures.
MANAGEMENT OF PATIIENTS POST SPLENECTOMY & HYPOSPLENIIC PATIIENTS Splenectomised and hyposplenic patients are at increased risk of life-threatening infections due to encapsulated micro-organisms such as
More information3 rd dose. 3 rd or 4 th dose, see footnote 5. see footnote 13. for certain high-risk groups
Figure 1. Recommended immunization schedule for persons aged 0 through 18 years 2013. (FOR THOSE WHO FALL BEHIND OR START LATE, SEE THE CATCH-UP SCHEDULE [FIGURE 2]). These recommendations must be read
More informationAdult Vaccine Update. NB Internal Medicine Update, April 22 nd, 2016 Dan Smyth, MD, FRCPC, DTMH
Adult Vaccine Update NB Internal Medicine Update, April 22 nd, 2016 Dan Smyth, MD, FRCPC, DTMH Summary points: Canadian adults > 18 should be regularly assessed to ensure recommended vaccinations are up
More informationWhose Calling the Shots? - A 2019 Vaccine Update. Frank Bell Swedish Pediatric Infectious Disease Jan 2019
Whose Calling the Shots? - A 2019 Vaccine Update Frank Bell Swedish Pediatric Infectious Disease Jan 2019 2019 Vaccine Update Vaccines Meningococcal serogroup B HPV Pertussis Influenza Children with uncertain
More information4/7/13. Vaccinations for Adults and Adolescents. Effect of Full Use of Adult Immunizations. General Vaccine Information
Vaccinations for Adults and Adolescents Nicholas A. Daniels, MD MPH Department of Medicine Professor of Clinical Medicine Declaration of full disclosure: No conflict of interest 2 Effect of Full Use of
More informationTRICARE Retail Vaccination Program Vaccine List - September 2018*
Diphtheria, tetanus and pertussis Diphtheria and tetanus toxoids adsorbed acellular pertussis adsorbed DT DTaP Diphtheria and tetanus toxoids adsorbed Daptacel, Infanrix Tetanus and diphtheria toxoids
More informationNew Jersey Department of Health Vaccine Preventable Disease Program Childhood and Adolescent Recommended Vaccines
New Jersey Department of Health Vaccine Preventable Disease Program Childhood and Adolescent Recommended Vaccines Antigens Vaccine Approved Age Daptacel Diphtheria, Tetanus, and acellular Pertussis (DTaP)
More informationHemagglutinin Neuraminidase
Evolving Vaccine Guidance: Influenza, Meningococcal & HPV Vaccines H. Cody Meissner, M.D. Professor of Pediatrics Tufts University School of Medicine Maine Chapter AAP Bar Harbor, Maine October 16, 2016
More informationObjectives 1. Become familiar with current immunization schedules for children
Sarah Matches, DO, FAAP Assistant Professor UNTHSC, Dept. of Pediatrics Objectives 1. Become familiar with current immunization schedules for children 2. Describe the international progress in reducing
More informationHaemophilus influenzae
Haemophilus influenzae type b Severe bacterial infection, particularly among infants During late 19th century believed to cause influenza Immunology and microbiology clarified in 1930s Haemophilus influenzae
More informationImmunizations June 5, Brenda Ormesher, MD Infectious Disease Peacehealth Medical Group Springfield, OR
Immunizations June 5, 2015 Brenda Ormesher, MD Infectious Disease Peacehealth Medical Group Springfield, OR Disclosures None Goals Understand basic public health impact of immunization Recognize types
More informationMeningococcal Disease and College Students
MASSACHUSETTS PUBLIC HEALTH FACT SHEET Meningococcal Disease and College Students May 2018 Page 1 of 4 What is meningococcal disease? Meningococcal disease is caused by infection with bacteria called Neisseria
More informationAdvisory Committee on Immunization Practices VACCINE ACRONYMS
Vaccine Acronyms Page 1 of 5 Advisy Committee on Immunization Practices VACCINE ACRONYMS Vaccines Included in the Immunization Schedules f Children, Adolescents, and Adults Following is a table of standardized
More informationPREVENTIVE IMMUNIZATIONS. PREVENTIVE IMMUNIZATIONS These codes do not have a diagnosis code requirement for preventive benefits to apply.
