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BACTERIAL VACCINES

 Suspensions of attenuated, more commonly, killed pathogenic bacteria in isotonic solution NaCl
solution
 “S”/ smooth strains are more antigenic than “R”/rough strains

Typhoid Vaccine (Enteric vaccine) Killed Salmonela typhi (Type 2)


Cholera Vaccine Killed Vibro cholera (Iniba & Ogawa strains)
Plague Vaccine Killed Yersinia pestis (Reservoir: rats/ Vector:
fleas)
Pertussis Vaccine Killed Borcetella pertussis
Adsorbent Perttussis Vaccine- pertussis
vaccine+AlOH3 or Al2(PO4)3
Tuberculosis Vaccine (BCG vaccine) Dried, living M. Tuberculosis (Calmette-Guerin
strain)
Meningitis Vaccine Capsular polysaccharides for Nesseria
meningitis (A,C,Y and W-135)
Pneumococcal Vaccine Polyvalent Polysaccharide entigents from Streptococcus
pneumonia
Haemophilus b Polysaccharide Vaccine Capsular polyvalent polysaccharide of
Haemophiius influenzae type b (Hib)

TOXINS AND TOXOIDS:

 Toxins- (exotoxins) bacterial waste products that are considered poisonous to


the animal fat
 Toxoid- toxin whose toxicity has been inactive or suppressed either by chemical
(formalin) or heat
 Act as antigents because they stimulate certains cells of the body to produce
antitoxins
 Culture medium- beef broth medium
 Clostridium botulinum- source of the most poisonous poison

FLUID TOXOIDS

 Formaldehyde (reduces or eliminates toxic properties without affecting antigenecity)


 Induces artificial active immunity

ADSORBED TOXOID

 Precipitated or adsorbed with alum, aluminum hydroxide or aluminum phosphate

ANTITOXINS

 From blood of toxin- immunized animals, usually horses


 Standardized in terms of “antitoxins unit”
 Admin: prepare a syringe containing epinephrine injection and tomiquet to counter
anaphylactic reactions

USES

Diptheria antitoxin Passive immunity, curative

Tetanus antitoxin Treatment and prophylaxis of tetanus if


Tetanus Ig is not available (passive immunity)

Botulism antitoxin (multivalent) treat all cases of toxemia


Type A,B,E strains caused by types of botulinus bacteria used
VENOMS and ANTIVENINS

 From blood of venom- Immunized animals, usually horses


 Venoms- poisonous excreations produced by animals; equilvalent to exotoxins in
bacteria
 Snake venins or venoms- obtained by holding a poisonous snake over a conical glass
container covered with a sheet of thin rubber

SYNONYM AGAINST VENOM OF


Antivenin North and South America Crotalus atrox (Western
(Crotalidao) antisnakebite serum diamondback)
Polyvalent C. adamanteus (Florida
diamondback)
C. durissis terrificus (S.
American rattiesnake)
Bothrops atrox (S. American
fer-de-lance)

Antivenin North American coral snake Micrurus fulvius (eastern


antivenin coral snake)
M. Fulvius tenere (Texas coral
snake)
Antivenin (Latrodectus
Spider- Bite Antivenin mactans) Latrodectus mactans ( black
Black widow spider antivenin widow spider)

ANTISERUMS

 From blood of bacteria/virus-immunized animals, usually horses

Antirabies Serum ( more effective if administered with rabies vaccine)

D : sterlie, nonpyrogenic solution containing antiviral substances

From : blood serum or plasma of a healthy horse immunized against rabies by vaccination

IMMUNE GLOBULINS

 From immune humans (survived an attack or immunized)

USE

Immune Globulin Prophylactic in chickenfox, hepatitis A and


Immune serum globulin other diseases
Immune globulin intramuscular
Gamma globulin Immune Globulin Intravenous/GIV
 Provides immediate Ab levels
 Treatment of innunodeficiency
syndrome

Pertussis Immune Globulin Prophylaxis and treatment of pertussis


Tetanus Immune Globulin Passive immunization against tetanus in
individual with wounds that may have been
contaminated
Rabies Immune Globulin Used with rabies vaccine (best postexposure
prophylaxis)
Hepatitis B Immune Globulin

Varicella-Zoster Immune Globulin Restricted to Immunodeficient Individuals

Rho (D) Immune Globulin For unsensitized Rh-negative women who


gave birth to Rho (D) or D – positive infant

Lymphocyte Immune Globulin Lymphocyte selective immunosuppressant

DIAGNOSTIC ANTIGENS

 Positive responses: localized, well-defined wheal accompanied by erythems

FROM POSITIVE RESPONSE

Tuberculin Human or bovine strains of Redness or inflammation


tubercle bacillus

Old Tuberculin M. tuberculosis Inflammation and palpable


induration or edema (5mm)

Purified protein Derivatives M. tuberculosis (free from Palpable induration (10 mm


of Tuberculin protein) or more)
Histoplasmin Histoplasma capsulatum
( mycalial phase)

Coccidioidin Fungus coccidioides immitis

Diphtheria toxin Corynabacterium diphtheria Circumscribed area of redness


(nit 400 MLD/min lethal (21 cm)
doses)

Mumps Skin Test Anitigen Formaldehyde-inactived Erythema (at least 1.5 cm)
mumps virus grown on extra-
embroyc fluids of the mumps
virus-infected chicken
embreyo

BIOLOGIC RELATED TO HUMAN BLOOD

Whole blood (human) From a donor (+ Blood replenisher


citrate/heparin as
anticoagulant)
Red blood cells Whole blood minus plasma Blood replenisher in anemis

Plasma Protein Fraction Selected proteins derived by Blood volume restoration (in
(human) fractionating material (source shock)
blood plasma, serum)

Thrombin Sterlie protein from Hemostatic


prothombim (bovine) +
thromboplastin in the
presence of calcium
Antihemophillic Derivatives- control of 2 types of hemophilia

Antihemophillic factor Sterile, freeze-dried Hemophilia A ( class


concentrate of humans hemophilia)
antihemophillic factor
(prepared from the vector
VIII-rich cryprotein fraction of
human venous plasma)

Antihemophillic factor IX Dreid plasma fraction Prevent dangerous bleeding


complex comprising coagulation or to perform surgery
factors IX, II, VII, X

Albumin Human Sterile, nopyrogenic Blood-volume supporter


preparation of serum albumin
obtained by fractionating
material (source blood plasma
, serum or placentas) from
healthy human donors

Radio – Iodinated Serum Albumins

 Contains serum albumin iodinated using mild conditions with either [125 or ]131
 Sterile, buffered, isotonic solutions prepared to contained nlt 10 mg radio-iodinated
normal human albumin per ml & adjusted to provide nmt millicurie of radioactivity per
ml

Iodinated125/ albumin injection and Diagostic aid to determin blood volume and
Iodinated 131/ albumin injection cardiac output

Iodinated131/ aggregated injection Diagnostic aid for determination of


pulmonary clearance

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