Immunizations June 5, Brenda Ormesher, MD Infectious Disease Peacehealth Medical Group Springfield, OR
|
|
- Anthony Black
- 6 years ago
- Views:
Transcription
1 Immunizations June 5, 2015 Brenda Ormesher, MD Infectious Disease Peacehealth Medical Group Springfield, OR
2 Disclosures None
3 Goals Understand basic public health impact of immunization Recognize types of vaccinations available Identify resources available for identifying CDC recommended immunizations Discuss differences and rationale for use of specific vaccination formulations in practice
4 Introduction
5 Vaccine vac cine/vakˈsēn/ (Noun) a substance used to stimulate the production of antibodies and provide immunity against one or several diseases, prepared from the causative agent of a disease, its products, or a synthetic substitute, treated to act as an antigen without inducing the disease.
6 History One of the great public health achievements in human history Inoculation against smallpox was practiced 2000 years ago but modern concept credited to Edward Jenner (1796) Now 23 FDA approved vaccine-preventable diseases
7
8 General Characteristics of Vaccines
9 Components of Vaccine Antigens component derived from disease- causing organism which trigger protective immune response Stabilizers Maintain effectiveness during storage Factors affecting stability include temperature and ph Include magnesium chloride (OPV), magnesium sulfate (RSV, measles), lactose-sorbitol and sorbitolgelatin Adjuvants Added to vaccines to stimulate production of antibodies Several hundred different types Antibiotics Trace amounts used in manufacturing to prevent bacterial contamination of tissue growth cells for viruses Trace amounts (25 micrograms neomycin in MMR and IPV) Preservatives Multidose vaccines to prevent bacterial and fungal growth Include thiomersal, formaldehyde (purification process removes almost all formaldehyde, <0.02% per dose)
10 Routes of Administration
11 Types of Vaccines Live, attenuated Inactivated/ killed Toxoid (inactivated toxin) Subunit/ conjugate DNA vaccine Recombinant vector
12 Live, attenuated Living microbe that has been weakened in the lab Should not be given in immunocompromised host Closest to natural infection Elicit strong cell-mediated and antibody response Life long immunity with only 1 or 2 doses (similar immunogenicity as wild-type pathogen) Examples: MMR (measles, mumps, rubella) Varicella (chickenpox) Influenza nasal spray Rotavirus Zoster (shingles) Yellow fever Tuberculosis (BCG) Oral polio vaccine (OPV)
13 Live, attenuated Vaccines
14 Inactivated, killed Produce inactivated vaccine by killing the microbe with chemicals, heat, or radiation More stable and safe than live vaccines (dead microbes cannot mutate) Stimulate a weaker immune system response than live vaccines Requires booster shots to maintain immunity Examples: Polio (IPV) Hepatitis A Whole-cell pertussis (wp) Rabies
15 Inactivated, killed Vaccines
16 Toxoid (inactivated toxin) For bacteria that secrete toxins (toxin must be main cause of illness) Inactivate toxins by treating with formalin To increase immune response the toxoid is absorbed to aluminum or calcium salts (serve as adjuvant) Produces antibodies that lock onto & block the toxin Examples: Diphtheria, tetanus (part of DTaP)
17 Toxoid Vaccines
18 Subunit Protein-based, Polysaccharide, Conjugate Use only part of a target pathogen (no live components) Protein or polysaccharide- Uses part of target pathogen to provoke a response from the immune system Conjugate- Link antigens or toxins that immune system will recognize to the polysaccharide coating of bacteria No guarantee that immunological memory will be formed in correct manner Examples: Influenza (injection) Haemophilus influenza type b (Hib) Pertussis (part of DTaP) Pneumococcal Meningococcal Human papillomavirus (HPV)
19 Subunit: Polysaccharide versus Conjugate Polysaccharide Little or short-lived impact on carriage of bacteria Decreasing immune response with time (needs boosters) Limited ability to protect children under 2 years Conjugate Enhances the immune response and long term recognition Protective immune response in infants Minimizes hyporesponsiveness Harder to design/ develop
20 Polysaccharide vs Conjugate Vaccines _tab/nri2494_f1.html
21 Subunit (purified antigen) Vaccines
22 CDC Immunization Recommendations
23 Recommended adult immunization schedule, by vaccine and age group CDC 2015 Adult Immunization Schedule
24 Vaccines that might be indicated for adults based on medical or other indications CDC 2015 Adult Immunization Schedule
25 There s an app for that Free! Available from App store for ios 5.0 or later or Google Play for Android chedules/hcp/scheduleapp.html#download
26 Vaccine Specific Information
27 Vaccine-Preventable Diseases Adenovirus type 4 & 7 Anthrax Chickenpox (Varicella) Diphtheria Hepatitis A Hepatitis B Hib (Haemophilis influenza type b) HPV (Human Papillomavirus) Influenza Japanese encephalitis Measles Meningococcal Mumps Pertussis (Whooping cough) Pneumococcal Poliovirus Rabies Rotavirus Shingles (Herpes zoster, varicella) Tetanus Tuberculosis Typhoid fever Yellow fever
