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Lyophilized Vaccines
Freeze-dried vaccines requiring a diluent before use
Diluent
A substance capable of dissolving a drug and holding it in a solution
Reconstituting vaccines
Mixing freeze-dried vaccine with diluent for use
Important factors of reconstituting vaccines
-required immediately prior to use
-check expiration date and match lot numbers
-mark vial with date of reconstitution
-administer promptly using a new sterile needle
How to maintain sterility with multi-use vials
-never remove rubber stopper
-wipe stopper before piercing each time
-use a new needle each time
-use ice pack to keep vaccines cool
When using multi-dose vials, it is extremely important to maintain _______________
sterility
How to maintain sterility in multi-dose vials
-never remove rubber stopper
-wipe stopper before piercing
-use a new sterile needle each time
Two things to mark multi-dose vaccines with:
1.) date opened/reconstituted
2.) initials of the user
Adverse events
Any undesirable side effect or unintended effect (including lack of desired result) associated with the administration of a licensed biological product
The AVMA strongly encourages veterinarians to report all adverse events to...
manufactures
Manufactures then report adverse events to...
Center for Veterinary Biologics (USDA APHIS)
Four examples of adverse effects
1.) abortion
2.) injection site reaction
3.) vaccine doesn't work
4.) anaphylaxis
What to include when documenting vaccine use
1.) location
2.) route of administration
3.) amount
4.) vaccine details --> serial number, lot number, expiration date
Equine vaccine guidelines are created by what organization?
AAEP
Where are vaccines most often given in the horse?
IM in the neck
Five core equine vaccines
1.) Rabies
2.) Tetanus
3.) Eastern Equine Encephalitis (EEE)
4.) Western Equine Encephalitis (WEE)
5.) West Nile virus
Vaccine schedule for rabies in horse
vaccinated annually
Vaccine schedule for tetanus in horse
-initially two doses 4-6 weeks apart
-annual thereafter
What special circumstances is tetanus given in horse?
any time horse is injured or undergoes surgery greater than 6 months after last vaccine
Vaccine schedule for Eastern Equine Encephalitis (EEE) and Western Equine Encephalitis (WEE)
-initially two doses 3-6 weeks apart
-annual revaccination thereafter
Annual vaccination for EEE and WEE must occur before what time of year?
vector season
Vaccine schedule for West Nile Virus (WNV)
-initially two doses 4-6 weeks apart
-then annually
Annual vaccination for WNV must occur before what time of year?
in the spring prior to mosquitos
What category of horses will require more frequent vaccinations of WNV?
those with limited immunity:
-juvenile horses <5 years
-geriatric horses >15 years
Which equine vaccines are killed?
EEE, WEE, and VEE
Transmission of EEE and WEE
mosquitos
The EEE and WEE vaccines are cross _________
protective; if they only have one of either EEE or WEE, they will have some protection for the other disease
When is rabies vaccine given in pregnant mares?
prior to breeding or 4-6 weeks prior to foaling
Currently, there is/are _______ rabies vaccine(s) safe for pregnant mares
one
When is tetanus vaccine given in pregnant mares if they have an unknown history?
-2 doses 4-6 weeks apart
-revaccinated 4-6 weeks before foaling
When is tetanus vaccine given in pregnant mares if they have a known history?
4-6 weeks before foaling
When is EEE/WEE vaccine given in pregnant mares if they were previously vaccinated?
4-6 weeks before foaling
When is EEE/WEE vaccine given in pregnant mares if they are unvaccinated?
-2 doses given 3-6 weeks apart
-4-6 weeks before foaling OR prior to next vector season (whichever comes first)
When is WNV vaccine given in pregnant mares if they were previously vaccinated?
4-6 weeks before foaling
When is WNV vaccine given in pregnant mares if they are unvaccinated?
a primary vaccine series is given immediately; studies suggest limited antibody response
Currently, there is/are _______ WNV vaccine(s) safe for pregnant mares
one
When is rabies vaccine given in foals if the mare was vaccinated?
2 dose series given 4-6 weeks apart between the age of 4-6 months
When is rabies vaccine given in foals if the mare was not vaccinated?
1 dose given between the age of 4-6 months
When is tetanus vaccine given in foals if the mare was vaccinated?
3 dose series given at the age of 4-6 months
-first and second doses given 4-6 weeks apart
-third dose given at 10-12 months
When is tetanus vaccine given in foals if the mare was not vaccinated?
3 dose series given at the age of 3-4 months
-first and second doses given 4-6 weeks apart
-third dose given at 10-12 months
When is EEE/WEE vaccine given in foals if the mare was vaccinated?
2 dose series given at age of 4-6 months
-first and second doses given 4-6 weeks apart
-third dose given at 10-12 months (before vector season!)
When is EEE/WEE vaccine given in foals if the mare was not vaccinated?
2 dose series given at age of 4-6 months
-first and second doses given 4-6 weeks apart
-third dose given at 10-12 months (before vector season!)
When a foal is given WNV vaccine depends on...
-what type of WNV they are being given
-time of year (is it around vector season or not?)
-vaccine status of mare
When is WNV vaccine given in foals if the mare was vaccinated?
