{"id":267,"date":"2014-09-21T21:31:14","date_gmt":"2014-09-21T21:31:14","guid":{"rendered":"http:\/\/hfhpulm.com\/info\/?p=267"},"modified":"2015-10-05T23:25:00","modified_gmt":"2015-10-05T23:25:00","slug":"influenza-immunization-2014-15","status":"publish","type":"post","link":"https:\/\/hfhpulm.com\/info\/?p=267","title":{"rendered":"Influenza Immunization 2015-16"},"content":{"rendered":"<h3><span style=\"line-height: 1.5em\">\u00a0<\/span><span style=\"text-decoration: underline\">Appropriate orders<\/span><\/h3>\n<p style=\"padding-left: 480px\"><span style=\"text-decoration: underline\">\u00a0Code<\/span><\/p>\n<p><b>&lt;65 yo: quadrivalent vaccine (multidose vial with preservative): \u00a0 \u00a0 IMM155<\/b><\/p>\n<p><b>65 or older: high dose trivalent (\u2018Flu vaccine HD 65+):\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 IMM31 <\/b><\/p>\n<p style=\"padding-left: 30px\">-EPIC will block you from ordering the high dose vaccine in patients &lt;65 years old (even if immunosuppressed, not approved yet for this indication)<\/p>\n<p style=\"padding-left: 30px\">&#8211;<a href=\"http:\/\/www.nejm.org\/doi\/pdf\/10.1056\/NEJMoa1315727\">Reference article<\/a><\/p>\n<p><b>Pregnant or infants: <em>preservative free<\/em> quadrivalent:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 IMM42<br \/>\n<\/b><\/p>\n<p style=\"padding-left: 30px\">The <a title=\"Link to FDA site with more info\" href=\"http:\/\/www.fda.gov\/BiologicsBloodVaccines\/SafetyAvailability\/VaccineSafety\/UCM096228#t1\" target=\"_blank\">preservative <\/a>is added to multi-dose vials to prevent bacterial growth (a source of deaths in the 1920s related to staph aureus growth in a multidose vial prior to the use of preservatives).\u00a0Here is a\u00a0<a href=\"http:\/\/www.cdc.gov\/vaccinesafety\/concerns\/thimerosal\/thimerosal_faqs.html#m\" target=\"_blank\">Patient handout\u00a0<\/a>\u00a0for preservative information.<\/p>\n<p>Trivalent covers:\u00a0 1) A\/California\/7\/2009 (H1N1)pdm09-like virus\u00a0 |\u00a0\u00a0 2) A\/Switzerland\/9715293\/2013 (H3N2)-like virus\u00a0 |\u00a0 3) B\/Phuket\/3073\/2013-like virus (Yamagata lineage)<\/p>\n<p>Quadrivalent includes:\u00a0 the above and 4) B\/Brisbane\/60\/2008-like virus (Victoria lineage)<\/p>\n<p><span style=\"color: #ff0000\">**Please associate the order with ICD 10 code Z23 (found in common diagnosis drop down menu &#8216;need for prophylactic vaccination and inoculation against influenza&#8217;).**<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp;Appropriate orders &nbsp;Code &lt;65 yo: quadrivalent vaccine (multidose vial with preservative): &nbsp; &nbsp; IMM155 65 or older: high dose trivalent (&lsquo;Flu vaccine HD 65+):&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; IMM31 -EPIC will block you from ordering the high dose vaccine in patients &lt;65 years old (even if immunosuppressed, not approved yet for this indication) &ndash;Reference article Pregnant or infants: preservative [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[6],"tags":[41,56,55],"class_list":["post-267","post","type-post","status-publish","format-standard","hentry","category-clinic","tag-clinic-2","tag-immunization","tag-influenza"],"modified_by":"Krishna Thavarajah","_links":{"self":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/267","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=267"}],"version-history":[{"count":20,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/267\/revisions"}],"predecessor-version":[{"id":272,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/267\/revisions\/272"}],"wp:attachment":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=267"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=267"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=267"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}