28 Influenza
29 Which influenza vaccine is right for my patient? That depends.
30 Does your patient have an egg allergy? Cost $32/ dose
31 Is your patient a pediatric patient? In pediatrics demonstrated superior efficacy in live attenuated vaccine reduction of 55% in culture confirmed influenza cases in ages 6 to 59 months 52% increased protection in children age 6 to 71 months)
32 Is your patient age 6 months to 2 years? Give Fluzone In a previously unvaccinated child (< 8 years old) give 2 doses of influenza vaccine at least 4 weeks apart
33 Is your patient age 2 to 49 years old and have special medical conditions? Pregnant? Immunosuppressed? Egg allergy? Children age 2 to 17 years receiving aspirin? Children age 2 to 4 years who have asthma with wheezing in past 12 months? Influenza antiviral medications in past 48 hours? Care for severely immunosuppressed person who require a protective environment?
34 Is your patient age 2 to 49 years old and have special medical conditions? Yes: do not give live attenuated vaccine (FluMist), give inactivated influenza vaccine No: give FluMist (cost $22 per dose)
35 Is your patient over 65 years old? Inactivated influenza vaccine high dose (60 mg of hemagglutinin per strain) induced a significantly higher antibody response and provider better protection against lab-confirmed illness than standard inactivated influenza vaccine (15 mg of hemagglutinin per strain) Cost of high dose influenza vaccine $30 vs $10 for standard dose DiazGranados, C. Et al. Efficacy of High-Dose versus Standard-Dose Influenza Vaccine in Older Adults. NEJM 2014; 371:
36 Vaccine Effectiveness Vaccine effectiveness decline post-vaccination By age: Vaccine effectiveness in < 65 years estimated at 44%, vaccine effectiveness > 65 years estimated at 19% By time: Vaccine effectiveness in first 100 days 61%, between 100 and 119 days was 42%, after 120 days was 0% Castilla J, et al. Decline in Vaccine Effectiveness with Time After Vaccination, Navarre, Spain, Season 2011/12. Eurosurveillance, Volume 18, Issue 5, 31Jan2013.
37 Quadrivalent versus Trivalent Rationale for quadrivalent: historically influenza vaccines contain only one strain of B virus although though there are two different lineages of B strains that circulate most seasons Benefit: improved coverage of B strain which could account for 1-44% of influenza cases (based on data from preceding 10 years) Negative: Cost ($15 for quad vs $10 for tri), supply
38 Pneumococcal + Pneumovax (PPSV23)- Pneumococcal polyvalent (polysaccharide) vaccine covering 23 serotypes, cost $85/ dose + Prevnar (PCV13)- Pneumococcal conjugate vaccine covering 13 serotypes, cost $150/ dose
39 Pneumococcal Recommendations Recommendation for adults 65 years or older: see diagram Recommendations for adults 19 years or older with no history of PCV13: CSF leak, cochlear implant, sickle cell disease, function or anatomic asplenia, congenital or acquired immunodeficiency, HIV infection, chronic renal failure, nephrotic syndrome, leukemia, Hodgkin disease, generalized malignancy, long-term immunosuppressive therapy, solid organ transplant, multiple myeloma Bonten M, Bolkenbaas M, Huijts S, et al. Community Acquired Pneumonia Immunization Trial in Adults (CAPiTA). Abstract no Pneumonia 2014;3:95.
