By Kaplan Medical
KAPLAN USMLE STEP 2 CK Lecture Notes - 6 Books2008-2009 EditionThese entire set of Kaplan USMLE Step 2 CK Lecture Notes comprises 6 Books that are :-1 inner Medicine2 Pediatrics3 Psychiatry and Epidemiology & Ethics4 Surgery5 Obstetrics and Gynecology6 Qbook
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IPV • Inactivated is now the only poliovirus vaccine available in the United States. • Four doses of IPV, with the last at preschool age, 4--6 years Note Historically, polio vaccine was associated with vaccine-associated paralytic poliomyelitis. • Any child up to 18 years of age should receive all doses, if behind. HiB Conjugated Vaccine • Does not cover nontypeable Haemophilus • Depending on the vaccine brand, the recommended primary series consists of three doses or two doses. • After the primary series, an additional booster dose is recommended at 12-15 months of age, regardless of which regimen was used for the primary series.
60 ~MEDICAL Immunizations DTaP • All DTaP vaccines for United States currently contain pertussis toxoid. • The rates of local reactions, fever, and other common systemic reactions are substantially lower with acellular pertussis vaccines than with whole-cell vaccine. • Total of five doses is recommended before school entry, with the final given at preschool age, 4--6 years. Pertussis booster vaccine is now recommended during adolescence, regardless ofimmunization status; is also recommended even if one has already had pertussis disease.
If fever or other problems suggest moderate or serious illness, the child should not be immunized until recovered. • Documented egg allergy is not a contraindication to the MMR. MMR is derived from chick embryo fibroblast tissue cultures but does not contain significant amounts of egg cross-reacting proteins. • Influenza vaccine (and yellow fever) does contain egg protein and on rare occasions may induce a significant immediate hypersensitivity reaction. Table 6-3. Summary of Immunizations with Immune Deficiencies i Immunodeficiency Contraindications Consider Administering X-linked agammaglobulinemia OPV, vaccinia and live bacterial Measles, varicella Severe combined All live vaccines - !
Kaplan Lecture Notes Step 2 CK by Kaplan Medical