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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
- Preparation: Healthcare provider confirms the patient's identity and reviews the medical history.
- Injection Area: The upper arm (deltoid muscle) is commonly used for the injection.
- Administration: The vaccine is drawn up into a syringe.
- Injection: The vaccine is administered intramuscularly in the deltoid muscle.
- 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.