Childhood Immunization Schedule 2021 PDF

 ANNOTATIONS BACILLE CALMETTE GUERIN (BCG) Given intradermally (ID) The dose of BCG is 0.05 ml for children < 12 months and 0.1 ml for children ≥ 12 months Given at the earliest possible age after bir...

 ANNOTATIONS BACILLE CALMETTE GUERIN (BCG) Given intradermally (ID) The dose of BCG is 0.05 ml for children < 12 months and 0.1 ml for children ≥ 12 months Given at the earliest possible age after birth preferably within the first 2 months of life For healthy infants and children > 2 months who are not given BCG at birth, PPD prior to BCG vaccination is not necessary. However, PPD is recommended prior to BCG vaccination if any of the following is present: o Congenital TB o History of close contact to known or suspected infectious cases o Clinical findings suggestive of TB and/or chest x-ray suggestive of TB In the presence of any of these conditions, an induration of 5 mm is considered positive and BCG is no longer recommended DIPHTHERIA, TETANUS, PERTUSSIS VACCINE (DTP) Given intramuscularly (IM) Given at a minimum age of 6 weeks. The primary series consists of 3 doses with a minimum interval of 4 weeks Booster series consists of 3 doses until adolescence with the following schedule: o 12-23 months (DTP) o 4-7 years (DTP) o 9-15 years (Td/Tdap) Ideally, the minimum interval between booster doses should be at least 4 years Full-dose DTP should preferably be used only until age 7 years, but package inserts should be consulted for maximum age indications of specific products HAEMOPHILUS INFLUENZAE TYPE B CONJUGATE VACCINE Given intramuscularly (IM) Given as a 3-dose primary series with a minimum age of 6 weeks and a minimum interval of 4 weeks A booster dose is given between age 12-15 months with an interval of 6 months from the third dose Refer to Vaccines for Special Groups for Hib recommendation in high risk children HEPATITIS A VACCINE (HAV) Inactivated Hepatitis A Vaccine Given intramuscularly (IM) Minimum age: 12 months 2 dose series: minimum interval between first and second dose is 6 months Live attenuated Hepatitis A Vaccine o Given subcutaneously (SC) o Minimum age: 18 months o Given as single dose HEPATITIS B VACCINE (HBV) Given intramuscularly (IM) Administer the first dose of monovalent HBV to all newborns ≥2kgs within 24 hours of life A second dose is given 1-2 months after the birth dose The final dose is administered not earlier than 24 weeks of age Another dose is needed if the last dose was given at age