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CME/CE Test

Prevention and Control of Seasonal Influenza With Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2022–23 Influenza Season

  1. You are advising a large family practice about updated Advisory Committee on Immunization Practices (ACIP) recommendations regarding use of seasonal influenza vaccines in the United States. On the basis of the Morbidity and Mortality Weekly Report (MMWR) report by Grohskopf and colleagues, which one of the following statements about the updates from the 2021-22 recommendations is correct?
    Composition of 2022-23 US influenza vaccines includes updates to influenza A(H3N2) component, but not to influenza B/Victoria lineage component
    The approved age indication for the cell culture-based inactivated influenza vaccine, Flucelvax Quadrivalent (ccIIV4), was changed in October 2021 from ≥2 years to ≥6 months
    Adults aged ≥65 years should receive only quadrivalent high-dose inactivated influenza vaccine (HD-IIV4) or quadrivalent recombinant influenza vaccine (RIV4)
    Afluria Quadrivalent will be available in a 0.25-mL prefilled syringe
  2. According to the MMWR report by Grohskopf and colleagues, which one of the following statements about overall ACIP recommendations is correct?
    Routine annual influenza vaccination is recommended for all persons aged ≥2 years who do not have contraindications
    Trivalent and quadrivalent seasonal influenza vaccines are expected to be available in the United States for the 2022-23 influenza season
    Live attenuated influenza vaccine (LAIV4) will be unavailable in the United States for the 2022-23 season
    Most persons who need only 1 dose of influenza vaccine for the season should ideally be vaccinated during September or October
  3. On the basis of the MMWR report by Grohskopf and colleagues, which one of the following statements about other ACIP recommendations regarding the use of seasonal influenza vaccines in the United States in special populations, and other clinical considerations, is correct?
    Persons in isolation for COVID-19 or quarantined for known or suspected exposures should not be vaccinated against influenza if it poses an exposure risk to others in the vaccination setting
    COVID-19 illness does not warrant postponing influenza vaccination
    Immunocompromised persons and those with certain chronic medical conditions should receive LAIV4
    IIV4 and RIV4 should not be given to persons receiving influenza antiviral medications