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    Immunizations

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    dhainey
    This document discusses immunizations during pregnancy. It outlines two types of immunization - active immunization which involves administration of a microorganism to elicit an immune response, and passive immunization which involves administration of preformed antibodies. It then provides details on specific live attenuated virus vaccines, inactivated virus vaccines, inactivated bacterial vaccines, toxoids, specific immune globulins, and standard immune globulins - outlining indications for use during pregnancy and dosing schedules for each.

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    Immunizations

    Uploaded by

    dhainey
    227 views21 pages
    This document discusses immunizations during pregnancy. It outlines two types of immunization - active immunization which involves administration of a microorganism to elicit an immune response, and passive immunization which involves administration of preformed antibodies. It then provides details on specific live attenuated virus vaccines, inactivated virus vaccines, inactivated bacterial vaccines, toxoids, specific immune globulins, and standard immune globulins - outlining indications for use during pregnancy and dosing schedules for each.

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    medical lecture

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    This document discusses immunizations during pregnancy. It outlines two types of immunization - active immunization which involves administration of a microorganism to elicit an immune response, and passive immunization which involves administration of preformed antibodies. It then provides details on specific live attenuated virus vaccines, inactivated virus vaccines, inactivated bacterial vaccines, toxoids, specific immune globulins, and standard immune globulins - outlining indications for use during pregnancy and dosing schedules for each.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    227 views21 pages

    Immunizations

    Uploaded by

    dhainey
    This document discusses immunizations during pregnancy. It outlines two types of immunization - active immunization which involves administration of a microorganism to elicit an immune response, and passive immunization which involves administration of preformed antibodies. It then provides details on specific live attenuated virus vaccines, inactivated virus vaccines, inactivated bacterial vaccines, toxoids, specific immune globulins, and standard immune globulins - outlining indications for use during pregnancy and dosing schedules for each.

    Copyright:

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    Download as PPT, PDF, TXT or read online from Scribd
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    IMMUNIZATIONS

    DURING
    PREGNANCY
     Immediate goal of
    immunization is prevention of
    disease in the individual and
    eradication of the disease
    itself
    2 Types of Immunization
     Active immunization
    Involves administration of
    all or part of a microorganism
    to elicit an immunologic
    response
     Passive immunization

    Administration of
    preformed antibody to a
    Live Attenuated Virus
    Vaccine
     Meales
    •Indication during pregnancy
    -contraindicated
    •Dosing schedule
    - Single dose (MMR)
     Mumps
    •Indication during pregnancy
    - contraindicated
    •Dosing schedule
    - Single dose (MMR)
     Rubella
    •Indication during pregnancy
    - contraindicated
    •Dosing schedule
    - Single dose (MMR)
     Varicella
    •Indication during pregnancy
    - contraindicated, but no
    adverse outcome reported
    in pregnancy
    •Dosing schedule
    - 2 doses needed with 2nd
    dose given 4-8 wk after 1st
    dose
    Inactivated Virus Vaccine
     Influenza
    •Indication during pregnancy
    - All women, regardless of
    trimester, who will be
    pregnant during the
    influenza season
    •Dosing schedule
    - 1 dose IM every year
     Rabies
    •Indication during pregnancy
    - Indications for prophylaxis
    not altered by pregnancy
    •Dosing schedule
    - To be consulted for
    indications, dosage and
    route of administration
     HepatitiB
    •Indication during pregnancy
    - Preexposure &
    postexposure for women
    at risk of infection
    •Dosing schedule
    - 3 doses series IM at 0, 1,
    & 6 month
     HepatitisA
    •Indication during pregnancy
    - Preexposure &
    postexposure if at risk
    (international travel)
    •Dosing schedule
    - 2 doses schedule 6
    months apart
    Inactivated Bacterial
    Vaccines
     Pneumococcus
    •Indication during pregnancy
    - Indications not altered by
    pregnancy
    •Dosing schedule
    - 1 dose only; consider
    repeat dose in 6 yrs for
    high-risk women
     Meningococcus
    •Indication during pregnancy
    - Indications not altered by
    pregnancy
    •Dosing schedule
    - 1 dose
     Typhoid
    •Indication during pregnancy
    - Not recommended
    routinely
    •Dosing schedule
    - Primary: 2 injections > 4
    wks apart
    - Booster: 1 dose, schedule
    not yet determined
    Toxoids
     Tetanus-diphtheria
    •Indication during pregnancy
    -lack of primary series or
    no booster within past 10
    year
    •Dosing schedule
    - Primary: 2 doses at 1-2
    mo interval w/ 3rd dose 6-
    12 mo after the 2nd
    - Booster: Single dose IM
    every 10 year after
    Specific Immune Globulins
     HepatitisB
    •Indication during pregnancy
    - Postexposure prophylaxis
    •Dosing schedule
    - Give along w/ hepatitis
    vaccine, then vaccine
    alone at 1 & 6 months
     Rabies
    •Indication during pregnancy
    - Postexposure prophylaxis
    •Dosing schedule
    - Half dose at injury site,
    half dose in deltoid
     Tetanus

    •Indication during pregnancy


    - Postexposure prophylaxis
    •Dosing schedule
    - 1 dose IM
     Varicella
    •Indication during pregnancy
    - Considered for exposed
    pregnant women to
    protect against maternal
    not congenital infection
    •Dosing schedule
    - 1 dose IM w/in 9 hrs of
    exposure
    Standard Immune Globulins
     Hepatitis
    A
    •Indication during pregnancy
    - Postexposure prophylaxis
    •Dosing schedule
    - 0.02 ml/kg IM for 1 dose
    of immune globulin
     Measles
    •Indication during pregnancy
    - Postexposure prophylaxis
    •Dosing schedule
    - .25 ml/kg for 1 dose

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