Thursday, August 25, 2011

Fact About Vaccination - BCG ?

Vaccination Information
This is one of the most important aspect of preventive pediatrics. Immunization in India has still not achieved the goal of "Immunization of All children". Even amongst the doctors there still remains controversy as the specific timing of vaccination. Immunization schedule given below is the most commonly accepted schedule.
National Immunization Schedule
AGE VACCINE ROUTE OF ADMINISTRATION
3 rd day to 3 month B.C.G Intradermal
2 nd Month 1 st dose Polio-OPV Oral
3 rd Month 2 nd dose Polio – OPV

Triple Antigen – DPT

Oral
Intra Muscular
4 th Month 3 rd dose Polio – OPV
Triple Antigen – DPT

Oral
Intra Muscular
5 th Month 4 th dose Polio – OPV
Triple Antigen – DPT

Oral
Intra Muscular
6 th Month 5 th dose Polio – OPV Oral
7 th Month to 9 month Measles Vaccine Subcutaneous

18 Month 1 st Booster Dose of Polio
Triple Antigen – DPT

Oral
Intra Muscular
4 to 5 Year 2 nd Booster Dose Of Polio
Triple Antigen – DPT

Oral
Intra Muscular
Adults Tetanus Toxoid Every 2-5 Year

Measles Vaccine:
Only can be given to a child at the age of 9 month or even before that, if there is an epidemic of measles. A booster dose of MMR should be given at the age of 15-18 months.

Effectiveness of BCG:

Controversy regarding effectiveness of BCG is still going on. BCG does not prevent formation of primary complex but it certainly helps to prevent severe form of Tuberculosis Therefore it should be advised to all neonates

Oral Polio Vaccine

Low grade fever which may appear 12-24 hour after vaccination and lasts for a day or two.

Triple Vaccine
Low grade fever 12-24 hour after the injection
Immunization other than Routine

Cholera
Used only during an epidemic of cholera. It can be combined with TAB vaccine or given alone. Dose 0.5 ml IM or subcutaneous. Children below 2 year will require 0.2 ml and those between 2-10 year require 0.3 ml.

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