3 dose series given at 4-6 months old
-first two doses given between 4-6 weeks
-third dose at 10-12 months
When is WNV vaccine given in foals if the mare was not vaccinated?
3 dose series
-four week interval between doses one and two
-eight week interval betwen doses two and three
*if series started during vector season, four week interval betwen doses two and three
What organization creates guidelines for vaccines for bovines?
American Association of Bovine Practitioners (AABP)
Five Bovine core vaccines
1.) Infectious Bovine Rhinotracheitis virus (IBRV)
2.) Bovine Viral Diarrhea Virus (BVDV)
3.) Parainfluenza Virus (PI3)
4.) Bovine Respiratory Syncytial Virus (BRSV)
5.) Clostridial Vaccines
Bovine vaccines can be broken down into three main categories:
1.) Bovine respirtaory disease vaccines
2.) Leptosporosis vaccines
3.) Clostridal vaccines
Bovine 10 way vaccine
vaccine that groups together bovine respiratory disease and leptosporosis vaccines into one common vaccine
Clostrial vaccines are aka...
blackleg vaccine
CDT vaccine
includes Clostridia perfringes C, Clostridia perfringes D, and tetanus; not a core vaccine but given under special circumstances such as to prevent tetanus in the event of retained placenta, or if operation does banding
Which vaccine that is a core vaccine in all other species is not a core vaccine in bovine species? When would it be given?
rabies vaccine; given if they are going to be transported or if in a high risk area
Where are vaccines most often given in cattle?
IM in the neck (using nuchal ligament, spine, and shoulder blade as guide)
Would a killed or modified live vaccine be better for pregnant cattle?
killed vaccine
Under what circumstances would a modified live vaccine be safe to give a pregnant cow?
if they were given a modified live vaccine when they were open
Vaccine protocol for pregnant cattle
-killed 10 way
-boost in 3-4 weeks
Vaccine protocol for open cattle
-modified live 10-way
-boost in 3-4 weeks
Vaccine protocol for all adult cattle
-modified live 10-way
-boost in 3-4 weeks
-multivalent Clostridial toxoid
-boost in 4-6 weeks
Vaccine protocol in the next year after initial doses
-modified live 10-way
-multivalent Clostridial toxoid
-all females vaccinated 3-4 weeks prior to breeding!
Pregnant cattle can be boostered in their ________ trimester of pregnancy
third (both modified live 10-way and multivalent Clostridial toxoid)
Vaccine protocol for baby calves
-First Defense E. Coli vaccine
-Inforce3 (intralnasal to prevent respiratory infections)
Vaccine protcol for older calves before weaning
-vaccinate with modified live 10-way and boost
- vaccinate with multivalent Clostridial toxoid and boost
Vaccine protcol for older calves before shipping
vaccinate before shipping if not protected already
Six core vaccines in canines
1.) rabies
2.) distemper
3.) adenovirus type 1
4.) parvovirus
5.) parainfluenza
6.) lepto
Vaccine schedule for rabies in dog
-first dose at 12-16 weeks
-then boostered at 1 year after initial dose
-then every three years after that
DHPP/DAPP canine vaccine
four way vaccine combining distemper, adenovirus type 1, parvovirus, and parainfluenza
DHPP/DAPP vaccine schedule
-start at 6-8 weeks, given every 2-4 weeks until 16-20 weeks
-boostered at 1 year
-then boostered every 3 years
Lepto vaccine schedule
-start at 10 weeks, two doses
-then boostered annually
Four lifestyle vaccines in canines
1.) bordetella
2.) influenza
3.) Lyme disease
4.) rattlesnake
What vaccine(s) are given in the right shoulder for canines?
DHPP/DAPP and lepto
What vaccine(s) are given in the right rear for canines?
rabies
Five core vaccines in felines
1.) rabies
2.) feline calcivirus
3.) feline herpesvirus-1
4.) feline panleukopenia
5.) Felv
Rabies vaccine schedule in felines
-First dose at 12-16 weeks
-Then boosted at 1 year after the initial dose
-Then every three years after that
FVRCP vaccine
Vaccine that combines feline herpesvirus-1, calicivirus, and panleukopenia
FVRCP vaccine schedule
-start at 6-8 weeks, given every 2-4 weeks until 16-20 weeks
-boostered at 1 year
-then boostered every 3 years
The FeLV vaccine is a core vaccine for ________ but a non-core vaccine for _________
kittens; adults over 1 year old
Vaccine schedule for FeLV
-2 doses 2-4 weeks apart
-then annually
What vaccine(s) are given in the right front limb in cats?
FVRCP vaccine
What vaccine(s) are given in the right rear limb in cats?
rabies
What vaccine(s) are given in the left rear limb in cats?
FeLV
Two reasons why vaccines are given in specifc and different areas across species:
1.) so if a vaccine reaction occurs, we will know what vaccine caused the reaction
2.) to prevent overloading the immune system
True or false: there is currently insufficient research to show that adjuvanted vaccines cause vaccine associated sarcomas
true
Vaccine-associated Sarcomas (VAS) are now called...
feline injection site sarcomas (FISS)