An immunization that does not fall under one of the exclusions in the Certificate of Coverage is considered covered after the following conditions are satisfied: (1) FDA approval; (2) explicit ACIP recommendation
More informationDOES YOUR IMMUNIZATION KNOWLEDGE NEED A BOOSTER?: UPDATES FOR 2014
DOES YOUR IMMUNIZATION KNOWLEDGE NEED A BOOSTER?: UPDATES FOR 2014 Brandon Dionne, PharmD PGY2 Pharmacy Resident In Infectious Diseases University Of New Mexico College Of Pharmacy OBJECTIVES Explain general
More information10/4/2014 DOES YOUR IMMUNIZATION KNOWLEDGE NEED A BOOSTER?: UPDATES FOR 2014 OBJECTIVES CASE 1 IMMUNIZATION PRINCIPLES CASE 2
DOES YOUR IMMUNIZATION KNOWLEDGE NEED A BOOSTER?: UPDATES FOR 2014 Brandon Dionne, PharmD PGY2 Pharmacy Resident In Infectious Diseases University Of New Mexico College Of Pharmacy OBJECTIVES Explain general
More informationNeedle Facts: Immunization Update Mirada Wilhelm, PharmD Clinical Associate Professor SIUE School of Pharmacy
Needle Facts: Immunization Update 2015 Mirada Wilhelm, PharmD Clinical Associate Professor SIUE School of Pharmacy Objectives Pharmacists At the conclusion of this program, the pharmacist will be able
More informationNOTE: The above recommendations must be read along with the footnotes of this schedule.
Figure 1. Recommended immunization schedule for persons aged 0 through 18 years 2013. (FOR THOSE WHO FALL BEHIND OR START LATE, SEE THE CATCH-UP SCHEDULE [FIGURE 2]). These recommendations must be read
More information7/13/2016. Immunization Update Disclosures. Objectives. No financial disclosures to report
Immunization Update 2016 Courtney A. Robertson, PharmD Clinical Assistant Professor University of Louisiana at Monroe School of Pharmacy Disclosures No financial disclosures to report Objectives Pharmacists
More informationPREVENTIVE IMMUNIZATIONS. PREVENTIVE IMMUNIZATIONS These codes do not have a diagnosis code requirement for preventive benefits to apply.
An immunization that does not fall under one of the exclusions in the Certificate of Coverage is considered covered after the following conditions are satisfied: (1) FDA approval; (2) explicit ACIP recommendation
More informationExpanding Practice of Pharmacist-Administered Immunizations for 2013
Expanding Practice of Pharmacist-Administered Immunizations for 2013 Rupal Mansukhani, PharmD Clinical Assistant Professor Rutgers University Piscataway, NJ Faculty Information Presenter: Rupal Mansukhani,
More informationImmunization Update Disclosures. Candice Robinson, MD, MPH Medical Officer Immunization Services Division 5/12/2017
Centers for Disease Control and Prevention National Center for Immunization and Respiratory Diseases Immunization Update 2017 Candice Robinson, MD, MPH Medical Officer Immunization Services Division Western
More informationVaccination Decision Making: What Providers Need to Know
Objectives Vaccination Decision Making: What Providers Need to Know Kelli Smith, RN, BSN Iowa Department of Public Health Immunization Program Catch-up Schedule: how to most efficiently bring persons up-to-date
More informationFocus on MenB. Assess Need for MenB Vaccine
Pharmacists Helping to Protect Patients and Communities From Serogroup B Meningococcal Disease This resource is designed to support pharmacists consultations with patients, caregivers, and communities
More informationDEMOGRAPHIC INFORMATION
135 Forsyth Building Northeastern University 360 Huntington Avenue Boston, MA 02115 617.373.2772 (voice) 617.373.2601 (fax) 617.373.5973 (TTY) uhcs@northeastern.edu Health Report Massachusetts law requires
More informationStreptococcus pneumoniae CDC
Streptococcus pneumoniae CDC Pneumococcal Disease Infection caused by the bacteria, Streptococcus pneumoniae» otitis media 20 million office visits (28-55% Strep)» pneumonia 175,000 cases annually» meningitis
More informationACIP Recommendation Update. Mark H. Sawyer, MD UCSD School of Medicine Rady Children s Hospital San Diego
