Paeds Cases · preventive-and-community-paediatrics
Vaccine safety OSCE — pre-vaccination screen, anaphylaxis drill and false-contraindication counselling
Observed structured encounter testing vaccine safety screening, emergency anaphylaxis response and counselling through false contraindications.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is pre-vaccination screening and decision-making for a well infant with parental safety concerns. Station B is an acute post-vaccine anaphylaxis drill and AEFI communication.
Station objectives
- Perform a structured pre-vaccination safety screen. [1]
- Separate true contraindications from precautions and false barriers. [1] [4]
- Manage vaccine anaphylaxis with adrenaline first. [2]
- Communicate AEFI follow-up and antigen-specific planning. [2] [5]
- Avoid converting myths into permanent under-immunisation. [4] [6]
References8ShowHide
- [1]Kroger AT General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep, 2006.PMID 17136024
- [2]McNeil MM Risk of anaphylaxis after vaccination in children and adults. J Allergy Clin Immunol, 2016.PMID 26452420
- [3]Shearer WT, Fleisher TA, Buckley RH, et al. Recommendations for live viral and bacterial vaccines in immunodeficient patients and their close contacts. J Allergy Clin Immunol, 2014.PMID 24582311
- [4]Hviid A Measles, Mumps, Rubella Vaccination and Autism: A Nationwide Cohort Study. Ann Intern Med, 2019.PMID 30831578
- [5]Varricchio F Understanding vaccine safety information from the Vaccine Adverse Event Reporting System. Pediatr Infect Dis J, 2004.PMID 15071280
- [6]Gerber JS Vaccines and autism: a tale of shifting hypotheses. Clin Infect Dis, 2009.PMID 19128068
- [7]Di Pietrantonj C Vaccines for measles, mumps, rubella, and varicella in children. Cochrane Database Syst Rev, 2021.PMID 34806766
- [8]France EK Risk of immune thrombocytopenic purpura after measles-mumps-rubella immunization in children. Pediatrics, 2008.PMID 18310189