Diptheria + tetanus + pertussis + hepatitis B + inactivated polio vaccine + Haemophilus influenza type B (HIB) Vaccine

Indications

Diphtheria, Tetanus, Pertussis, Hepatitis B, Poliomyelitis, HIB

Child Dose

Primary Immunization Deep IM inj Primary vaccination 3 or 2 doses of 0.5 mL w/ at least 1-mth interval between doses. Booster vaccination Given at least 6 mth after last priming dose between 11 & 13 mth of age (after 2 doses) or before 18 mth of age (after 3 doses).

Contra Indications

Hypersensitivity. Encephalopathy of unknown etiology occurring w/in 7 days following previous vaccination w/ pertussis-containing vaccine.

Precautions

Hypersensitivity to neomycin & polymyxin. Do not administer intravascularly or intradermally. Postpone vaccination in patients w/ acute severe febrile illness. Temp >40°C, collapse or shock-like state, persistent & inconsolable crying lasting >3 hr w/in 48 hr of vaccination. Convulsions w/ or w/o fever w/in 3 days of vaccination. Progressive neurological disorders including infantile spasms, uncontrolled epilepsy or progressive encephalopathy. Anaphylactic event & syncope may occur. Thrombocytopenia or bleeding disorder. History of febrile convulsions. Consider risk of apnea & resp monitoring for 48-72 hr in very premature infants (>28 wk of gestation) & those w/ history of resp immaturity. False +ve urine tests for HIB infection w/in 1-2 wk after vaccination.

Pregnancy-Lactation

Not Classi Pregnancy Not approved for use in individuals >5 years No human or animal data are available to assess vaccine-associated risks in pregnancy Lactation Not approved for use in individuals >5 years No human or animal data are available to assess the impact on milk production, its presence in breast milk, or its effects on the breastfed infant

Adverse Effects

Loss of appetite; irritability, abnormal crying, restlessness, nervousness; vomiting, diarrhea; pruritus. Fever, fatigue, inj site reactions including pain, redness, local swelling & induration.

Mechanism of Action

Vaccine is used for the active immunisation of Diphtheria, Tetanus, Pertussis, Hepatitis B, Poliomyelitis & HIB. Production of specific antibodies to tetanus, diphtheria, and pertusis (active immunity). Conveys active immunity via stimulation of production of endogenously produced antibodies

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