40 Meningococcal
41 Meningococcal Disease- Worldwide
42 Meningococcal A, C, W-135 and Y Menomune Polysaccharide vaccine Licensed for data on A & C strains (not enough date for W-135, Y) Recommended for adults who require single dose only (travelers, military recruits) Cost $125/ dose Menactra Polysaccharide conjugate vaccine Licensed for A, C, Y, W-135 Asplenia, complement deficiencies, microbiologist, frequent international travelers to high endemic regions (African meningitis belt, Hajj) Cost $100/ dose Menveo polysaccharide conjugate vaccine Licensed for A, C, Y, W-135 Asplenia, complement deficiencies, microbiologist, frequent international travelers to high endemic regions (African meningitis belt, Hajj) Cost $120/ dose
43 Meningococcal B Trumenba Composed of two recombinant lipidated factor H binding protein (fhbp) variants from N. meningitidis serogroup B, one from fhbp subfamily A and one from subfamily B (A05 and B01, respectively) Series of 3 shots at 0, 2 and 6 months Cost $120/ dose Bexsero Composed of 4 distinct antigens including factor H binding protein (fhbp), Neisserial adhesin A (NadA), Neisserial heparin-binding antigen (NHBA), and PorA P1.4 immunodominant antigen of OMV NZ (strain NZ98/254) Series of 2 shots at least 1 month apart Cost $160/does
44 Human Papillomavirus Cervarix Viral protein subunit vaccine Covers serotype 16 and 18 (may provide cross protection for 31, 33, 45,52) Contains novel adjuvant so may be responsible for great antibody response (unknown) Series of 3 shots at 0, 1-2 and 6 months Cost $130/ dose Gardasil Viral protein subunit vaccine Covers serotype 6, 11, 16 and 18 (may provide cross protection for 31, 45) Series of 3 shots at 0, 2 and 6 months Cost $150/ dose Gardasil 9 Viral protein subunit vaccine Covers serotype 6, 11, 16, 18, 31, 33, 45, 52 and 58 Series of 3 shots at 0, 2 and 6 months Cost $160/ dose icalcancer.png
45 Questions/ Comments? Thank you!
Vaccinations for Adults
Case: Vaccinations for Adults Lisa Winston, MD University of California, San Francisco San Francisco General Hospital A 30-year old healthy woman comes for a routine visit. She is recently married and
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 informationVACCINATION. DR.FATIMA ALKHALEDY M.B.Ch.B;F.I.C.M.S/C.M.
VACCINATION DR.FATIMA ALKHALEDY M.B.Ch.B;F.I.C.M.S/C.M. IMMUNIZATION Immunization is defined as the procedure by which the body is prepared to fight against a specific disease. It is used to induce the
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 informationVaccines and other immunological antimicrobial therapy 1
Vaccines and other immunological antimicrobial therapy 1 Vaccines Vaccine: a biological preparation that provides active acquired immunity to a particular disease. Vaccine typically contains an agent that
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 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 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 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 informationWhat are the new active vaccine recommendations in the Canadian Immunization Guide?
154 CCDR 17 April 2014 Volume 40-8 https://doi.org/10.14745/ccdr.v40i08a03 1 What are the new active vaccine recommendations in the Canadian Immunization Guide? Warshawsky B 1 and Gemmill I 2 on behalf
More informationBenefit Interpretation
Benefit Interpretation Subject: Part B vs. Part D Vaccines Issue Number: BI-039 Applies to: Medicare Advantage Effective Date: May 1, 2017 Attachments: Part B Vaccines Diagnosis Code Limits Table of Contents
More informationPreventative Vaccines. Vaccines for Special Populations. Vaccinations for Adults: An Update. Vaccines Generally Available in the U.S.
