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Old 06-28-2011
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Syringe varicella vaccine to immunocompromised , important

can we give varicella vaccine to immunocompromised

so confused

check KAPLAN pediatric page 60

check this said yes give

ALL treatment and chicken pox

other post said no you should not give vaccine to immunocompromised
When to give VZIG or Chickenpox Vaccine?
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Old 06-28-2011
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Check this out kemoo, It says a different thing and it is from CDC.
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kemoo (06-28-2011)
Old 06-29-2011
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Default case

this case said it is CI in HIV (immunecompromised )
so thats also confused me

Question (QID: 33478) You answered this question incorrectly
A 33-year-old woman with human immunodeficiency virus (HIV) presents to the physician for her regular follow-up care. She was diagnosed 3 years ago and is taking highly active antiretroviral therapy. Her last CD4 cell count was 475 cells/μL and she is currently asymptomatic. She states that she recently found her old medical records and discovered that she was never immunized against any diseases. What vaccine is contraindicated in this patient?

Answer Choices
A. Haemophilus influenzae type b (HiB) conjugate vaccine
B. Hepatitis B vaccine
C. Measles, mumps, rubella (MMR) combined vaccine
D. Pneumococcal vaccine
E. Varicella vaccine
Option E (Varicella vaccine) is correct. Vaccination schedules are unlikely to be examined on the U.S. Medical Licensing Examination. However, exceptions to vaccination and special circumstances are likely topics. In HIV-positive individuals, live vaccines are generally contraindicated. This includes varicella, bacille Calmette-Guérin, vaccinia, oral typhoid, and yellow fever.

Option A (Haemophilus influenzae type b [HiB] conjugate vaccine) is incorrect. This vaccine is not recommended, because HiB is not common in HIV patients. Most H. influenzae infections are nontypeable and thus not prevented by vaccine.

Option B (Hepatitis B vaccine) is incorrect. Chronic hepatitis is more likely to develop in HIV patients following hepatitis B infection compared to immunocompetent individuals. Thus, this vaccine is recommended.

Option C (Measles, mumps, rubella [MMR] combined vaccine) is incorrect. A live vaccine, MMR it is not contraindicated in HIV patients so long as they are severely symptomatic. The reason for this is because the HIV patients are highly susceptible to measles. Contraindication in AIDS patients is because of a report of measles pneumonitis following vaccination.

Option D (Pneumococcal vaccine) is incorrect. Although it appears that HIV patients respond suboptimally to this vaccine, their risk of developing pneumococcal disease is very high and thus, vaccination is strongly recommended as soon as the CD4 count is more than 200 following HIV diagnosis.
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zombie17783 (11-14-2012)


Infectious-Diseases, Pediatrics-, Preventive-Medicine-

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