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HIV pt

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22 Posts

doc4mindia
Forum Guru

Topics: 134
Posts: 243

06/15/04 - 09:27 AM

HIV pos pt, you can’t give which vaccine?

MMR Td pneumovac Varicella

Idiopathic
Forum Guru

Topics: 19
Posts: 641

06/15/04 - 10:45 AM

CANNOT give varicella.

Only live vaccine you can give is MMR, because the disease is worse than what the vaccine could do, and also to keep them from spreading disease.

anne
Forum Elite

Topics: 41
Posts: 348

06/17/04 - 09:56 AM

I'll go with Td .
varicella immunoglobulins are available to be given to immunocompromised.MMR and pneumococcal vaccines are also given to HIV +ve.

asmi
Forum Hero

Topics: 1043
Posts: 4,609

06/17/04 - 10:06 AM

I too think its Td

http://pedclerk.bsd.uchicago.edu/immunizations.ht...

Idiopathic
Forum Guru

Topics: 19
Posts: 641

06/17/04 - 12:03 PM

The answer has to be varicella...why would Td be contraindicated?

From the website listed above: "Live vaccines (OPV, MMR, Varicella) are not to be given to immunocompromised patients or pregnant women."

asmi
Forum Hero

Topics: 1043
Posts: 4,609

06/17/04 - 01:22 PM

from the site above :

Live vaccines (OPV, MMR, Varicella) are not to be given to immunocompromised patients or pregnant women.
The IPV should be used if the patient will be in contact with an immunocompromised individual.
HIV patients should not receive OPV. Varicella can be given to Class I HIV+ with >25% CD4 count. MMR may be given to patients with HIV

:roll: smiling face

Idiopathic
Forum Guru

Topics: 19
Posts: 641

06/17/04 - 02:39 PM

Nobody has explained why it might be Td that you CANT give to HIV+?

Idiopathic
Forum Guru

Topics: 19
Posts: 641

06/17/04 - 02:41 PM

It has to be varicella that you cant give...all the others are mentioned here.

http://www.aids.org/factSheets/207-Vaccinations-a...

asmi
Forum Hero

Topics: 1043
Posts: 4,609

06/18/04 - 04:01 PM

thanks a lot idiopathic for clearing my confusion .

Idiopathic
Forum Guru

Topics: 19
Posts: 641

06/18/04 - 08:42 PM

#10

Sorry if I sounded rude. I took the test today, not one vaccine question on it. :roll:

asmi
Forum Hero

Topics: 1043
Posts: 4,609

06/19/04 - 10:54 AM

#11

"Idiopathic" wrote:
Sorry if I sounded rude. I took the test today, not one vaccine question on it. :roll:

Hi idiopathic,

Did you take step 2 ?

Idiopathic
Forum Guru

Topics: 19
Posts: 641

06/19/04 - 08:47 PM

#12

No sorry :oops:

I forgot which forum this was

dimps
Forum Guru

Topics: 63
Posts: 446

07/14/04 - 11:36 AM

#13

sorry i m again taking this old Q but doc4mindia can u clear our confusion and tell us which is the write answer

by all this discussion i think it is varicella,just confirm it

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son64
Forum Elite

Topics: 34
Posts: 245

07/14/04 - 10:43 PM

#14

Varicella can be given to HIV patients.
Td can also be given.
Pneumococal v can also be given and ofcourse it must begiven to every HIV PT.
MMR is given to patiens with asymptomatic HIV but should never be given symptomatic patients.
This is the single right answer for this Q.

asmi
Forum Hero

Topics: 1043
Posts: 4,609

07/14/04 - 11:27 PM

#15

but Q didn't say whether pt is symptomatic or not ?

Idiopathic
Forum Guru

Topics: 19
Posts: 641

07/15/04 - 04:39 PM

#16

It doesnt matter...the only live vaccine you can give an HIV(+) Px is MMR. Varicella is live vaccine and the standard vaccine cannot be given.

asmi
Forum Hero

Topics: 1043
Posts: 4,609

07/15/04 - 05:00 PM

#17

Why is there confusion..someone says varicella can be given someone says it cannot be given.

Need to find it out .

dimps
Forum Guru

Topics: 63
Posts: 446

07/15/04 - 07:26 PM

#18

thats why i want doc4mindia to give us the answer

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tess
Forum Guru

Topics: 131
Posts: 368

07/16/04 - 07:24 AM

#19

According to kaplan, Varicella vaccine can be considered in both moderate or severe immunocompromised patients; but MMR only for the former group; OPV never is consider for either.

asmi
Forum Hero

Topics: 1043
Posts: 4,609

07/16/04 - 10:03 AM

#20

so its MMR

usmledoctor1
Forum Junior

Topics: 4
Posts: 77

07/29/04 - 10:53 PM

#21

varicella is the answer

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dmnz
Forum Junior

Topics: 7
Posts: 72

07/30/04 - 02:39 AM

#22

Boys and Girls !!

Its varicella- No CONFUSION. :wink:

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