Infectious Disease Book

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Vaccine

Aka: Vaccine
  1. Preparations
    1. Primary Series Vaccines
      1. HaemophilusInfluenzae type B (Hib Vaccine)
      2. Inactivated Polio Vaccine (EIPV)
      3. Pneumococcal Conjugate Vaccine (PCV, Prevnar)
      4. Measles Mumps Rubella Vaccine (MMR)
      5. Varicella Vaccine
      6. Rotavirus Vaccine
      7. DiphtheriaTetanus acellular Pertusis (DTaP Vaccine)
      8. Tetanus Diptheria acellular Pertussis (Tdap Vaccine)
      9. Hepatitis B Vaccine (HepB Vaccine)
      10. Hepatitis A Vaccine
    2. Teen Vaccines
      1. Meningococcal Conjugate Vaccine (MCV4)
      2. Human Papillomavirus Vaccine
    3. Adult Vaccines
      1. Tetanus Diptheria Vaccine (Td Vaccine)
      2. Tetanus Diptheria Acellular Pertussis Vaccine (Tdap, Adacel, Boostrix)
      3. Human Papillomavirus Vaccine
    4. Older adult Vaccines
      1. Pneumovax 23 Vaccine
      2. Shingles Vaccine
    5. Annual Vaccines
      1. Influenza Vaccine
  2. Precautions: Maintaining Vaccine efficacy
    1. Maintain the cold chain prior to Vaccine administration
      1. Most Vaccines must be maintained in a tightly Temperature controlled refrigerator to ensure Vaccine efficacy
    2. Consider a back-up generator to protect Vaccines if power fails
    3. Manufacturers can give guidance if vaccine Temperatures varied from those recommended
    4. Use a refrigerator designed for Vaccines
    5. Monitor refrigerator Temperature twice daily or more with buffered probe thermometer (e.g. glycol-encased)
      1. Continuous monitoring and automatic recording is preferred
      2. Thermometer ideally alarms when Temperature falls out of safe range
    6. Keep Vaccines on the middle of the shelves (not in the door or along the back wall) to maintain consistent Temperature
    7. Water bottles or freezer packs can help stabilize the Temperature (but do not store food with Vaccines)
    8. References
      1. (2012) Presc Lett 19(12): 70

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