For children in regular risk category, what is the age cut off for children entering their first RSV season to be Beyfortus eligible?
Less than 8 months
According to CHKD urgent care guidelines: In a 4 year old with simple recurrent pneumonia, what is the appropriate treatment, including dose and duration of treatment?
45 mg/kg/dose BID amoxicillin for 5 days
Treatment Oseltamivir is indicated only if started within ___ hours of symptom onset?
48 hrs
Maternal RSV vaccination during pregnancy must be given how long prior to delivery in order to provide protection?
> 14 days
What is the appropriate isolation precautions for pneumococcal pneumonia?
standard precautions
What is difference between the vaccine components in the IM flu shot and the intranasal vaccine?
Flu shot is inactivated. Nasal spray is live attenuated virus.
At CHKD, What is the minimum adjusted age in weeks for inpatient administration of Beyfortus?
>/= 34 weeks
In a penicillin-allergic patient with typical bacteria pneumonia, what antibiotic should you treat with?
clindamycin or cefprozil
List two features that may qualify someone to receive influenza chemoprophylaxis?
Significant immunocompromise
Inability to receive flu vaccine
Vulnerable persons during an outbreak
Your high risk GAP patient entering their second RSV season is > 5kg and eligible for a 200 mg dose of Beyfortus: how should this dose be administered?
Administer 2 100 mg vaccines to achieve a summative 200 mg dose
In a child with suspected pneumonia, how should recent Influenza diagnosis change your management?
consider treatment with clindamycin
Per CDC recommendation, what group should receive 2 doses of the flu shot?
A child aged 6 months to 8 years who has not received at least two flu shots prior to July 2024
What is the difference between the beyfortus and abrysvo?
Beyfortus is a monoclonal antibody. Abrysvo is a protein-based vaccine.
List two exclusion criteria for using the Novel Pneumonia Risk Score
Less than 3 months of age
Cystic fibrosis
Other chronic lung disease
(except asthma)
Tracheostomy
Sickle cell disease
Suspected hospital or
institutional-acquired
pneumonia
For the 2024-2025 flu season, the CDC recommends a __valent flu vaccine. Why?
Trivalent. A strain of Flu B previously covered by the quadrivalent vaccine has not caused reported infection since 2020