When should Annual Influenza Vaccines be started for All Patients?
All Patients > 6 months old
How should Tdap be given for Adults?
Tdap x 1, if not received previously
Then Td or Tdap every 10 years
When should Shingrix be given for Adults?
All adults > 50 years old; or
> 19 years old if immunosuppressed (or expected to become immunosuppressed)
How should Shingrix be given for Adults?
2 dose series; with second dose given 2-6 months after the first dose
Can shorten to 1-2 months if patient is immunosuppressed
Which vaccine should be given to an Adult Patient if they previously had chicken pox or shingles or received Zostavax?
Shingrix
When should an HPV vaccine be given for Adults?
For adults < 26 years old who did not complete the HPV series
Indicated up to 45 years old
When should Pneumococcal Vaccines be started for Adults?
Age 19-64 years old with a specific medical condition; or
Age > 50 years (if never received before)
How should Pneumococcal Vaccines be given to Adults?
PCV20 x 1; or
PCV21 x 1;or
PCV15 x 1, then PPSV23 > 12 months later
(> 8 weeks later if immunocompromised)
Which types of Adult Patients should receive Serogroup B Vaccines (Bexsero, Trumenba)?
- Complement Component Deficiency
- Taking Eculizumab or Ravulizumab
- Asplenia
- Microbiologist with exposure to Neisseria meningitidis
- Serogroup B Meningococcal Disease Outbreak Exposure
Which types of Adult Patients should receive Meningococcal Conjugate Vaccines? (Menactra, Menveo, MenQuadfi)
Same groups as patients receiving Serogroup B Vaccines
- HIV Patients
- Travelers / Residents to countries in which the disease is common
- Military Recruits
- First-year College Students (living in dorms) if not up-to-date
Which Adult Patients should receive Hepatitis B?
All adults age 19-59 years old; and
Patients > 60 years old with risk factors
How are Hepatitis B Vaccines be given to Adults?
Give alone (Energix-B, Recombivax HB, Heplisav-B) or give with Hepatitis A Vaccine (Twinrix)
What risk factors (in > 60 year old patients) indicate Hepatitis B Vaccine?
- Chronic Liver Disease
- HIV Infection
- MSM
- Multiple sex partners
- IV Drug Use
- In Jail / Prison
- Travel to an Endemic Area
- Blood Exposure Risk (e.g., healthcare personnel, diabetes, dialysis)
How are Hepatitis A Vaccines be given to Adults?
Give alone (Havrix, VAQTA) or with Hepatitis B Vaccine (Twinrix)
Which types of Adults should be given Hepatitis A Vaccine?
- Adults traveling to undeveloped countries outside of the US
- Household members and other close contacts of adopted children newly arriving from countries with moderate-high infection risk
- Liver disease
- Hemophilia
- MSM, IV Drug Users
- HIV
- Homeless Individuals
Inactivated influenza vaccines (IIVs) are produced with what? (Unless otherwise noted)
Eggs
What does LAIV4 stand for?
Live Attenuated Quadrivalent Influenza Vaccine
Which brand is the Quadrivalent Live Attenuated Influenza Vaccine (LAIV4)?
FluMist
Approved for healthy people aged 2 to 49 years old
Quadrivalent flu vaccines protect against…
Two Influenza A’s; and
Two Influenza B’s
Fluzone High Dose & Fluad
Approved for ages > 65 years old
Flublok Quadrivalent
Recombinant inactivated, egg-free (RIV4)
Approved for > 18 years old
FlucelVax Quadrivalent
Grown in cell culture, egg free (ccIIV4)
Approved for > 6 months old
Afluria, Fluarix, FluLaval, Fluzone (Regular)
Approved for > 6 months old
How is FluMist different from all other options?
Given as 0.2 mL, divided between the two nostrils
