Professional Documents
Culture Documents
DR Neminathan , coimbatore
child trust hospital , 9842811198
The discussions are based on
4-6 years.
of age only.
POLIO IMMUNIZATION
What is eIPV ?
DR.SIVAPRAKASAM.V
Catch-up
12 months - 12 years : 2 doses, minimum interval 3 months
NOTE:
ACVIP approves of all the available Monovalent Varicella Vaccine
brands.
in India
PCV
PCV 10 and PCV 13 licensed for use from 6 weeks to 5 years.
Schedule
Primary doses (both PCV 10 and PCV 13)
6, 10, 14 weeks – booster 12 through 15 months
Catch up Vaccination:
PCV 13 : 6 – 12 months : 2 doses 4 weeks apart + one
booster
12 – 23 months : 2 doses 8 weeks apart
24 months and above : single dose
PCV 10 : 6 – 12 months : 2 doses 4 weeks apart + one booster
12 months to 5 years : 2 doses 8 weeks apart
Vaccination of person with high-risk conditions:
Note :
HPV - 9
Special precautions:
Syncope following vaccine counseled.
Vaccine in sitting or lying position.
Patient observed for 15 minutes post vaccination
Pre - EP
For high risk category of children
having pets at home
With high threat of being bitten by dogs such as
hostellers, risk of stray dog menace while going
outdoor
Day 0, 7, 21 or 28
Which of the animal bites require ARV ?
Treatment:
None, if reliable case history is available
35
Category II
Treatment
Administer Vaccine immediately
36
Category III
Treatment………………….
Administer Rabies Immunoglobulin (RIG) and a Vaccine
Immediately If RIG is not available, administer two doses
of ARV on Day 0
37
Post exposure prophylaxis PEP
Wound care – Under running tap water for 10 minutes + application of soap.
Apply disinfectants – povidone iodine
ViPS vaccine-
at 2 years
Revaccination every 3 years
No hypo responsiveness with repeat vaccination
TCV conjugate is preferred over ViPS
CATCH UP IMMUNIZATION TYPHOID
Catch up vaccination can be given at any age
upto 18 years
If TCV is used – one dose
If ViPS is used, revaccination every 3 years
ViPS should not be given as a booster to a
child who as received the first dose as TCV
The need and exact timing of booster doses
are not yet determined
ROTAVIRUS VACCINE
Live attenuated human RV vaccine –
Monovalent RV-1 - ROTARIX
Schedule:
For RV-1 only 2 doses – 10 and 14 weeks – This schedule is found
to be far more immunogenic than at 6 and 10 weeks.
DR.NANDHINI KUMARAN
AEFI
Medical Emergency
Antihistamines
H - 1 receptor blocking
Hydroxyzine / cetirizine
CORTICOSTEROIDS
Influenza vaccine :
Inactivated influenza vaccine - IIV prepared from egg.
If allergic reaction was mild (hives only) administer vaccine with
preconditions (In-office observation for 30 minutes, appropriate
resuscitative equipment available)
If allergic reaction to egg was severe, advised not to use the vaccine and
allergist consultation.
High dose steroids (i.e) > 2 mg/kg of prednisolone but less than14 days
Vaccines 2 weeks after discontinuation.
Younger than 12
> 2 weeks No Prophylaxis
months
No Prophylaxis
> 12 months But Hep A vaccine may be
indicated.
NEONATE BORN TO
HBsAg POSITIVE MOTHER
Both active & passive immunization must be
given within 12 hours of birth
First dose of vaccine within 12 hours
Second dose 1 – 2 months
Third dose - 6 months
Hepatitis B immune globulin 0.5ml IM within
12 hours – separate site – separate needle
POST PROPHYLAXIS –HEP B
Check HBsAg and anti-HBsAg at 9-18 months of age
Results
Anti HBsAg positive – immune
HBsAg positive – HB infection
counsel, pediatric gastro consult
and follow-up
Both negative – Vaccine failure
Complete a second series of
Hepatitis B vaccine
DENGUE VACCINE
Dengvaxia (CYD – TDV)
Tetravalent live attenuated chimeric vaccine with yellow
fever virus as backbone.
Better protection against DENV 3 and 4
Less effective against DENV 1 and 2
3 doses 0 – 6 – 12 months
Sanofi – Pasteur vaccine
Age 9 – 45 years
Used in Mexico, Brazil, Philippines.
DENGUE VACCINE
India finished Phase II trials. Phase III not yet started.