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Paeds Casespreventive-and-community-paediatrics

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.

osce communication and acute safety station1 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Study tools

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

  1. Perform a structured pre-vaccination safety screen. [1]
  2. Separate true contraindications from precautions and false barriers. [1] [4]
  3. Manage vaccine anaphylaxis with adrenaline first. [2]
  4. Communicate AEFI follow-up and antigen-specific planning. [2] [5]
  5. Avoid converting myths into permanent under-immunisation. [4] [6]
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References8ShowHide
  1. [1]Kroger AT General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep, 2006.PMID 17136024
  2. [2]McNeil MM Risk of anaphylaxis after vaccination in children and adults. J Allergy Clin Immunol, 2016.PMID 26452420
  3. [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. [4]Hviid A Measles, Mumps, Rubella Vaccination and Autism: A Nationwide Cohort Study. Ann Intern Med, 2019.PMID 30831578
  5. [5]Varricchio F Understanding vaccine safety information from the Vaccine Adverse Event Reporting System. Pediatr Infect Dis J, 2004.PMID 15071280
  6. [6]Gerber JS Vaccines and autism: a tale of shifting hypotheses. Clin Infect Dis, 2009.PMID 19128068
  7. [7]Di Pietrantonj C Vaccines for measles, mumps, rubella, and varicella in children. Cochrane Database Syst Rev, 2021.PMID 34806766
  8. [8]France EK Risk of immune thrombocytopenic purpura after measles-mumps-rubella immunization in children. Pediatrics, 2008.PMID 18310189
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