immunization - converted 3.pdf

Immunizations schedule PDF:...

Immunizations schedule PDF: https://drive.google.com/file/d/1i2 zMfJcqFzMufznA__4f2h_m4MMYjz bG/view?usp=sharing ‫ﻋﺑدﷲ اﺑورزﯾزة‬.‫ﺗﻔرﯾﻎ د‬ For Vaccine Doses Time *‫* اﺣﻔظوه‬ 0 1 The different in vaccine between normal and premature infant is HBV vaccine ‫اﻻطﻔﺎل اﻟﻲ اﺗوﻟدو ﻗﺑل وﻗﺗﮭم‬ ‫ وﻧﺧﻠﻲ اﻟﺟﺳم ھوا ﺑﻧﻔﺳﺔ ﯾﻛون اﻻﺟﺳﺎم اﻟﻣﺿﺎدة‬organism ‫ﻧﻌطﻲ ال‬ ‫ﯾطﻌﻣو زي اﻷطﻔﺎل اﻟطﺑﻌﯾﯾن ﻣﺎﻋدا‬ ‫ ﻻزم ﯾﻛون وزﻧﮭم اﻛﺗر‬HBV ‫ﻓﻲ‬ HBsAg -ve ‫ واﻻم ﺗﻛون‬2kg ‫ﻣن‬. ‫ ﺟﺎھزة‬Antibody ‫ﻧﻌطﻲ‬ ‫ﻏﺎﻟﺑﺎ ﺗﻛون ﻓﻲ ﺣﺎﻻت ﺧﺎﺻﺔ ﻋﺷﺎن ﻛدا ﺟدول اﻟﺗطﻌﯾﻣﺎت‬ Passive ‫ ﻣﺎﻓﻲ‬Active ‫اﻟﻲ ﻓﻲ اﻟﺻﻔﺣﺔ اﻟﻲ ﻗﺑل ﻛﻠو‬ :‫ ﺷﺎﺋﻊ اﻻﺳﺗﺧدام‬passive ‫اﻟﺗطﻌﯾم ال‬ 1. hepatitis B vaccine give to ‫ ﺷﮭور‬٩ ‫ﻣﺛﺎل اﺗوﻟد ﻓﻲ اﻟﺷﮭر اﻟﺛﺎﻣن ﻣﺎ اﺳﺗﻧﻰ ﯾﻛﻣل‬ children that have mother with ‫ﻋﺷﺎن اﺑدا اﻟﺗطﻌﯾم اﻋطﻲ اﻟﺗطﻌﯾﻣﺎت ﺣﻘﺗﮫ ﻋﺎدي ﺑﺷرط‬ Most important passive immunization ve+ HBV ( give the vaccine & IG) 2kg ‫ﯾﻛون وزﻧﺔ اﻛﺛر ﻣن‬ 2. Vaccine for varicella to ‫ اذا اﻻم ﻋﻧدھﺎ‬HBV vaccine ‫اﻟﻔرق ﻓﻲ‬ pregnant lady ve+ varicella IG + ‫ اﻋطﻲ اﻟﺗطﻌﯾم‬HBV 3. Vaccine for Rabies 2 within 24h from delivery 3  BCG and DTP vaccine give intradermal The More comfortable sites There is guideline if you want to give blood products or IG. how long you should delay the vaccination according to ‫ﺗﻘدر ﺗﻌطﻲ اﻛﺗر ﻣن ﺗطﻌﯾم ﻓﻲ ﻧﻔس اﻟوﻗت ﻓﻲ أﻣﺎﻛن ﻣﺧﺗﻠﻔﺔ‬ the type of vaccine (Live-attenuated or killed ) if IG given should delay the Because you depress the immune system vaccine up to 11 month 4 5 with IG so the vaccine not going to work - Firs vaccine give at birth *Can come in OSCE station : mother present to you with her - routine in Immunizations schedule child cheack the vaccination by taking immunaization history - In KSA we give 4 doses - The vaccine ↓ the incidence and prevalence of the diseases - NOT give to any baby less than 2kg The type we give in KSA ‫ھﺎدي اﻷوﻗﺎت ﻣﺣددة ﻋﺷﺎن اذا ﺟﺎ اﺣد وﻣﺎ ﻗد اطﻌم ﻓﻲ ﺣﯾﺎﺗﮫ ﻧﻌﺗﻣد‬ ‫ﻋﻠﯾﮭﺎ واﻋﻣﻠﮫ ﺟدول ﺧﺎص ﺑﮫ‬ ‫ ﺷﮭور وﻣﺎ ﻋﻣره اﺗطﻌم اﻋطﻲ اول ﺟرﻋﺔ وﺑﻌد‬7 ‫ ﻟو ﺟﺎ وﻋﻣره‬: ‫ﻣﺛﺎل‬ ‫ أﺳﺑوع اﻟﺟرﻋﺔ اﻟﺛﺎﻟﺛﮫ‬16 ‫ أﺳﺎﺑﯾﻊ اﻟﺟرﻋﺔ اﻟﺛﺎﻧﯾﮫ وﺑﻌد‬4 Previous reaction from the vaccine ( anaphylaxis , sever allergic reaction) be careful with the next dose OR not give 90% protection For those who receive the full doses of the HBV vaccine 6 (Diphtheria, Tetanus, Acellular Pertussis) ‫اﻟﺛﻼﺛﻲ اﻟﺑﻛﺗﯾري‬ Adult get Tetanus vaccine not the 3 combination ( all healthcare worker should get Tetanus ,HBV , influenza and meningococcal vaccine) killed 2 booster dose at 18 month and before school Complication/Reaction from the vaccine In child at 7 year never get vaccinated give different dose for Pertussis because in this age cause complication 8 9 Haemophilus influenzae type B vaccine Contraindication (The vaccine was effective to prevent Haemophilus influenzae meningitis) If we don’t know the cause should not give the vaccine till pt is stable or Haemophilus identified the cause of there encephalopathy, then decide about the vaccine influenzae is more risky in pt: 3 Doses - 2 month (8 weeks) - 4 month - 6 month Sever allergic reaction 10 11  Oral Poilo Vaccine Pros Cons Pneumococcal Vaccine 2 