Pediatric Nursing Q 170
The nurse is reviewing the child’s record who is scheduled to receive inactivated polio vaccine (IPV). Which of the following would prompt the nurse to withhold the administration?
A. History of upper respiratory infections.
B. History of an anaphylactic reaction to streptomycin.
C. History of recent diarrheal episodes.
D. History of redness at the previous injection site.
Correct Answer: B. History of an anaphylactic reaction to streptomycin.
Inactivated polio vaccine (IPV) contains a trace amount of streptomycin, neomycin, and polymyxin. The IPV is contraindicated in individuals who have had anaphylaxis following either a previous dose of the vaccine or after taking streptomycin, polymyxin B, or neomycin, as the vaccine does contain trace amounts of these substances.
Option A: Injectable polio vaccine is both safe and recommended for administration to immunodeficient individuals and members of their household, as it is not a live vaccine. Note that the oral polio vaccine is live and should not be administered to immunocompromised persons.
Option C: Serious reactions following routine immunizations are rare. The rate of allergic reaction to routine vaccines is 1 per million doses administered. More commonly the recipient may experience a local vaccine reaction, including erythema or soreness at the injection site.
Option D: This condition is not contraindicated with this vaccine. Toxicity related to the oral polio vaccine is not specific to the formulation, but rather as would be expected with any live vaccine. As previously stated, live vaccines are to be avoided in immunocompromised persons.