ACIP Recommendation Update Mark H. Sawyer, MD UCSD School of Medicine Rady Children s Hospital San Diego What has ACIP been up to lately? New Recommendations Tdap vaccination for each pregnancy Meningococcal
More informationPreteen and teen vaccines: what to do with the recent recommendations
Preteen and teen vaccines: what to do with the recent recommendations MARK H. SAWYER UCSD SCHOOL OF MEDICINE RADY CHILDREN S HOSPITAL SAN DIEGO Continuing Education The Illinois Chapter, American Academy
More informationPlatforms. Adolescent Immunization Update and the 16 Year Old Platform. Advisory Committee on Immunization Practices (ACIP)
Adolescent Immunization Update and the 16 Year Old Platform William Atkinson, MD, MPH Associate Director for Immunization Education Immunization Action Coalition Advisory Committee on Immunization Practices
More informationGuidelines for the prevention and empiric therapy of bacterial infections for children with asplenia and hyposplenia
Atlantic Provinces Pediatric Hematology/Oncology Network Réseau d Oncologie et Hématologie Pédiatrique des Provinces Atlantiques 5850/5980 University Avenue, PO Box 9700, Halifax, NS, B3K 6R8, 1.902.470.7429,
More informationExperience with Quadrivalent Meningococcal Conjugate Vaccines (MenACWY) in Adolescent Vaccine Programs in the United States and Canada
Experience with Quadrivalent Meningococcal Conjugate Vaccines (MenACWY) in Adolescent Vaccine Programs in the United States and Canada Jessica MacNeil, MPH Epidemiologist Centers for Disease Control and
More informationSummary of Recommendations for Adult Immunization (Age 19 years and older) PAGE 1 OF 5
Summary of Recommendations for Adult Immunization (Age 19 years and older) PAGE 1 OF 5 Influenza Inactivated Influenza vaccine (IIV*) or ID (intradermally) * includes recombinant influenza vaccine (RIV3)
More informationHot topics in immunization American Pharmacists Association
CPE Hot topics in immunization American Pharmacists Association Abstract Objectives: To describe recent changes in recommended immunization practices, including the introduction of new vaccines, and to
More informationACIP Meeting Update, New Recommendations and Pending Influenza Season
ACIP Meeting Update, New Recommendations and Pending Influenza Season February 17 th 2011 www.immunizetexas.com ACIP Upcoming Agenda and New Recommendations ACIP (February 23-24 th 2011) Topics for meeting
More informationS404- Meningococcal Vaccines: Updated Policy Statement 2014
S404- Meningococcal Vaccines: Updated Policy Statement 2014 Michael T. Brady, MD Associate Medical Director Nationwide Children s Hospital Columbus, Ohio Disclosure of Relevant Relationship Dr. Brady (or
More informationMeningitis B Epidemiology
Recently Licensed Meningitis B Vaccines: Latest Practice Guidelines and Implications Mary Koslap Petraco, DNP PNP BC CPNP FAANP Suffolk County Department of Health Services New York State Immunization
More informationImmunization Update. William Atkinson, MD, MPH. Immunization Action Coalition
Immunization Update William Atkinson, MD, MPH Immunization Action Coalition Coordinated School Health Conference Lake Ozark, Missouri December 3, 2016 1 Disclosures William Atkinson has no financial relationships
More informationNeedle Facts: Immunization Update 2017
Needle Facts: Immunization Update 2017 Miranda Wilhelm, Pharm.D. Clinical Associate Professor Southern Illinois University Edwardsville (SIUE) School of Pharmacy Disclosure and Conflict of Interest Miranda
More informationJoint Theater Trauma System Clinical Practice Guideline
POST-SPLENECTOMY VACCINATION Original Release/Approval 30 Mar 2008 Note: This CPG requires an annual review. Reviewed: Jan 2012 Approved: 6 Mar 2012 Supersedes: Post Splenectomy Vaccination, 30 Jun 2010
More informationThese slides are the property of the presenter. Do not duplicate without express written consent.