Vaccinations for Adults: An Update Preventative Vaccines Need to be extremely safe Even greater issue as disease prevalence wanes or uncommon diseases targeted Lisa G. Winston, MD University of California,
More information! Need to be extremely safe Even greater issue as disease prevalence wanes or uncommon diseases targeted
Lisa G. Winston, MD University of California, San Francisco San Francisco General Hospital! Need to be extremely safe Even greater issue as disease prevalence wanes or uncommon diseases targeted! Traditionally
More informationVaccines, Not Just for Babies
Vaccines, Not Just for Babies Meg Fisher, MD Medical Director Disclosures I have no relevant financial relationships with the manufacturers of any commercial products or commercial services discussed in
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 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 informationImmunization Guidelines for the Use of State Supplied Vaccine April 18, 2013
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 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 informationNothing to disclose. Vaccinations for Adults and Adolescents: An Update. Key Resource
Vaccinations for Adults and Adolescents: An Update Nothing to disclose. Lisa G. Winston, MD Professor of Medicine, University of California, San Francisco Vice Chief, Inpatient Medical Services and Hospital
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 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 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 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 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 informationNothing to disclose. Vaccinations for Adults and Adolescents: An Update. Outline vaccines to be covered
Vaccinations for Adults and Adolescents: An Update Nothing to disclose. Lisa G. Winston, MD Professor of Medicine, University of California, San Francisco Vice Chief, Inpatient Medical Services and Hospital
More informationImmunity and how vaccines work
Immunity and how vaccines work Dr Mary O Meara National Immunisation Office Objectives of session An understanding of the following principles Overview of immunity Different types of vaccines and vaccine
More informationNothing to disclose. Vaccinations for Adults and Adolescents: An Update. Preventative Vaccines
Vaccinations for Adults and Adolescents: An Update Nothing to disclose. Lisa G. Winston, MD University of California, San Francisco San Francisco General Hospital Preventative Vaccines Diseases/Pathogens
More information2/20/2019. The need for adult vaccinations. Update on Adult Immunizations. The Need for Adult Vaccinations. Objectives:
The need for adult vaccinations Update on Adult Immunizations Objectives: Recall the latest recommendations on adult vaccinations Detail the importance of adult vaccinations I m not a kid.. Why are you
More informationImmunization Guidelines For the Use of State Supplied Vaccine July 1, 2011
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 information9/10/2018. Principles of Vaccination. Immunity. Antigen. September 2018
Centers for Disease Control and Prevention National Center for Immunization and Respiratory Diseases Principles of Vaccination September 2018 Chapter 1 September 2018 Photographs and images included in
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 informationGuidelines for Vaccinating Pregnant Women
Guidelines for Vaccinating Pregnant Women March 2012 Guidelines for Vaccinating Pregnant Women Abstracted from recommendations of the Advisory Committee on Immunization Practices (ACIP) MARCH 2012 Risk
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 informationCopyright regulations Warning
COMMONWEALTH OF AUSTRALIA Copyright regulations 1969 Warning This material has been reproduced and communicated to you by or on behalf of the University of Melbourne pursuant to part VB of the Copyright
More informationA. Children born in 1942 B. Children born in 1982 C. Children born in 2000 D. Children born in 2010
Who do you think received the most immunologic components in vaccines? Development of which vaccine slowed after the invention of antibiotics? A. Children born in 1942 B. Children born in 1982 C. Children
More informationGene Vaccine Dr. Sina Soleimani
Gene Vaccine Dr. Sina Soleimani Human Viral Vaccines Quality Control Laboratory (HVVQC) Titles 1. A short Introduction of Vaccine History 2. First Lineage of Vaccines 3. Second Lineage of Vaccines 3. New
More informationPublic Statement: Medical Policy. Effective Date: 01/01/2012 Revision Date: 03/24/2014 Code(s): Many. Document: ARB0454:04.
ARBenefits Approval: 01/01/2012 Effective Date: 01/01/2012 Revision Date: 03/24/2014 Code(s): Many Medical Policy Title: Immunization Coverage Document: ARB0454:04 Administered by: Public Statement: 1.
More informationNothing to disclose. Vaccinations for Adults and Adolescents: An Update. Diseases/Pathogens with Vaccines for Special Populations
Vaccinations for Adults and Adolescents: An Update Nothing to disclose. Lisa G. Winston, MD Professor of Medicine, University of California, San Francisco Vice Chief, Inpatient Medical Services and Hospital
More informationCoverage of Vaccines Medicaid and Child Health Plus Members
Coverage of Vaccines Medicaid and Child Health Plus Members For children between the ages 0-18, routine recommended vaccinations are covered through Vaccines for Children program [VFC]. Fidelis Care will
More informationNothing to disclose. Vaccinations for Adults and Adolescents: An Update. Diseases/Pathogens with Vaccines for Special Populations.
