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Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use

CPT4 code

Name of the Procedure:

Meningococcal Recombinant Lipoprotein Vaccine, Serogroup B (MenB-FHbp)
Commonly known as: MenB Vaccine

Summary

The MenB Vaccine is an injectable vaccine designed to protect against infections caused by Neisseria meningitidis serogroup B. It is administered in a series of 2 or 3 doses via intramuscular injection.

Purpose

The MenB Vaccine is aimed at preventing meningococcal disease caused by serogroup B bacteria. The primary goal is to reduce the risk of meningitis and bloodstream infections, which can be severe and potentially life-threatening.

Indications

  • Routine vaccination for adolescents and young adults, particularly those aged 16-23.
  • People in outbreak settings involving MenB disease.
  • Individuals with certain medical conditions that increase risk for invasive meningococcal disease, such as asplenia or complement component deficiencies.
  • Laboratory workers exposed to meningococcal bacteria.

Preparation

  • No specific preparation such as fasting is required.
  • Make sure the patient’s vaccination history is reviewed.
  • Inform the patient of potential side effects.

Procedure Description

  1. Preparation: Healthcare provider confirms the patient's identity and reviews the medical history.
  2. Injection Area: The upper arm (deltoid muscle) is commonly used for the injection.
  3. Administration: The vaccine is drawn up into a syringe.
  4. Injection: The vaccine is administered intramuscularly in the deltoid muscle.
  5. Post-Procedure: The injection site is observed for a few minutes to monitor for immediate adverse reactions.
Tools, Equipment, and Technology
  • Sterile syringe and needle
  • MenB-FHbp vaccine
  • Alcohol swabs
  • Adhesive bandage
Anesthesia or Sedation
  • Not applicable; the procedure involves a simple injection that typically requires no anesthesia.

Duration

  • The injection itself takes only a few minutes.
  • Observation time post-injection is typically around 15 minutes to ensure no immediate allergic reactions occur.

Setting

  • The procedure is typically performed in a doctor’s office, outpatient clinic, or pharmacy.

Personnel

  • Licensed healthcare providers such as doctors, nurses, or pharmacists are involved.

Risks and Complications

  • Common: Soreness at the injection site, mild fever, headache, fatigue.
  • Rare: Allergic reactions, including anaphylaxis, though extremely uncommon.
  • Management of complications involves typical monitoring for allergic reactions and providing immediate medical care if necessary.

Benefits

  • Significant reduction in the risk of meningococcal serogroup B infection.
  • Protection usually begins within a few weeks of completing the vaccine series.
  • Contributing to herd immunity, which protects individuals who cannot be vaccinated.

Recovery

  • Most individuals can resume normal activities immediately after receiving the vaccine.
  • Soreness at the injection site may persist for a day or two.
  • No specific follow-up is required unless adverse reactions occur, in which case a healthcare provider should be contacted.

Alternatives

  • No alternative vaccines offer protection specifically against serogroup B meningococcal disease.
  • Preventive measures like good hygiene and avoiding close contact during outbreaks may provide some level of prevention but are not substitutes for vaccination.

Patient Experience

  • The actual injection may cause brief discomfort or a stinging sensation.
  • Post-injection soreness and mild side effects are common but generally resolve quickly.
  • Pain management can include over-the-counter analgesics like acetaminophen or ibuprofen if needed.

Note: Always consult with a healthcare provider for personalized medical advice.

Medical Policies and Guidelines for Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use

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