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64 CPD ACTIVITY FROM PAGE 63 Table 1. Pharmacist vaccination list and ages of those who can be administered these vaccines (current as of 15 March 2020) Accreditation number: A2102RP3 (exp: 31/01/2023). This activity has been accredited for 1 hour of Group One CPD (or 1 CPD credit) suitable for inclusion in an individual pharmacist’s CPD plan, which may be converted to 1 hour of Group Two CPD (or 2 CPD credits) upon successful completion of the associated assessment activity. 1. Which statement is FALSE? A) Pertussis is spread by droplet transmission by close contact with infected people or surfaces containing droplets. B) Pertussis is a self-limiting harmless disease with a chronic cough that will resolve without intervention in infants and small children. C) Pregnant women should be vaccinated against pertussis for each pregnancy preferably two weeks before full term. D) There is a risk of encephalopathy in infants and small children who contract pertussis. 2. Signsofpertussisinfectionincludebutarenotlimitedtowhichof the following? A) Sneezing. B) Uncontrolled bouts of coughing with/without a whoop sound. C) Inability to catch the breath when coughing. D) Blocked or runny nose. E) Alltheabove. 3. Whichofthefollowingantibioticsarerecommendedasboth prophylaxis and treatment options for pertussis in both children and adults? A) Erythromycin, Clarithromycin and Doxycycline. B) Trimethoprim with sulfamethoxazole, erythromycin, and Doxycycline. C) Azithromycin, Clarithromycin and Trimethoprim with sulfamethoxazole. D) Clarithromycin, Azithromycin and Ciprofloxacin. 4. TrueorFalse?AppropriatelytrainedPharmacistvaccinators can provide the dTpa vaccine for pertussis immunisation in ALL Australian states and territories. A) True. B) False. 5. Which of the following statements is TRUE in relation to the recommendations for pertussis vaccination and booster vaccinations? A) For children at two, four, six and 18 months, and four years of age, and adolescents at 11-13 years of age. B) For adults at ages 45 and 60 years. C) Pregnant women during each pregnancy, preferably between 20 and 32 weeks’ gestation. D) Every 20 years for healthcare workers, early childhood educators and carers, and people in close contact with infants. E) BothAandCaretrue. Pertussis 2 CPD CREDITS ACT NSW NT Qld SA Tas Vic WA AGE Influenza ≥10 ≥10 ≥10 ≥10 ≥10 ≥10 ≥10 ≥10 Diphtheria, tetanus, pertussis (dTpa) ≥16 ≥16 ≥16 ≥16 ≥16 ≥16 ≥15 ≥16 Diphtheria, tetanus, pertussis including polio (dTpa-IPV) ≥16 ≥16 MMR ≥16 ≥16 ≥16 ≥16 ≥16 ≥16 ≥15 ≥16 Meningococcal ACWY ≥10 10-21 ≥15 ≥16 Cholera ≥16 Pneumococcal ≥16 Haemophilus influenza type B ≥16 Hepatitis A ≥16 Poliomyelitis ≥16 For use in treatment of anaphylaxis only Adrenaline in a strength of 0.1% or less • Inapreloaded device such as an autoinjector, or • In an ampoule x x x Table 2. Criteria that affect pharmacist vaccination capability across jurisdictions. ACT NSW NT Qld SA Tas Vic WA Pregnancy Yes Yes Yes Yes Yes Yes Yes Yes Intern pharmacist vaccinator Yes Yes Yes Yes Vaccinate in other locations Yes Yes Yes Yes Yes Yes Yes Yes NSW General practice, AMS, local council clinic, private hospital, public hospital & health services, community health centres, aged care facilities, staff occupational health clinics NT Has a protocol for other locations as long as standards are adhered to Qld Hospitals Vic Hospitals, excluding inpatients. Mobile and outreach services of a hospital, pharmacy or pharmacy depot WA SASA defined locations Govt funding for pharmacist-administered vaccines Govt funding for pharmacist- administered vaccines NIP pilot, Influenza ≥65 NIP and state programs NIP: influenza • Australian Institute of Health and Welfare – Whooping Cough in Australia. • National Centre for Immunisation Research and Surveillance. Pertussis Vaccines for Australians. • State Health Guidelines and Immunisation schedules. • Royal Children’s Hospital Guidelines in each state and territory. • Australian Medicines Handbook. Diphtheria, tetanus and pertussis vaccines. Patient resources • Royal Children’s Hospital Guidelines in each state and territory – Kids Health Information handouts on Pertussis (Whooping Cough). • 13HEALTH. References available by request. RETAIL PHARMACY • JAN/FEB 2021