Vaccinations for Adults and Adolescents: An Update Nothing to disclose. Lisa G. Winston, MD Professor of Medicine, University of California, San Francisco Vice Chief, Inpatient Medical Services and Hospital
More informationNothing to disclose. Vaccinations for Adults and Adolescents: An Update. Key Resource
Vaccinations for Adults and Adolescents: An Update Nothing to disclose. Lisa G. Winston, MD Professor of Medicine, University of California, San Francisco Vice Chief, Inpatient Medical Services and Hospital
More informationCPT 2016 Code Changes
CPT 2016 Code Changes Code Changes - Medicine New CPT 2016 New Codes Code Description 69209 Removal impacted cerumen using irrigation/lavage, unilateral 90620 Meningococcal recombinant protein and outer
More informationNothing to disclose.
Vaccinations for Adults and Adolescents: An Update Lisa G. Winston, MD Professor of Medicine, University of California, San Francisco Vice Chief, Inpatient Medical Services and Hospital Epidemiologist
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 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 informationFamily and Travel Vaccinations
Family and Travel Vaccinations We offer the full range of baby, child and family vaccinations. We are able to tailor schedules to your child s needs or international schedule. We have a suggested vaccination
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 informationSeries of 2 doses, 6-12 months apart. One dose is 720 Elu/0.5ml (GSK) or 25 u/0.5 ml (Merck)
UTAH PREVENTIVE CARE RECOMMENDATIONS Adult - Ages 19 and Above IMMUNIZATIONS CONTENTS: General Instructions Hepatitis A Hepatitis B Human Papilloma Virus Influenza Meningococcal A, C, Y, W (MCV4) Meningococcal
More informationVaccination-Strategies
Vaccination-Strategies Active immunity produced by vaccine Immunity and immunologic memory similar to natural infection but without risk of disease. General Rule: The more similar a vaccine is to the disease-causing
More informationGuidelines for Vaccinating Pregnant Women
Guidelines for Vaccinating Pregnant Women April 2013 Guidelines for Vaccinating Pregnant Women Abstracted from recommendations of the Advisory Committee on Immunization Practices (ACIP) April 2013 Risk
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 informationImmunizations for Children and Teens with Suppressed Immune Systems
Immunizations for Children and Teens with Suppressed Immune Systems Your child is starting treatment that will suppress the immune system. This will affect how your child s body responds to routine immunizations
More informationNothing to disclose.
Vaccinations for Adults and Adolescents: An Update Lisa G. Winston, MD Professor of Medicine, University of California, San Francisco Vice Chief, Inpatient Medical Services and Hospital Epidemiologist
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 informationTrends in vaccinology
Trends in vaccinology Mathieu Peeters, MD Joint Conference of European Human Pharmacological Societies and Joint Conference of European Human Pharmacological Societies and 20th Anniversary of AGAH March
More informationWhat DO the childhood immunization footnotes reveal? Questions and answers
What DO the childhood immunization footnotes reveal? Questions and answers Stanley E. Grogg, DO, FACOP, FAAP he Advisory Committee on Immunization Practices (ACIP) recommends the childhood vaccination
More informationImmunizations. Update Immunizations through Time. Learning Objectives. Presenter Disclosure Information. 10:30 11:45am. Immunization Update
10:30 11:45am Immunization Update SPEAKER John Russell, MD Presenter Disclosure Information The following relationships exist related to this presentation: John Russell, MD, serves on Speaker s Bureau
More informationHow to create a successful vaccine program
How to create a successful vaccine program Nothing to disclose and no conflicts of interest Vaccine Overview Vaccine Guidelines Purchasing: Supply, Manufacturers, Storage, Returns Reimbursement Codes
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 informationImmunization (I) Dr. Aws Alshamsan Department of Pharmaceu5cs Office: AA87 Tel:
Immunization (I) Dr. Aws Alshamsan Department of Pharmaceu5cs Office: AA87 Tel: 4677363 aalshamsan@ksu.edu.sa Objectives of this lecture By the end of this lecture you will be able to: 1 Realize the significance
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 informationVaccines Indicated for Infants, Children, and Adolescents Based on Medical and Other Indications
Vaccines Indicated for Infants, Children, and Adolescents Based on Medical and Other Indications Vaccine Prematurity 1 Altered Immunocompetence 2 (excluding human immunodefi ciency virus [HIV] infection)
More informationPregnancy and Shots! Shots! Shots! An Update. Kelli D Barbour, MD 4 December 2015
Pregnancy and Shots! Shots! Shots! An Update Kelli D Barbour, MD 4 December 2015 Objectives Review recommended adult vaccinations and pregnancy Review recommended immunizations in pregnancy and the puerperium
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 informationBirth 6 wk 10 wk 14 wk 18 wk 6 mo 9 mo 12 mo 15 mo 18 mo mo 2-3 Yr 4-6 Yr 7-10Yr Yr 13-18Yr
Vaccine BCG Age Birth 6 wk 10 wk 14 wk 18 wk 6 mo 9 mo 12 mo 15 mo 18 mo 19-23 mo 2-3 Yr 4-6 Yr 7-10Yr 11-12 Yr 13-18Yr BCG Hep B Hep B1 Hep B2 Hep B3 Polio OPV 0 IPV1 IPV2 IPV3 OPV1 OPV2 IPV B1 OPV3 DTP
More informationAPEC Guidelines Immunizations
Pregnancy provides an excellent opportunity to enhance a woman s protection against disease and to provide protection to the neonate during the first 3 to 6 months of life. Women of childbearing age should
More informationMedical Coverage Guidelines are subject to change as new information becomes available.
