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Vaccination During Steroids Rule — RACP Paediatrics MCQ

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ModerateNephrologyVaccination During Steroids RuleRACP Paediatrics

NS child on prednisolone 60 mg/m2/day. Advice regarding live vaccines?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: ELive vaccines contraindicated during immunosuppressive steroid doses; inactivated vaccines can be given

Live vaccines contraindicated on ≥2 mg/kg/day for ≥14 days. Inactivated OK but reduced immunogenicity.

Reference: Australian Immunisation Handbook – 2025