NONROUTINE vaccinations

rabies

RabAvert, imovax rabies

rabies vaccine; use

prevention when high risk of expsorue (x2 doses)

post exposure (with previous vaccination); x2 doses

Post exposure (W/o previous vax) ; 4 doses + 1 dose rabive immune globulin (RIG) with first dose

Typhoid vaccines

Vivotify (live) and Typhim VI (inactivated polysaccharide vaccine)

Vivotify cousneling

oral cap; store in firdge, take on an empty stomach (1hr prior to meal) with cold or lukewarm water

typhoid vaccine; use

prevention of typhoid fever by salmnella typhi

vivotif; 1 cap po on day 0,2,4,and 6, at least 1 week prior to expsorue. Give every 5 yrs if continued risk

typhim vi; inject x1 dose at least 2 weeks prior to exposrue; give every 2 yrs if continued risk

japanese encephalitis virus vaccine

ixiaro

japanese encephalitis virus vaccine/ ixiaro use

if spending >1 month in endmic areas

x2 doses, 28 days apart. complete at least 1 week prior to exposrue

tuberculosis bacille calmette-guerin (BCG) vaccine

not used in use; live vaccine. used for infants/childrens with higher incidence of TB

Dengue vaccine

dengvaxia

dengue vaccine/dngvaxia use

9-16 yrs who have previously tested positive for dengue infection and live in endemic areas. not primary prevention

x3 doses at 0,6, and 12mo

yellow fever vaccine

YF-VAX

yellow fever vaccine/YF-VAX use

for those who live/travel too high risk areas. CI with sever allergy to egg/gelatin, immunosuppressed, <6months or breastfeeding

avoid donating blood for 2 weeks after getting vaxed

yellow card is provided and is valid for 10 yrs from 10days after vaccination

cholera vaccine

vaxhora

cholera/vaxchora use

2-64yrs who are traveling to area of active vibrio cholerase transmission. 1 oral dose at least 10 days prior to exposrue

smallpox and monkey pox vaccine

junneos

smallpox/monkey pox junneos vacciens

>18 yrs who are at high risk; give x2 doses, 4 weeks apart

only NON LIVE non routine vaccines

rabies, japenese encephalitis

dengue vaccine/dengvaxia and YFVAX counseling

reconstitute with provided diluent. do not swil, shake. Give SQ

CHOLERA/vaxchora counseling

store packet for recon in fridge

dissolve the buffer packer in 100ml cold/room temp water. Add active component packet, stir for 30 seconda and drink wihtin 30 minutes on an empty stomach

small pox/monkey pos jynneos counsleing

keep frozen; allow vaccine to thaw and reach room temp. swril for at least 30 seconds

Give SQ (may be given intradermally during supply shortabes)