IMMUNIZATIONS Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Medical Coverage Guideline must
More informationKatherine Julian, MD July 1, Vaccines Generally Available in the U.S. U.S.
Katherine Julian, MD July 1, 2008 Vaccines Generally Available in the U.S. Vaccines Generally Available in the U.S. Vaccines for Special Populations Plague Tularemia Smallpox Anthrax Botulism Tuberculosis
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 for Adults and Adolescents: An Update
Vaccinations for Adults and Adolescents: An Update Lisa G. Winston, MD Professor of Medicine, University of California, San Francisco Vice Chief, Inpatient Medical Services and Hospital Epidemiologist
More informationImmunization Recommendations for College Students
May 2017 ACHA Guidelines Immunization Recommendations for College Students Immunizations offer safe and effective protection from vaccine-preventable diseases and outbreaks. The United States is experiencing
More informationBabyJabs Vaccines. All vaccines are mercury-free We use aluminium-free vaccines wherever possible
BabyJabs Vaccines All vaccines are mercury-free We use aluminium-free vaccines wherever possible BabyJabs is a dedicated children s immunisation service, offering a choice of single and small combination
More informationVaccines. Dr. Gary Mumaugh
Vaccines Dr. Gary Mumaugh Vaccines A vaccine is a form of antigen (substance which stimulates an immune response) used to create a barrier of immunity against a specific disease. The term derives from
More informationBabyJabs Vaccines. All vaccines are mercury- free We use aluminium- free vaccines wherever possible
BabyJabs Vaccines All vaccines are mercury- free We use aluminium- free vaccines wherever possible BabyJabs is a dedicated children s immunisation service, offering a choice of single and small combination
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 information2015 ACIP Immunization Schedules & Recommendations and MDPH Updates
Massachusetts Department of Public Health Division of Epidemiology and Immunization 2015 ACIP Immunization Schedules & Recommendations and MDPH Updates Susan M. Lett, MD, MPH Medical Director, Immunization
More informationBabyJabs Vaccines. All vaccines are mercury-free We use aluminium-free vaccines wherever possible
BabyJabs Vaccines All vaccines are mercury-free We use aluminium-free vaccines wherever possible BabyJabs is a dedicated children s immunisation service, offering a choice of single and small combination
More informationYukon Immunization Program Manual ADMENDMENTS & ADDITIONS
2012 August Page 1 Manual ADMENDMENTS & ADDITIONS Number & 11-01 2011 June 09 11-02 2011 October 11 12-01 2012 Feb 9 Topic Additions to Yukon Immunization Program Manual Twinrix, Twinrix Junior, Menamune,
More informationCigna Drug and Biologic Coverage Policy
Cigna Drug and Biologic Coverage Policy Subject Routine Immunizations Table of Contents Coverage Policy... 1 General Background... 2 Coding/Billing Information... 3 References... 7 Effective Date... 4/15/2018
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 informationHealthy People 2020 objectives were released in 2010, with a 10-year horizon to achieve the goals by 2020.
