Immunization By DR BAHA M HASSEN

4month male baby with good health and normal development had in duration,painful and red swelling at site of previous DPT vaccine,Do you need stop DPT vaccine?

True general contraindications 1-Acute illness 2-Previous severe reaction to immunization. 3-Immune deficiency or suppression,acqured or induced. 4-Prrogressive or uncontrolled CNS disease. 5-Specfic situations with cellular pertusis or live vaccine

Precautions Moderate or severe acute illness with or without fever Current antimicrobial therapy Convalescent phase of illness Premature birth (hepatitis B vaccine is an exception in certain circumstances) Recent exposure to an infections disease History of penicillin allergy, other nonvaccine allergies, relatives with allergies, receiving allergen extract immunotherapy

DTaPContraindications 1-Severe allergic reaction after a previous dose or to a vaccine component 2-Encephalopathy (e.g., coma, decreased level of consciousness; prolonged seizures) within 7 days of administration of previous dose of DTP or DTaP 3-Progressive neurologic disorder, including infantile spasms, uncontrolled epilepsy, progressive encephalopathy. 3-Temperature of <40.5°C, fussiness or mild drowsiness after a previous dose of diphtheria toxoid-tetanus toxoid-perfussis vaccine (DTP)/DTaP 4-Family history of seizures. 5-Family history of sudden infant death syndrome 6-Family history of an adverse event after DTP or DTaP administration 7-Stable neurologic conditions (e.g., cerebral palsy, well-controlled convulsions, developmental delay)

Precautions 1-Fever of >40.5°C ≤48 hours after vaccination with a previous dose of DTP or DTaP 2-Collapse or shock-like state (i.e., hypotonic hyporesponsive episode) ≤48 hours after receiving a previous dose of DTP/DTaP 3-Seizure ≤3 days of receiving a previous dose of DTP/DTaP 4-Persistent, inconsolable crying lasting ≥3 and hours and ≤48 hours after receiving a previous dose of DTP/DTaP 5-Moderate or severe acute illness with or without fever

PRECAUTIONS GUILLAIN-BARRÉ SYNDROME ≤6 WEEKS AFTER PREVIOUS DOSE OF TETANUS TOXOID-CONTAINING VACCINE MODERATE OR SEVERE ACUTE ILLNESS WITH OR WITHOUT FEVER DT, TdContraindications Severe allergic reaction after a previous dose or to a vaccine component

QUISTION 1-which live attenuated vaccine had cross reaction? 2-which vaccines prepared in egg yolk ? 3-which T-independent response vaccine?

MMR Contraindications 1-Severe allergic reaction after a previous dose or to a vaccine component 2-Pregnancy 3-Known severe immunodeficiency (e.g., hematologic and solid tumors; congenital immunodeficiency; long-term immunosuppressive therapy or severely symptomatic human immunodeficiency virus [HIV] infection) 4-Breast-feeding 5-Pregnancy of recipient's mother or other close or household contact 6-Recipient is child-bearing-age female 7-Immunodeficient family member or household contact Asymptomatic or mildly symptomatic HIV infection

Precautions 1-Recent (≤11 months) receipt of antibody-containing blood product (specific interval depends on product) 2-History of thrombocytopenia or thrombocytopenic purpura 3-Moderate or severe acute illness with or without feverAllergy to eggs

PRECAUTIONS 1-INFANT WEIGHING <2,000 GRAMS 2-MODERATE OR SEVERE ACUTE ILLNESS WITH OR WITHOUT FEVER Hepatitis B Contraindication 1-Severe allergic reaction after a previous dose or to a vaccine component 2-Pregnancy 3-Autoimmune disease (e.g., systemic lupus erythematosis or rheumatoid arthritis)

polysaccharide vaccine (PPV) Contraindications 1-Serious allergic reaction (e.g., anaphylaxis) after a previous vaccine dose 2-Serious allergic reaction (e.g., anaphylaxis) to a vaccine component Mild acute illness with or without fever 3-Mild to moderate local reaction (i.e., swelling, redness, soreness); low-grade or moderate fever after previous dose 4-Lack of previous physical examination in well- appearing person

Precautions 1-Moderate or severe acute illness with or without fever 2-Current antimicrobial therapy 3-Convalescent phase of illness 4-Premature birth (hepatitis B vaccine is an exception in certain circumstances) 5-Recent exposure to an infections disease 6-History of penicillin allergy, other nonvaccine allergies, relatives with allergies, receiving allergen extract immunotherapy

Are Booster Vaccinations for Hepatitis A Necessary? Data show that one hepatitis A vaccination (HAV) provides long-term (>10 yr) protection against the virus and induces even longer-term (12-25 yr) immune memory in healthy adults. In healthy children, long-term protection is provided up to 6 years, with immune memory lasting up to 14 years. These findings question the need for a booster vaccination. A 2002 study by a panel of international experts concluded that there is no direct evidence to support the need for booster vaccinations.

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