USMLE Forum Archives - USMLE Step 3 - Pr Med: Influenza
Pr Med: Influenza
meduploader - 05-16-09 13:29
Inactivated vaccine
Indications
Age 65 years and older
Children aged 6 months to 18 years
Nursing Home residents
Patients with Chronic cardiopulmonary disease (e.g. Asthma): any age
Long term Aspirin use under age 18 years - Prevents Reye's Syndrome
People who can serve as vectors
Health care workers , Nursing home personnel , Family members of high risk patients, Families and child care workers caring for children under age 5 years
Students in Institutional settings
Pregnancy – 2nd or 3rd tromester
Human Immunodeficiency Virus
Breast Feeding
Contraindications
Age under 6 months
Anaphylaxis to eggs or other vaccine components
Acute febrile illness ( Temp > 104 F)
meduploader - 05-16-09 13:29
Inactivated vaccine
Indications
Age 65 years and older
Children aged 6 months to 18 years
Nursing Home residents
Patients with Chronic cardiopulmonary disease (e.g. Asthma): any age
Long term Aspirin use under age 18 years - Prevents Reye's Syndrome
People who can serve as vectors
Health care workers , Nursing home personnel , Family members of high risk patients, Families and child care workers caring for children under age 5 years
Students in Institutional settings
Pregnancy – 2nd or 3rd tromester
Human Immunodeficiency Virus
Breast Feeding
Contraindications
Age under 6 months
Anaphylaxis to eggs or other vaccine components
Acute febrile illness ( Temp > 104 F)
Page 1
#1
Re: Pr Med: Influenza
mtniharika - 10-05-09 14:54 Flu vaccines are available either as
1.TIV (flu shot (injection) of trivalent (three strains; usually A/H1N1, A/H3N2, and B) inactivated (killed) vaccine) or
2.LAIV (nasal spray (mist) of live attenuated influenza virus).
Side effects of the inactivated/dead flu vaccine injection include:
• mild soreness, redness, and swelling where the shot was given
• fever
• aches
These problems usually begin soon after the injection, and last 1–2 days
Side effects of the activated/live/LAIV flu nasal spray vaccine:
Some children and adolescents 2–17 years of age have reported
• runny nose, nasal congestion or cough
• fever
• headache and muscle aches
• wheezing
• abdominal pain or occasional vomiting or diarrhea
Some adults 18–49 years of age have reported:
• runny nose or nasal congestion
• sore throat
• cough, chills, tiredness/weakness
• headache
Page 1






