Q 1:
The
mother of five children asks for advice regarding her third child, a
10-year-old boy who has severe cerebral palsy and lives in a residential
institution. The physician at the institution has recommended a yearly influenza
vaccine, but the mother is concerned that her son is fragile and would become
ill from the vaccine.
Of
the following, your BEST recommendation is that the boy receive:
A. a
divided dose of the whole virus vaccine
B. antiviral
prophylaxis at the start of the influenza season
C. no
vaccine until there is a documented influenza virus infection in the
residential home
D. the
split-virus vaccine prior to the influenza season
E. the
whole virus vaccine only if the strains in the community match the influenza vaccine
offered that year
Answer
D
Answer
D
Children
who live in residential institutions for the developmentally disabled should
receive routine childhood immunizations and an annual immunization against
influenza as recommended. Immunization against influenza is important because
the infection can spread rapidly in an institution, and these children are more
likely to have complications with the infection.
The
influenza vaccine is available in three different forms: the inactivated whole
virus and the subvirion and purified surface antigen vaccines (two forms of the
“split-virus”). The split-virus vaccine should be used in children younger than
12 years of age because it is associated with a lower incidence of side effects
in this age group. Either whole virus or split-virus vaccine can be
administered to adults and adolescents. Children younger than 9 years who have
not received the vaccine previously require administration of two doses 1 month
apart.
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