Cancer Survivorship Protecting Against Vaccine Preventable Diseases Heidi Loynes BSN, RN Immunization Nurse Educator Michigan Department of health and Human Services (MDHHS) loynesh@michigan.gov Are Vaccine-Preventable
More information3/10/2017. Overview N.J.A.C. 8:57-6. Purpose of N.J.A.C. 8:57-6. New Jersey Higher Education Immunization Requirements
N.J.A.C. 8:57-6 New Jersey Higher Education Immunization Requirements Jenish Sudhakaran, MPH Population Assessment Coordinator Vaccine Preventable Disease Program New Jersey Department of Health NJCHA
More informationAdult Immunization Update April 2016
Adult Immunization Update April 2016 C. Wayne Weart, Pharm D, FASHP, FAPhA, BCPS Professor of Clinical Pharmacy and Outcome Sciences South Carolina College of Pharmacy Professor of Family Medicine Medical
More informationPreventing and treating infections in children with asplenia or hyposplenia
Preventing and treating infections in children with asplenia or hyposplenia Marina I Salvadori, Victoria E Price; Canadian Paediatric Society Infectious Diseases and Immunization Committee Paediatr Child
More informationNeedle Facts: Immunization Update 2016
Needle Facts: Immunization Update 2016 Miranda Wilhelm, Pharm.D. Clinical Associate Professor Southern Illinois University Edwardsville School of Pharmacy Disclosure / Conflict of Interest Miranda Wilhelm
More informationObjectives. Adult Immunization Update. Questions. Immunology. Questions. Immune System
Objectives Adult Immunization Update Describe how vaccines teach the body to fight infections. List vaccines available for adults and the indications. Describe the recent updates for specific vaccines
More informationImmunizations Across the Lifespan: Updates and Standards for Immunization
Immunizations Across the Lifespan: Updates and Standards for Immunization April 12, 2011 Southwestern PA Immunization Coalition Conference Donna L. Weaver, RN, MN Nurse Educator Education, Information,
More information2017 Immunization Update for Pharmacy Professionals
2017 Immunization Update for Pharmacy Professionals North Suburban Pharmacists of Chicagoland CPE Program May 3, 2017 Lauren B. Angelo, PharmD, MBA Associate Professor Rosalind Franklin University of Medicine
More informationHaemophilus influenzae type B and Hib Vaccine Chapter 9
Haemophilus influenzae type B and Hib Vaccine Chapter 9 Haemophilus influenzae Aerobic gram-negative bacteria Polysaccharide capsule Six different serotypes (a-f) of polysaccharide capsule 95% of invasive
More informationNUH Drugs and Therapeutics Committee Joint Formulary Group. NUH Antimicrobial Guidelines Committee. April January 2019
Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc.) Author: Contact Name and Job Title Directorate & Speciality Adults and Children Guidelines for Patients with Absent
More informationImmunization Guidelines for the Use of State Supplied Vaccine May 17, 2015
DTaP / DT DTaP/IPV/Hep B Combination (Pediarix ) Children from 6 weeks of age up to the 7 th birthday Children from 2 months of age up to the 7th birthday: Indicated for the primary doses of DTaP, IPV,
More information301 W. Alder, Missoula, MT or
301 W. Alder, Missoula, MT 59802 406-258-4745 or 406-258-3363 Routine Immunizations are available on a walk-in basis: Mondays, Tuesdays, Thursdays, and Fridays from 9:00am to 4:30pm Wednesdays, 10:00am-4:30pm
More informationImmunization Update 2015
Immunization Update 2015 JoEllen Wolicki BSN, RN Immunization Services Division National Center for Immunization and Respiratory Diseases Tennessee Annual Spring Immunization Review April 2015 National
More informationSource: Portland State University Population Research Center (
Neisseria meningitidis Surveillance Report 2009 Oregon Active Bacterial Core Surveillance (ABCs) Office of Disease Prevention & Epidemiology Oregon Health Authority Updated: June 2011 Background The Active
More informationPneumococcal Disease and Pneumococcal Vaccines
Pneumococcal Disease and Epidemiology and Prevention of - Preventable Diseases Note to presenters: Images of vaccine-preventable diseases are available from the Immunization Action Coalition website at
More informationImmunization Nation: Update on Pediatric Vaccines. Objectives
Immunization Nation: Update on Pediatric Vaccines Leigh Peek, PharmD, BCPS Pediatric Clinical Pharmacy Specialist The Children s Hospital at OU Medical System Objectives 1. Address current controversies
