• Start a brand new topic
    New Topic
    • Start a brand new topic
  • Search all forums
    Search
    • Search all forums
  • Register for free
    Register
    • Register for free
  • Forum help and frequently asked questions
    Help
    • Forum help and frequently asked questions
Live vaccines & giving non live vaccines
pretty&pink

372 Posts

Posted:  18-Sep-2013 21:43
Am I correct in thinking that if I've given a live vaccine it is ok to then give a non live vaccine later such as 2 days or 1 week later, it's only the live vaccines that either need to be given at the same time or if not possible 4 weeks later? Gosh I get so confused with all these vaccines I just need to check now & again sorry.
Jackie2

1298 Posts



Profile Picture
Posted:  18-Sep-2013 21:47
That's right. And this will apply to PRe-school MMR boosters and fluenz. Will confuse things!

iPhone App Posted on my iPhone
tiredandemotional

4189 Posts



Profile Picture
Posted:  18-Sep-2013 22:10
That is the case with injectable live vaccines. 

Fluenz can be given within 4 weeks (or any other time) of MMR.

The same applies with rotarix and BCG
newnurse

53 Posts

Posted:  23-Sep-2013 23:12
Sorry to be really stupid tiredandemotional I'm a bit confused by your reply can you please clarify?
You seem to be saying you don't have to leave 4 weeks between MMR and fluenz as its nasal and not injected. Is this statement correct?
phantom

757 Posts

Posted:  24-Sep-2013 08:30 Log in to like this post
New nurse that is a debateable point.

Some PGD's  will state that Fluenz should be given either With the MMR or 4 weeks apart.
However the green book is contradicting this and saying Fluenz should be given even if MMR has been given within the last 4 weeks. This as I understand it is because the risk of getting Flu outweighs the risk of interfering with the MMR.
In the SPC for Fluenz it states that the immune response to Rubella was significantly altered. However thia alteration might not be of clinical relevance with the two dose immunisation schedule of Rubella vaccine. 
This is the same response in the Green book and so the two can be given at any time.

HOWEVER if your PGD states that they need to be given 4 weeks apart, as mine does, then if you are a non prescriber you will need to get a PSD for those children.

Very very confusing but I understand PGD's were written before the Flu chapter in green book was updated.









Inky

375 Posts

Posted:  27-Sep-2013 20:38
Bumping for Flo111
Please log in to post on the forum. It is free to register.
Some links are only clickable if you are logged in
Featured Jobs
Practice Nurse
Park Medical Centre
Practice Nurse Vacancy – Park Medical Centre Full time basis (though can be flexible on this) Salary: negotiable (depending on qualifications and expe....
This job offer was posted by mikearcher 06 February 2018
*Permanent* Advanced Nurse Practitioner - NW London
nurses.co.uk
NEW VACANCY! Advanced Nurse Practitioner (ANP) 3 days per week Band 8b salarynear Hendon, North West London This flexible surgery is looking for the n....
This job offer was posted by nurses.co.uk 19 February 2018
Band 6 Practice Nurse - Central London
nurses.co.uk
Pulse are currently recruiting an enthusiastic Band 6 Practice Nurse to cover full time hours from 8:30am - 17:00pm Monday – Friday in Canary Wharf, L....
This job offer was posted by nurses.co.uk 16 February 2018
Practice Nurse - near Chislehurst/Sidcup
nurses.co.uk
We have an exciting new vacancy for an experienced and autonomous Practice Nurse, near Chislehurst/Sid... lovely, purpose-built centre in an affl....
This job offer was posted by nurses.co.uk 14 February 2018
Practice Nurses, IR35 & non-IR35 Bookings, London, £24 to £35 per hour
nurses.co.uk
Merco is a market leading specialist primary care staffing agency. Established in 2002, we provide over 25,000 hours’ worth of temp staff cover every ....
This job offer was posted by nurses.co.uk 10 February 2018
Events
Add Event
Public Personal