90690 Typhoid vaccine, live, oral

Name of the Procedure:

Typhoid Vaccine, Live, Oral

• Common names: Oral typhoid vaccine
• Medical term: Vivotif (brand name)

Summary

The oral typhoid vaccine is a medication you take by mouth to help protect against typhoid fever. It involves taking several doses of a capsule containing a small amount of live but weakened bacteria that causes typhoid fever, prompting your immune system to build a defense against the disease.

Purpose

• Medical Condition: Typhoid fever, a serious bacterial infection.
• Goals/Outcomes: To prevent typhoid fever, especially for travelers heading to regions where the disease is more common.

Indications

• Symptoms/Conditions: Recommended for individuals traveling to areas with a high incidence of typhoid fever.
• Patient Criteria: Suitable for adults and some children over 6 years old, particularly those at higher risk due to travel or exposure to areas with poor sanitation.

Preparation

• Pre-Procedure Instructions: Avoid antibiotics and antimalarial medications 24 hours before and after taking each dose.
• Tests/Assessments: No specific tests required, but a medical consultation is recommended.

Procedure Description

1. The course involves taking one capsule by mouth every other day for a total of four doses.
2. Capsules should be taken with a glass of cool or lukewarm water, roughly one hour before a meal.
3. The vaccine should be stored refrigerated until taken.
4. No anesthesia or sedation is required.

Duration

• The entire vaccination series spans one week.

Setting

• Location: Can be self-administered at home following prescription and instructions from a healthcare provider.

Personnel

• Involved Professionals: Prescribing physician or travel medicine specialist.

Risks and Complications

• Common Risks: Mild gastrointestinal symptoms, fever, headache.
• Rare Risks: Severe allergic reactions or very rare cases of live bacteria causing infection.

Benefits

• Expected Benefits: Immunity against typhoid fever, usually effective within 1 to 2 weeks after completing the vaccine series.
• Realization Time: Immunity typically lasts around 5 years.

Recovery

• Post-Procedure Care: Monitor for any adverse reactions and report any severe symptoms to a healthcare provider.
• Recovery Time: No significant recovery time since the vaccine is taken orally.

Alternatives

• Other Options: Typhoid vaccine via injection.
• Pros and Cons: The oral vaccine is non-invasive but requires a multi-dose regimen, while the injection is a single dose but involves a needle.

Patient Experience

• During Procedure: Typically no pain, taken as an oral capsule.
• After Procedure: Minor side effects are possible, such as stomach upset or headache. Pain management is usually not necessary; staying hydrated and resting can help alleviate mild side effects.