More informationThe Role of the Pharmacist in Pneumococcal Vaccination
The Role of the Pharmacist in Pneumococcal Vaccination The Role of the Pharmacist in Pneumococcal Vaccination Miranda Wilhelm, PharmD Clinical Associate Professor Department of Pharmacy Practice Southern
More informationUPDATE ON IMMUNIZATION GUIDELINES AND PRACTICES
DISCLOSURES UPDATE ON IMMUNIZATION GUIDELINES AND PRACTICES Nothing to disclose Kylie Mueller, Pharm.D., BCPS Clinical Specialist, Infectious Diseases Spartanburg Regional Medical Center LEARNING OBJECTIVES
More informationVaccines in Immunocompromised hosts
Vaccines in Immunocompromised hosts Carlos del Rio, MD Emory Center for AIDS Research October 2013 Immunocompromised hosts Number has increased rapidly in the past decades Broad term that encompasses different
More informationUpdate on Immunizations and the Shingles Vaccine
Update on Immunizations and the Shingles Vaccine Conflict of Interest Disclosure I have no conflicts of interest to disclose. Sarah Scoular, PharmD., BCPS Annual Meeting 2018 Objectives 1. Describe the
More informationSee Spot Run Meningococcal update 2017
See Spot Run Meningococcal update 2017 Jim Buttery Infection and Immunity Monash Children s Hospital Monash Health Monash University SAEFVIC How serious a disease is N meningitidis? Meningococcal disease
More informationCARE OF THE PEDIATRIC ASPLENIC PATIENT. Michael Siegenthaler, MD and Nadine Khouzam, MD
CARE OF THE PEDIATRIC ASPLENIC PATIENT Michael Siegenthaler, MD and Nadine Khouzam, MD CASE OVERVIEW 11-year-old Arabic speaking female who recently immigrated from Jordan presented to the office as a
More informationImmunization Update 2015
Immunization Update 2015 William Atkinson, MD, MPH* California Immunization Coalition Summit Riverside, California April 26, 2015 *Representing the Immunization Action Coalition, Saint Paul, MN Advisory
More informationMulticomponent MenB Vaccine (4CMenB): An Innovative Step In the Global Fight Against Serogroup B Meningococcal Disease
Multicomponent MenB Vaccine (4CMenB): An Innovative Step In the Global Fight Against Serogroup B Meningococcal Disease Jeffrey J. Stoddard, MD, FAAP Head, Global Medical Affairs Novartis Vaccines and Diagnostics
More informationImmunization Update: What s New in 2013? Thursday, August 15, :30 a.m. 12:30 p.m.
Immunization Update: What s New in 2013? Thursday, August 15, 2013 11:30 a.m. 12:30 p.m. Presented by: Lynn Trefren, RN Nurse Manager, Tri-County Health Department Deb Zambrano, PHNC Vaccines for Children
More informationOutsourcing in Clinical Trials 1-2 July 2015
Outsourcing in Clinical Trials 1-2 July 2015 Innovating Dr Chris Bailey Babraham Research Campus Babraham Cambridge CB22 3AT UK +44 (0)1223 496115 Vaccines www.immbio.com 1 Utilising Academia for the Benefit
More informationVaccination and prophylaxis for asplenia: Guideline for clinicians
Vaccination and prophylaxis for asplenia: Guideline for clinicians Adults better health * better care * better value Acknowledgements The Western Australian Committee for Antimicrobials (WACA) would like
More information4/7/2017. Audrey Ofir, MD, MBA, FAAP University of Miami Miller School of Medicine Holtz Children Hospital
Audrey Ofir, MD, MBA, FAAP University of Miami Miller School of Medicine Holtz Children Hospital 1 9vHPV Tdap MCV LAIV HepB Children with Medical conditions 2 9vHPV vaccine HPV infection: Causes cervical,
More informationImmunization Update 2015
Immunization Update 2015 William Atkinson, MD, MPH Immunization Action Coalition Kentucky Immunization Conference Louisville, Kentucky October 14, 2015 Information in this presentation are valid as of
More informationA Review of the Pediatric Immunization Schedule
A Review of the Pediatric Immunization Schedule Michaela Christian PGY-1 Pharmacy Practice Resident Mercy Hospital, A Campus of Plantation General Hospital Michaela.Christian@Hcahealthcare.com Objectives
More informationVaccine Label Examples
Vaccine Label Examples With the large amount of vaccine carried in most clinics, staff can easily become confused about vaccines within the storage unit. Labeling the area where vaccines are stored can
More informationVaccinations: What are the recommendations. Disclaimer 03/19/2019. Harold J. Manley, PharmD, FCCP, FASN Senior Pharmacy Director Dialysis Clinic, Inc.
