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Paeds Casesclinical-pharmacology-and-therapeutics

Paeds Cases · clinical-pharmacology-and-therapeutics

Screen before you vaccinate — vaccines and immunobiology

A bedside structured clinical encounter testing safe childhood vaccination — the prevaccination screen for immunocompromise, pregnancy, severe allergy, and the interval since any live vaccine or blood product; the live-versus-inactivated distinction; the four-week spacing rule; the rotavirus age limits; the premature-infant chronological-age rule; the catch-up minimum-interval principle; and the recognition of anaphylaxis after a vaccine.

structured clinical encounter (preventive vaccination and catch-up)3 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
A family presents for routine vaccination — a two-month premature infant due scheduled doses and a four-year-old sibling with an incomplete overseas immunisation record — with an adolescent cousin present who is about to start an immunosuppressant.

Station status

This is one MedVellum formative structured clinical encounter. The scoring, prompts and performance descriptions are educational feedback tools. They are not an official college station, timing, mark allocation, pass score or reproduced examination format. The encounter assesses the prevaccination screen, the live-versus-inactivated distinction, the four-week spacing rule, the rotavirus age limits, the premature-infant chronological-age rule, catch-up minimum intervals, and the recognition of anaphylaxis after a vaccine. [1] [11]

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You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

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References5ShowHide
  1. [1]Wiley CC Immunizations: vaccinations in general Pediatrics in review, 2015.PMID 26034255
  2. [2]Miller K; Leake K; Sharma T Advances in vaccinating immunocompromised children Current opinion in pediatrics, 2020.PMID 31790029
  3. [3]Omeñaca F; Vázquez L; Garcia-Corbeira P; Mesaros N; et al Immunization of preterm infants with GSK's hexavalent combined diphtheria-tetanus-acellular pertussis-hepatitis B-inactivated poliovirus-Haemophilus influenzae type b conjugate vaccine: a review of safety and immunogenicity Vaccine, 2018.PMID 29336924
  4. [5]Koch J; Harder T; von Kries R; Wichmann O Risk of intussusception after rotavirus vaccination Deutsches Arzteblatt international, 2017.PMID 28468712
  5. [11]Michel R; Berger F; Ravelonarivo J; Dussart P; et al Observational study on immune response to yellow fever and measles vaccines in 9 to 15-month old children. Is it necessary to wait 4 weeks between two live attenuated vaccines? Vaccine, 2015.PMID 25843268
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