type: - Very cheap Live-attenuated Both killed vaccine polysaccharide - Give orally Vaccine : pt with - (old) short term immunity 2-3 years secretion ‫ ﯾﺧرج ﻓﻲ‬- immunodeficiency, - for special cases like sickle cell anemia, ‫ﻟﻛل اﻟﻲ‬immunity ‫ﻓﯾﻌطﻲ‬ chemotherapy, asplenia, elderly, rheumatic fever ‫ﺣوﻟﮫ‬ cancer they may - cover 23 type of Pneumococcal develop clinical Polio bacteria Doses 1st dose at 6 month Injectable Poilo Vaccine Pros Cons - Killed vaccine - More expensive - No side effect for - Injectable immunodeficiency pt Doses 2,4,6 month and booster doses 12 13 Vaccine of TB Pneumococcal Vaccine ‫ ﻣﻣﻛن‬Live ‫ اﺷﮭراﺧرﺗﮫ ﻋﺷﺎﻧﮫ‬6 ‫وزارة اﻟﺻﺣﺔ اﺧرﺗﮫ وﺻﺎر ﯾﺗﻌطﻰ ﻋﻠﻰ ﻋﻣر‬ Conjugate (prevenar) ‫ ﺑس ﻣﺎ ظﮭرت ﻋﻠﯾﮫ اﻻﻋراض‬immunodeficiency ‫ﺣدﯾث اﻟوﻻدة ﯾﻛون‬ - its conjugated to diphtheria to enter immunity cell to produce antibody (diphtheria can All immunocompromised pt penetrate the nucleus) start to replicate in B-cells should not give live vaccine like : and give long term immunity for years - BCG - This type we have in our Immunizations schedule - OPV ( give to all children) - MMR - cover 13 type of Pneumococcal bacteria - Varicella Doses 2,4,6 months 14 - rotavirus vaccine 15  Measles give alone at 9 month and the combined MMR give at Measles, Mumps, and Rubella 1 year and 2 booster dose give ‫اﻟﺛﻼﺛﻲ اﻟﻔﯾروﺳﻲ‬ at 18 month and before school Should not give to Immunocompromised pt Before it was contraindicated to egg allergic pt NOW they remove all egg protein so subcutaneous its Not contraindicated any more 16 17 Its simple disease but if affect adult will suppress the immunity and give complication like pneumonia subcutaneous Take dose and the next one after 1 month - Immunocompromised pt - serious allergic reaction from previous vaccine 18 19 2 type: Meningococcus Vaccine Conjugate polysaccharide - Protect against subtype B - Give routine in season - Give Long term immmunity - Protect from all subtype - Not cover all subtype - Should repeat every 2-3 year - In the Immunizations schedule ( give to all children) We should be Careful about the dose timing and give the doses in the right time Doses 9 month , 1 year 1st dose give from 6 to 14 weeks Contraindicated to 2nd dose after 4 weeks from 1st dose and not give after 8 month those how develop Why: to reduce the risk of Intussusception and the sever symptom of gastroenteritis 20 21 serious allergic reaction Give to healthcare worker and people that have contact with animals ‫ اﺷﮭر اﻟﻲ ﺳﻧﺔ ﻣن اﻟﺟرﻋﺔ اﻷوﻟﻰ‬6 ‫اﻟﺟرﻋﺔ اﻟﺛﺎﻧﯾﮫ ﺗﻌطﻰ ﻣن‬ ‫ اﺷﮭر وﻻ ﺑﻌد ﺳﻧﺔ ( ﻟو ﺳﺎر ﻓﻲ ﻏﻠط ﺗﻧﻌﺎد‬6 ‫) ﻣﺎﺗﻌطﻰ ﻗﺑل‬ ‫ اﺷﮭر‬6 ‫ﻣن ﺟدﯾد ﯾﻌﻧﻲ ﻧﻌطﻲ ﺟرﻋﺔ ﺟدﯾدة وﺑﻌدﯾن ﻧﺳﺗﻧﻰ‬ ‫ﺑﻌدﯾن ﻧﻌطﻲ اﻟﺟرﻋﺔ اﻟﺛﺎﻧﯾﺔ‬ Not give Immunocompromised pt 23 22  1. Human papillomavirus Not Mandatory and not present in the Immunizations vaccine HPV for teenager schedule but recommended in influenza season annually 2. Rabies vaccine 3. Yellow fever vaccine Type: 4. NEW BCG vaccine ?? Recombinant and 5. HIV vaccine ?? ‫اول ﻣرة ﯾﺗﺄﺧذ اﻟﺗطﻌﯾم ﻻﺑد ﯾﺗﻌطﻰ ﻛﺟرﻋﺗﯾن ﺟرﻋﺔ وﺷﮭر وﺑﻌدﯾن اﻟﺟرﻋﺔ اﻟﺛﺎﻧﯾﮫ‬ inactivated influenza 6. COVID vaccine ?? vaccine DONE ‫ﺑﺎﻟﺗوﻓﯾق‬ TASNEEM 🌈 24 25