Vaccinations: What are the recommendations Harold J. Manley, PharmD, FCCP, FASN Senior Pharmacy Director Dialysis Clinic, Inc. Disclaimer None other than I am a Pharmacist. https://www.cdc.gov/vaccines/pubs/downloads/dialysis
More informationRecommended Vaccinations for Patients with Chronic Lung Disease RORY JOHNSON, PHARM.D., AE C ASSISTANT PROFESSOR UNIVERSITY OF MONTANA
Recommended Vaccinations for Patients with Chronic Lung Disease RORY JOHNSON, PHARM.D., AE C ASSISTANT PROFESSOR UNIVERSITY OF MONTANA Disclosures Nothing to Disclose Learning Objectives At the conclusion
More information2017 Vaccine Preventable Disease Summary
2017 Vaccine Preventable Disease Summary Prepared 12251 James Street Holland, MI 49424 www.miottawa.org/healthdata October 2018 2017 Summary of Vaccine Preventable Diseases in Ottawa County This is a detailed
More informationRecommended Immunization Schedule for Adults Aged 19 Years or Older, United States, 2017
Caring for Our Children: National Health and Safety Performance Standards H Recommended Immunization Schedule for Adults Aged 19 Years or Older, United States, 2017 In February 2017, the Recommended Immunization
More informationGENERAL IMMUNIZATION GUIDE FOR CHILDCARE PROVIDERS August 2018 **CHILD VACCINES** DIPHTHERIA, TETANUS, PERTUSSIS VACCINES
GENERAL IMMUNIZATION GUIDE FOR CHILDCARE PROVIDERS August 2018 **CHILD VACCINES** DIPHTHERIA, TETANUS, PERTUSSIS VACCINES DTaP: Diphtheria, Tetanus, acellular Pertussis Vaccine Infanrix Licensed in 1997
More informationAll Kindergarteners and 4-6 year old transfer students. 4 doses DTP or DTaP 1 dose must be at or after 4 years of age. None
Parents Vaccines Required for School Entry in Michigan Whenever children are brought into group settings, there is a chance for diseases to spread. Children must follow state vaccine laws in order to attend
More informationImmunization Update Clark Kebodeaux, Pharm.D., BCACP
Immunization Update 2015 Clark Kebodeaux, Pharm.D., BCACP Objectives Describe the Advisory Committee on Immunization Practices (ACIP) recommendations and updates for 2014/2015 that guide current immunization
More informationNote from the National Guideline Clearinghouse (NGC): The guideline recommendations are presented in the form of tables with footnotes (see below).
Brief Summary GUIDELINE TITLE Recommended immunization schedules for persons aged 0 through 18 years: United States, 2009. BIBLIOGRAPHIC SOURCE(S) American Academy of Pediatrics Committee on Infectious
More informationThe Medical Letter. on Drugs and Therapeutics. Volume 60 May 7, 2018
The Medical Letter on Drugs and Therapeutics Volume 60 ISSUE ISSUE No. 1433 1546 Volume 56 IN THIS ISSUE Adult Immunization...p 73 Expanded Table: Some Vaccines Recommended for Use in Adults... online
More information2016 Vaccine Preventable Disease Summary
2016 Vaccine Preventable Disease Summary 12251 James Street Holland, MI 49424 www.miottawa.org/healthdata Prepared October 2017 2016 Summary of Vaccine Preventable Diseases (VPDs) Reported to Ottawa County
More informationSummary of Recommendations for Adult Immunization (Age 19 years and older) (Page 2 of 5)
Summary of Recommendations for Adult Immunization (Age 19 years and older) (Page 1 of 5) Influenza Inactivated Influenza (IIV*) or ID (intradermally) *includes recombinant influenza (RIV) Live attenuated
More information