A patient is preparing to travel with a 4-year-old child to India in 10 days and is in the clinic to receive typhoid vaccines. Which vaccines will be given to the parent and child?
a. Four capsules of live, oral vaccine to both patients
b. Four capsules of live, oral vaccine for the parent and the IM polysaccharide vaccine for the child
c. Four capsules of live, oral vaccine for the child and the IM polysaccharide vaccine for the parent
d. IM polysaccharide for both patients
ANS: D
While the live, oral vaccine may be given to patients older than 6 years, each capsule must be taken 48 hours apart with the last capsule given 1 week prior to travel. There would not be enough time to complete the regimen since the patients leave in 10 days. Children under age 6 cannot receive the oral vaccine.
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