Childhood Immunization Schedule 2021
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Questions and Answers

What volume of Bacille Calmette Guerin (BCG) vaccine should be administered to a 6-month-old infant?

  • 0.2 ml
  • 0.05 ml (correct)
  • 0.025 ml
  • 0.1 ml
  • In which of the following scenarios is a PPD (Purified Protein Derivative) test recommended prior to BCG vaccination, even in a healthy child older than 2 months?

  • Mild upper respiratory infection
  • Routine vaccination schedule
  • Living in an area with high TB prevalence
  • History of close contact with a suspected TB case (correct)
  • What is the earliest age at which the Diphtheria, Tetanus, Pertussis (DTP) vaccine can be administered?

  • At birth
  • 2 weeks
  • 4 weeks
  • 6 weeks (correct)
  • How should the Diphtheria, Tetanus, Pertussis (DTP) vaccine be administered?

    <p>Intramuscularly (IM) (A)</p> Signup and view all the answers

    A 3-month-old infant presents with clinical findings suggestive of TB. What induration size on a PPD test would be considered positive, warranting further investigation and contraindicating BCG vaccination?

    <p>5 mm (D)</p> Signup and view all the answers

    What is the minimum interval recommended between the first and second dose of the inactivated Hepatitis A vaccine?

    <p>6 months (C)</p> Signup and view all the answers

    When is the final dose of the Hepatitis B vaccine (HBV) administered in an infant vaccination schedule?

    <p>Not earlier than 24 weeks of age (A)</p> Signup and view all the answers

    What is the recommended age range for administering the first DTP booster dose in the booster series?

    <p>12-23 months (C)</p> Signup and view all the answers

    A child receives the third dose of the Haemophilus influenzae type B (Hib) vaccine at 9 months of age. When should the Hib booster dose be administered?

    <p>Between 12-15 months with an interval of 6 months from the third dose (A)</p> Signup and view all the answers

    What is the minimum age at which the live attenuated Hepatitis A Vaccine should be administered?

    <p>18 months (C)</p> Signup and view all the answers

    Flashcards

    BCG Vaccine

    A vaccination against tuberculosis, administered intradermally.

    BCG Dosage for Infants

    0.05 ml for children under 12 months; 0.1 ml for 12 months and older.

    When PPD is Required

    PPD test is needed prior to BCG if there are risk factors like congenital TB.

    Positive Induration for TB

    An induration of 5 mm or more indicates a positive result.

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    DTP Vaccine

    A vaccine for diphtheria, tetanus, and pertussis, given intramuscularly.

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    Primary Vaccine Series

    Consists of 3 doses administered with a minimum interval of 4 weeks.

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    Booster Series Schedule

    Includes 3 doses at ages: 12-23 months, 4-7 years, and 9-15 years.

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    Hib Vaccine Administration

    Given IM as a 3-dose series starting at 6 weeks, with a booster at 12-15 months.

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    Hepatitis A Vaccine Types

    Includes inactivated (minimum age 12 months) and live attenuated (minimum age 18 months) vaccines.

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    Hepatitis B Vaccine Schedule

    First dose given to newborns within 24 hours; subsequent doses at 1-2 months and after 24 weeks.

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    Study Notes

    Childhood Immunization Schedule 2021

    • The schedule provides recommendations for childhood and adolescent immunizations.

    • Individual circumstances may necessitate alternative decisions.

    • Recommendations are based on updated literature and experience.

    • Safety and efficacy of vaccines continue to evolve.

    • The schedule details different vaccines, including BCG, Hep B, DTwP-Hib-HepB, IPV/OPV, PCV, RV, Influenza, JEV, MMR, Varicella, Inactivated Hep A, Live Hep A, and HPV, specifying recommended ages and administration intervals.

    • The schedule lists recommended catch-up immunization schedules.

    • Some vaccines are available only in select areas.

    • BCG is given intradermally, with different dosages for ages under 12 months and over 12 months.

    • BCG should be given as soon as possible after birth, or if not at birth, a PPD test is recommended.

    • DTP is given at a minimum age of 6 weeks, with a 3-dose primary series and booster doses. Intervals and schedules specified for different age ranges.

    • Hepatitis A vaccine (HAV) has both inactivated and live attenuated versions, and specific details on administration and dosage are provided.

    • HBV vaccine is given intramuscularly (IM) and dosages differ depending on the birth weight of infants and whether the mother has HBsAg, according to WHO and local guidelines.

    • HPV vaccine has distinct schedules depending on age, using bivalent, quadrivalent, or nonavalent versions. Dosages and intervals are specified.

    • Influenza vaccine comes in trivalent (TIV) and quadrivalent (QIV) forms, with recommended ages and administrations.

    • PCV and OPV vaccine schedules include dosages and intervals for the primary series.

    • Poliovirus vaccine (IPV) is a 3 dose series, with specific administration intervals, as is the oral polio vaccine (OPV).

    • Varicella vaccine is given subcutaneously and consists of two doses, given according to specified intervals.

    • MMR vaccine is administered and has recommended dosings and intervals, given subcutaneously.

    • Measles vaccinations are mentioned for different ages.

    • Measles-Mumps-Rubella (MMR) and Measles-Mumps-Rubella-Varicella (MMRV) vaccines are given with specified ages and administration schedules.

    • Rotavirus vaccine is given orally in two or three doses, providing specific ages and administration details.

    • Tetanus and Diptheria toxoid (Td/Tdap) vaccine dosing intervals are included, detailing schedules and implications for ages, and pregnancy.

    • Rabies vaccine is given intramuscularly (IM), detailing specifics for exposure prophylaxis and subsequent exposures.

    • Meningococcal vaccines, including MCV4-D, MCV4-TT, and MCV4-CRM, are given with different intervals.

    • Polysaccharide vaccines (MPSV4) are suggested for those aged 2 years and above. Booster shots are not usually recommended.

    • In addition schedules and dosages, special administration considerations are mentioned for high risk groups, with specific attention to factors such as immunocompromised patients, chronic illnesses and other factors.

    Vaccinations for High Risk/Special Groups

    • PCV/PPSV23 vaccination schedules are provided, with details for different age groups and special situations. Dose requirements and intervals are stated specifically for immunocompromised children or those with high-risk medical conditions.

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    Description

    Explore the comprehensive childhood immunization schedule for 2021. This quiz covers recommendations for vaccines, administration intervals, and catch-up schedules. Understand the evolving safety and efficacy of vaccines such as BCG, DTP, and more.

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