Appendix 1: Healthy People 2020 Immunization-related Objectives Healthy People provides science-based, 10-year national objectives for improving the health of all Americans. For three decades, Healthy
More informationImmunization Update for Health System Pharmacists Eric Crumbaugh, PharmD
Immunization Update for Health System Pharmacists 2015 Eric Crumbaugh, PharmD Financial Disclosures Eric Crumbaugh, PharmD Speaker s Bureau Merck Vaccines Pfizer Consultant Pfizer Novartis Merck Objectives
More informationPrinciples of Vaccination
Immunology and Vaccine-Preventable Diseases Immunology is a complicated subject, and a detailed discussion of it is beyond the scope of this text. However, an understanding of the basic function of the
More informationImmunizations to Reduce Disease H. Keipp Talbot, M.D., M.P.H.
Immunizations to Reduce Disease H. Keipp Talbot, M.D., M.P.H. Vanderbilt University School of Medicine 1 DISCLOSURES Financial Relationships with Relevant Commercial Interests Receive research funding
More informationVACCINATIONS AND INFLAMMATORY BOWEL DISEASE
VACCINATIONS AND INFLAMMATORY BOWEL DISEASE Bob Kizer MD Assistant Professor of Medicine Creighton University School of Medicine CONFLICTS OF INTEREST None 1 AN OPPORTUNITY FOR IMPROVEMENT IBD patients
More informationAdolescent vaccination strategies
Adolescent vaccination strategies Gregory Hussey Vaccines for Africa Initiative Institute of Infectious Diseases & Molecular Medicine University of Cape Town www.vacfa.uct.ac.za gregory.hussey@uct.ac.za
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 information07/20/17, 05/17/18 CATEGORY: Vaccines/Biologics. Proprietary Information of Excellus Health Plan, Inc.
MEDICAL POLICY SUBJECT: IMMUNIZATIONS PAGE: 1 OF: 9 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product (including an Essential
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 informationVACCINATIONS FOR OLDER PATIENTS
VACCINATIONS FOR OLDER PATIENTS Douglas Fronzaglia II, DO, MS LECOM Institute for Successful Aging Geriatric and Internal Medicine 2/26/2019 Objectives Incorporate current CDC guidelines into your practice
More informationImmunization Resources for Pharmacists
Immunization Resources for Pharmacists TABLE OF CONTENTS Child / Teen Resources Screening Questionnaire Child/Teen... 3 Vaccine Schedule Age 0-6yrs... 5 Catch-Up Schedule 4mo-18yrs... 6 Vaccine Schedule
More informationImmunization Update. 23 rd October Natasha S. Crowcroft Chief, Infectious Diseases Public Health Ontario
Immunization Update 23 rd October 2013 Natasha S. Crowcroft Chief, Infectious Diseases Public Health Ontario Immunization: It s Your Best Shot! Faculty/Presenter Disclosure Faculty: Dr. Natasha Crowcroft
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 informationBODY DEFENCES AGAINST DISEASE AND THE ROLE OF VACCINES
BODY DEFENCES AGAINST DISEASE AND THE ROLE OF VACCINES Topic 3 This topic links in with MICROBES (from unit 1) 1. What are the 3 types of microbes? 2. Which microbe do antibiotics destroy? 3. What microbe
More informationRECOMMENDED IMMUNIZATIONS
Recommended Immunization Schedule for Persons Aged 0 Through 6 Years United States 2010 1 2 4 6 12 15 18 19 23 2 3 4 6 Vaccine Age Birth month months months months months months months months years years
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 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 informationUpdate on Immunizations H. Keipp Talbot, M.D., M.P.H.
Update on Immunizations H. Keipp Talbot, M.D., M.P.H. Vanderbilt University Medical Center 1 DISCLOSURES Financial Relationships with Relevant Commercial Interests Receive research funding from Sanofi
More informationVaccinology 101 for Fellows
Vaccinology 101 for Fellows Meg Fisher, MD Medical Director, The Children s Hospital Monmouth Medical Center An affiliate of the Saint Barnabas Health Care System Long Branch, NJ Disclosures I have no
More informationvaccines. Lecture 16 Dr. Gary Mumaugh
Vaccines Lecture 16 Dr. Gary Mumaugh Vaccines A vaccine is a form of antigen (substance which stimulates an immune response) used to create a barrier of immunity against a specific disease. The term derives
More information