Immunization Flashcards
(40 cards)
National immunization Program
BCG
Monovalent Hep B
DPT-HiB-Hep B
OPV
Bacillus Calmette Guerin (BCG)
Intradermally
Live attenuated
Given at the earliest possible age after birth
(first 2 months)
<12 months: 0.05 ml
>12 months: 0.1 ml
Hepatitis B vaccine
Intramuscular
1st dose: birth or within 12 hours of life
minimum interval: 4 weeks
Final dose: not earlier than age 24 weeks
Another dose is needed if last dose >24 weeks
Hepatitis B
Preterm
(mother: HBsAg (-) )
1st dose may be given at 30 days of age regardless of weight
Another dose of HBV is need for those <2 kgs whose 1st dose was received at birth
Hep B vaccine
Preterm
(mother HBsAg (+)
administer HBV and HBIG (0.5ml) within 12 hours of life
HBIG should be administered not later than 7 days of age
DPT
IM
minimum age: 6 weeks
minimum interval: 4 week
(6-10-14-16-20)
recommended interval between 3rd and 4th dose : 6 months, 4 months is valid)
5th dose may not be given if the 4th dose was administered at age 4 years or older
HiB
IM
3 dose primary series
Minimum age: 6 weeks
minimum interval: 4 weeks
booster: given between 12-15 months with an interval of 6 months from the 3rd dose
Poliovirus vaccine
OPV: per orem
IPV: IM
3 dose primary series
Minimum age: 6 weeks
Minimum interval: 4 week
A booster dose should be given on or after the 4th birthday and at least 6 months from the previous dose
PCV
IM
minimum age: 6 weeks
3 doses with an interval of at least 4 weeks
booster given at 6 months after the 3rd dose
Healthy children 2 to 5 years who have no previous PCV vaccination may be given 1 dose of PCV13 or 2 doses of PCV 10 at least 8 weeks apart
Routine use of PCV is npt recommended for healthy children 5 years and above
Rotavirus
PO
minimum age: 6 weeks
interval: 4 weeks
Last dose should be given not later than 32 weeks of age
Monovalent human rotavirus vaccine 1 (RV1)
2 dose series
Pentavalent bovine rotavirus vaccine (RV5)
3 dose series
Influenza vaccine
Trivalent: IM or SC
Quadrivalent; IM
minimum age: 6 months
6 months - 35 months : 0.25 ml
36 months to 18 years: 0.5 ml
Children 6months to 8 years receiving influenza vaccine for the first time should receive 2 doses separated by at least 4 weeks. If only 1 dose was given , give 2 dose of the vaccine then 1 dose of vaccine thereafter
Children aged 9 - 18 years should receive 1 dose of vaccine yearly
Measles vacine
Live attenuated
SC
age: 9 months but may be given as early as 6 month in cases of outbreaks
Japanese Encephalitis
SC
age: 9 months
Children 9 months to 17 years of age should receive 1 primary dose followed by a booster 12-24 months after the primary dose
Individual 18 years and older should receive a single dose only
MMR
SC
Live attenduated
minimum age: 12 months. may be given at early age if recommended by public health authorities
Minimum interval: 4 weeks
2 doses of MMR are recommended.
2nd dose: 4-6 years
Children below 12 months given any measles containing vaccine should be given 2 additional doses
Varicella
SC
live attenuated
minimum age: 12 months
2 doses
1st dose: 12-15 months
2nd dose: 4-6 years
<13 years old: interval : 3 months. However id f the 2nd dose was administered at least 4 weeks after the first dose, it s considered valid
> 13 years old: 4 weeks interval
MMRV
SC
Live attenuatad
minimum age: 12 months
Max age: 12 years
Minimum interval: 3 months
Hepatitis A
IM
age: 12 months
2 dose
interval: 6 months
Tdap
IM
* for children who are fully immunized, Td should be given every 10 years’
- for fully immunized pregnant adolescent, 1 dose of tdap anytime after 20 weeks
- Unimmunized pregnant adolescent, 3 dose Tdap (0,1,6 month) Tdap should replace one dose of Td given preferrably after 20 weeks of gestation
HPV
IM
3 dose series
age: 9 years
Bivalent: 0,1,6 months
Quadrivalent: 0,2,6 months
Interval: 1 month then 3 months
Quadrivalent: can be given to males 9 to 18 years of age for the prevention of anogenital warts
Rabies
IM or ID
IM: purified Vero cell Rabies Vaccine 9PVRV) 0.5 ml or Purified Chick Embryo cell Vaccine (PCEVC) 1 ml
0,7,21 or 28
ID: 0.1 ml on 0, 7, 21 or 28
Typhoid vaccine
IM
age: 2 years olf with revaccination every 2-3 years
Dengue vaccine
Live attenuated SQ age: 9 years Max age: 45 years old 3 doses (0, 6,12)
